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XVLite User Manual

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1. 33 BFP ee Ga 35 PE f rc 37 ADVANCED IMAGE ENHANCEMENT 38 LABELLING IMAGE 40 GENERAL INFORMATION essre n E e a a a 40 ADDING AND MODIFYING LABELS MARKERS AND ANNOTATIONS 40 CALIBRATING IMAGES AND ADDING MEASUREMENT LABELS 42 DISTRIBUTING IMAGES TRANSIT ADD ON COMPONENTS 47 Apteryx Inc Page 2 of 99 diee August 22 2011 XVLite GENERAL INFORMA 47 TRANSIT GENERAL EMAILER CREATOR sss een nn nnne 47 TRANSIT EMAILER 51 FAS I A I NEA 52 KRAY VIEW E MAILER CREATOR 57 ARAT EWM CREA TOR 62 PRINTING IMAGES AND IMAGE RELATED DOCUMENTS 68 GENERAL INFORMATION essesi ennor 68 PRIN TING A SINGLE IMAGE 68 PRINTING MULTIPLE 68 PRINTING IMAGES IN A 5 70
2. 8 DELE TING A PAHENT e 8 VIEWING AN EXISTING PATIENT S 9 VIEWING GROUP SERIES OF 12 CAPTURING IMAGES FROM A X RAY SENSOR UNIT 13 CAPTURING SINGLE IMAGES FROM A X RAY 13 CAPTURING GROUP LAYOUT IMAGES FROM AN X RAY SENSOR UNIT 16 CAPTURING IMAGES FROM 5 19 GENERAL INFORMATION ccctcnctsonesseuhacslancdcaeceeccosteneeaasaatetdunsinasbcetateusonhewestaaaaietbadsienetecsstecinesbess 19 CAPTURING SINGLE IMAGES FROM A 5 nnen 19 CAPTURING GROUP LAYOUT IMAGES FROM 21 CAPTURING IMAGES FROM AN INTRA ORAL 25 GENERALINFORMA TION 25 CAPTURING SINGLE IMAGES FROM AN IO CAMERA 25 CAPTURING GROUP LAYOUT IMAGES FROM AN IO 28 IMAGE ENHANGEMEN ge 32 32 ACCESSING IMAGE ENHANCEMENT 32 BEHOGHPNESSOONPFRAS
3. August 22 2011 XVLite 5 When ready to scan click the Start button 6 The Capture Image device selection screen will display prompting users to select the tab that applies to the image to be captured Select the Scanned X ray tab Capture Image Digital Image Scanned x ray Scanned Image Scanned Document Misc Imaging Device General TWAIN Image Source Automatically Acquire lt Auto Size gt Continue to use this SCANNED Quick Settings source Xi ce Display media ready Resolution prompts 150 lt lt Less Description Scanned X ray Captures a x ray from a scanner or other TWAIN capturing device 5 Grayscale 150 DPI Acquire without device s interface 7 Click on the Image Source drop down list and select the applicable driver for the TWAIN Compliant scanner or phosphor plate scanner 9 Select Continue to use this source if all images in the layout will be captured using the same device If unchecked the Capture Image screen will display between each capture in the series 8 Depending on the hardware Automatically Acquire may need to be disabled if a TWAIN driver is selected 9 Apteryx recommends disabling Automatically Acquire if a TWAIN driver is selected Auto Acquire functionality depends on the capabilities of the flatoed scanner s TWAIN or Windows Imaging Acquisition WIA drivers Certain scanners such
4. XVLITE custom software Apteryx Inc 330 376 0889 voice 313 S High St Suite 200 330 376 0788 fax Akron OH 44308 sales apteryx com www apteryx com XVLITE User Manual Abstract Abstract This document contains work instructions related to utilizing the dental imaging application XVLite version 3 12 and above APTERYX WV custom software Copyright 2011 Apteryx Inc Apteryx is a registered trademark of Apteryx Inc All rights reserved All other trademarks and tradenames are the property of their respective owners This a controlled document Printed or downloaded copies are considered uncontrolled and for reference only Apteryx Inc QMS TFD TS XVLite UserManual Page 1 of 99 ras 4 August 22 2011 XVLite LA TABLE OF CONTENTS TABLE OF COIN IN 2 REVISION Fay ORY fet 5 A oy INTERFACE 6 GENE RAC OVERA IEY 6 MANAGING PATIENTS ni iixcn n iaixdaco amu inus coin quid 0esn duin decia nu cuts d Ceca dqUu edad 7 OPEN CREATE PATIENTS USING A PRACTICE MANAGEMENT BRIDGE 7 ADDING CREATING NEW PATIENT esee nnnm nnne rr n nnn nnne 7 EDITING PATIENT
5. ks v Data Drill Consulting Consult Data Drills when opening patients from other applications E Che ck by patient S 96 of 99 custom software August 22 2011 XVLite Database Directory Indicates which local or networked patient database should be used by the application If this option is not changed by the user then the software will utilize the local patient database Database Caching This option requires more memory but can significantly reduce network lag over slow or heavy networks Enabling the Use Database caching option will help reduce delays when looking up patient over Wide Area Networks WANs Database Synchronization The Enable To Store database option when enabled automatically adds all newly acquired images to an index called the ToStoreDB This feature should only be used in conjunction with XV Sync the remote database synchronization application provided by Apteryx Inc for users with two 2 or more dental office locations For more information on XV Sync contact Apteryx Support at 877 APTERYX 877 278 3799 Image File Format Allows users to configure the file type images should be saved in If selected the user will be can change the storage format to STB Apteryx Secure file format Apteryx s proprietary 16 bit image storage format that guarantees image authenticity e JPEG Standard file format The space s
6. 97 Apteryx Inc Page 3 of 99 APTERYXN August 22 2011 XVLite Apteryx Inc Page 4 of 99 APTERYXW August 22 2011 XVLite REVISION HISTORY Revision Level Revision Date Description of Revision Revision Author 8 22 2011 Initial Release Apteryx Inc Page 5 of 99 APTERYX custom software THE USER INTERFACE General Overview August 22 201 1 XVLite The imaging application provides a wizard driven interface designed to make the image capturing and viewing process intuitive and simple XVLite View Images Displays the images for the currently selected patient L3 Take X ray Takes x rays layouts progressions for the currently selected patient device or camera Gk Compare X ray Images Compares images or x rays for the currently selected patient Search Criteria DEN not searchable Existing Patients Patient Name SS Number Doe Jane Doe John Mo 1111 ID Number at 0 0 0 1 Main Menu Bar The main navigation menu Provides wizard driven access to functions such as viewing images taking X rays from sensors or acquiring images from devices such as flatbed scanners intra oral camera and panoramic cephalometric systems 2 Existing Patients List Displays the current list of patients that exist in the patient database Patient Search Entry Form Allows users to search the patient database Touch screen Ke
7. e Universal Letters Sensor Preferences Users can access the specific settings of installed sensor extensions add new sensor definition or configuration files and configure general sensor capture settings that apply to all sensors Users can also configure audible indicators for sensor readiness and failure Apteryx Inc Page 93 of 99 APTERYX M custom software XVLite General Displays options related to the general functionality and operation of the application Interface Displays options related to the interface and general functionality of the application DIGITAL ME Sensor Displays options related to digital x ray capture of the application Imaging Displays options related to the various imaging and imaging device handling Print Displays options related to printing images Database Displays options related to the patient database and data formats Advanced Displays advanced options and functions related to the program About And Technical Support Displays technical support and about information for the application Language Enables the user to select the language for the application August 22 2011 XVLite Sensor Preferences Digital Sensor Addition Add Sensor Audible Indicators Use Male Voice 5 Use Female Voice Use Cartoon Voice Sensor Ready Sound A3 Users Stefano T est2010 Bin FV_SREADY WAV Ee Sensor
8. 3 The mask size and sharpening factor work hand in hand in determining the degree of sharpening that is applied to the image 4 The Sharpening Factor specifies the magnitude of the sharpening operation Use the slider to manually adjust the degree of image sharpening as desired 5 5 Select a predefined Mask Size OR select to manually enter a custom Width and Height The mask size specifies how large the area should be when sharpening a portion of the image The larger the area the wider the blurriness is considered to be Click OK to apply the settings to the image When done click Go Back to return to the patient images or Select Patient to return to the patient list A dialog box will appear prompting the user to save the modification Select Yes to save the change Apteryx Inc Page 36 of 99 APTERYX August 22 2011 XVLite Noise Removal Overview Noise in an image can be caused by a number of factors such as dust scratches or image static A median noise removal reduction algorithm is provided in the imaging application In most cases median noise reduction results in the best image quality It is important to note that excessive noise reduction leads to a loss of detail Before Noise Removal After Noise Removal Applying Median Noise Removal 1 Select Advanced Tools gt Remove Noise The Noise Reduction Median dialog box displays Moise Reduction Median Original I
9. Preferences Displays the application options Doctor Information Number Of Images Per Printing D by 2 images cted KEYBOARD a Select the desired printer off the Printer drop down list b Complete the Doctor s Information text box if desired that should be printed with the image Apteryx Inc Page 72 of 99 ftware APTERYX August 22 2011 XVLite right the Number of Images Per Page section indicates the way the images will be printed on a grid and the total number of pages Humber Of Images Per Page Printing Dim 1 by 1 images 5 images were selected Mame 5 page s will be printed Print separating grid d Click on the button to reconfigure the layout of the print job Use the mouse to select the desired number of columns and rows for the image grid Humber Of Images Per Page Printing Dim 1 by 1 images 5 Images Selec IBIBIE EE ES EE 2x23 e Complete the Message text if desired 4 Select Print Image off the menu bar to print the images to the select printer Document Templates Overview The imaging application provides a library of document templates e g referral letters treatment plans clinical reports image cards etc that a user can select to automatically spawn a document in Microsoft amp Word Each template is embedded with codes that
10. to whatever desired The higher the quality the larger the generated jpeg files will be when converted and sent c Click OK when done 5 Click OK on TransIT Configurations dialog to return to the application desktop Sending Images Using the XrayView e Mailer Creator 1 Select TransIT Method dialog box select XrayView e Mail Creator The TransIT Item Selection dialog box displays Apteryx Inc Page 58 of 99 APTERYXW August 22 2011 XVLite 7 Item Selection What do you want to send Single Image Options As an Apter secure image STB I Menge labels inta the image Layout Options combined single image Aptens layout file 71 common file format AF file Sends the image in Apterys s STB file format The sent image quarentees image authenticity but the resulting image can only be processed by those applications that support the STB image file format the sending method comes complete with its own Image view View the receiving party has one of Apteryg s products this is the recommended transfer type Cancel a Single Image Options Users may specify whether to send an image as a common file format i e JPEG format or as an STB file the Single Image Options section b Layout Options If sending a layout select one of the following file format options e Combined single image i e JPEG f
11. Percentage Cancel 6 This image is now calibrated and any measurement performed will be based off the calibration Adding a Measurement Label Follow the steps below to perform a measurement and create a measurement label 1 Once acalibration is applied the cursor changes to a crosshair with no gear ready to take a measurement 2 Place measurement crosshair at the starting point of the object to be measured single click on the left mouse button move the cross hair to the end point of the object and then double click on the left mouse button 9 Non linear measurements can be created by right clicking on end points while dragging the mouse with the left button held down Release the left mouse button at the final end point 3 Ameasurement label will be placed on the image displaying the measurement Double click on the measurement label to access the Measurement Properties dialog box Apteryx Inc Page 45 of 99 APTERYXW August 22 2011 XVLite 4 The Measurement Properties dialog box displays to allow users to format the label Customize the measurement label properties color line unit measurement position etc then click OK to exit Measurement Properties Measurement Sample View W arningll Measurements are not guaranteed to be accurate Intermittent Measurement Dashed Line and Dot Measurements General Properties Main Measurement 18 21 19721 Color Scheme watermark
12. Sends a copy of the image to a remote user Dr Capture Layout Progression Prints additional image capture in Mil the layout progression Note that this option is only available on the same day you started the series a A Document Templates Generates a Microsoft Word DE document utilizing the current B images 1999 09 13 1999 09 13 1999 09 13 1999 09 13 1999 09 13 1999 09 13 1999 0913 Advanced Accesses the advanced options for this layout progression To get a closer view of an image click or tap on that image Note that printing the layout progression may take m serveral minutes in order to read in each image before printing Select Patient GoBack Each tile in a layout identifies the related tooth associations image orientation and the order in the capture series however layouts can be further customized to specify the source of the image sensor scanner video etc Refer to Appendix B Customizing Layout Definitions for additional information Apteryx Inc Page 12 of 99 APTERYX V custom software August 22 201 1 CAPTURING IMAGES FROM A X RAY SENSOR UNIT Capturing Single Images from a X ray Sensor Unit XVLite Take X ray permits users to select an x ray sensor or unit they want to use from a list of available sensors before a digital x ray is acquired To capture from a sensor 1 4 The wizard advances to the Position Sensor and Activate X ray Unit s
13. Emailer Options ga General Smal Copyright 1999 Inc All rights reserved D About mailer Emailer Low Quality W Mask SS numbers Always use this quality factor JPEG Quality Factor 100 Jm High Quality Large File tees a Accept the default or change the JPEG Quality Factor to whatever desired The higher the quality the larger the generated jpeg files will be when converted and sent b Enable the Mask SS numbers option to suppress the transmission of SS numbers c Click OK when done 5 Click OK on TransIT Configurations dialog to return to the Select TransIT Method dialog box Sending Images Using the TransIT General Emailer Creator 1 On Select TransIT Method dialog box select General Email Creator The TranslT ltem Selection dialog box displays TransIT Item Selection What do you want to send Single Image Options As Apter secure image STE i Merge labels inta the image Layout Options C As a combined single image As an Apterus layout Hle ZIP common file format ZIF file Iw Remove unnecessary files Sends the image in Apterys s STB file format The sent image quarentees image authenticity but the resulting image can only be processed by those applications that support the STB image file format If the sending method comes complete with its own Image
14. Information text box if desired that should be printed with the image c Complete the Message text if desired Printing One or More Images from a Layout 1 Select Print gt Print Layout Progression off the menu bar The Wizard advances to the layout print utility Apteryx Inc View an existing patient s images and then double click on the desired layout thumbnail to view the entire layout in full view Page 71 of 99 4 August 22 2011 XVLite Select Images Selected Images Images To Choose From 1999109113 1999 0943 1999 09 13 1999 09113 1999 09 13 1999 09 13 1999 0911 Select any number of images Image information 0 selected lt a The Images To Chose From section on the right displays current images in the patient s record Click on each desired image to add to the print job b Each image that is added to the print job will display in the Selected Images section on the left the wrong image is selected click on it once to remove it c When ready to proceed with the print job click on OK 5 The Wizard advances to the multiple image print utility DAR 2 Doe John SSnum 9999 IDnum X A100000 Q Printer Print Image HP LaserJet 4300 PCL 6 Prints the image or layout to the selected printer with the specified information Setup Printer Accesses the selected printer s setup and printing options 55
15. Level Display In Millimeter 33 36 33 36 a a Calibration 0 929266 Lae 198 HorzFies 75 164 02 mm VertRies Freeze Label Cancel 9 The Measurement Sample View section in the dialog box above does not display the actual measurement but rather a sample of what the measurement will look like The Measurements tab is where to find the actual measurement 5 Toremove the measurement label if desired click on the label and then select Delete Label 6 To add additional measurement labels to the calibrated image select Measurement Label from the menu bar and repeat Steps 2 7 7 When done click on the Go Back button to return to the full view of the image Since labels have been added to the image the user will be prompted to save the changes Click Yes to save the modification Apteryx Inc Page 46 of 99 APTERYXW August 22 2011 XVLite DISTRIBUTING IMAGES TRANSIT ADD ON COMPONENTS General Information The imaging application allows the addition of TransIT Communication Extension Devices TransIT CEDs additional components that expand the software s capabilities to include the sending of patient images claim forms etc to referral doctors insurance companies etc The commonly used TransIT CEDs are described in the following sections TransIT General Emailer Creator Overview The most commonly used TransIT add on component the General Emailer enables us
16. Options As a plain image Layout Options C Asa combined Sends the image in a standard file format The resulting image can be processed by a majority of other applications Cancel XVLite 2 The Fast Attach Information dialog box displays Complete the following information on each tab a General tab Select the applicable date range of service using the calendars Enter the optional Payor Reference Number and Claim Amount TranslT FastAttach Information Date of Service From 2010 Sun Mon Wed Thu Sat 0 1 2 3 5 6 7 8 9 10 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Today 1071172010 Payor Reference Number Amount Fields marked in bold blue font are required General Provider Payor Patient Insured Message Date of Service To Sun Mon Tue Wed Thu Fri Sat 2 3 4 5 6 7 3 10 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 4 lt 5 Today 10 11 2010 m b Provider tab Enter the required dental practice information Click the Add button to store the entered information as a quick entry for future use Apteryx Inc Page 54 of 99 APTERYX N August 22 2011 XVLite FastAttach Information 99999999 _ Payor tab The Payor is the insurance company patient is in
17. Options dialog box displays ArayView Options Mon Blank Disk Handling Prompt and then wipe disk before copy Copy ta target anyway X ray s General Options iael W Multiple disk warnings IW Always use disk drive D About irap iem Cancel a Enable an applicable option in the Non blank Disk Handling section e Fail if target disk is not blank If enabled the XrayView exe file will not be created in the specified destination unless the destination is blank This option is useful if the destination contains XrayView files that a user may not want to overwrite The user can only write to the destination if the media 15 blank Apteryx Inc Page 62 of 99 APTERYXW August 22 2011 XVLite Create XrayView Disk 9 The disk in drive T is not blank amp you want bo replace the disk and try again Yes e Prompt and then wipe disk before copy If enabled the user will be prompted with a warning that the destination will be erased before the XrayView exe file is created This option is useful if the destination location has limited disk space Create XrayView Disk The disk in drive T is not blank Do you want to erase this disk and continue Yes Target disk will be erased and used to create a new disk Enables you to replace the disk and retry the operation Cancel Abort the XrayView disk creation e Copy to target any
18. Outgoing SMTP Server NENNEN Iw This SMTP server requires user name and password User Name Emailer User Password Copyright 2000 All rights reserved Apteryx Inc Iv Always use this quality factor JPEG Quality Factor 1 100 Low Quality High Quality About Emailer Cancel Page 51 of 99 APTERYX WX August 22 2011 XVLite custom software a Complete the Outgoing SMTP Server and fields Click to enable the option This SMTP server requires a user name and password Complete the User Name and User Password fields a Accept the default or change the JPEG Quality Factor to whatever desired The higher the quality the larger the generated jpeg files will be when converted and sent c Click OK when done 5 Click OK on the TransIT Configurations dialog to return to the Select TransIT Method dialog box Sending Images Using the TransIT Emailer Creator 1 Select TransIT Method dialog box select Email Creator The TranslT Item Selection dialog box displays Item Selection What you want send Single Image Options Layout Options h ee GER eg BO MES m 42 com ined mage El prm b I a ty nan Hie tormata A Me Sends the image in Apterys s STB file format The sent image quarentees image authenticity but the resulting im
19. TEMBREATBS erir anann i E 73 APPENDIX A COMMON FUNCTIONS AND UTILITIES 78 IMPORTING IMAGES FROM AN EXTERNAL SOURCE eee 78 DELETING AvPATIENT S IMAGE S irnar aa aaar aa A a 80 FINDING IMAGES aaa teeta E 81 APPENDIX B CUSTOMIZING LAYOUT DEFINITIONS 84 QENE BALINE ORNA TION E TA 84 OVERVIEW OF THE LAYOUT DEFINITION DIALOG een 84 COMMON LAYOUT TASKS CHANGING THE CAPTURE 86 COMMON LAYOUT TASKS CHANGING THE CAPTURE SOURCE 86 COMMON LAYOUT TASKS ADDING 87 COMMON LAYOUT TASKS CREATING NEW LAYOUTS BASED ON EXISTING LAYOUTS 88 APPENDIX C CONFIGURING DOCUMENT HANDLING OPTIONS 89 89 CONFIGURING DOCUMENT TEMPLATE OPTIONS eene 89 APPENDIX D CONFIGURING PREFERENCES eese 91 GENERAL INFORMA TION o 91 st Yd a eed ol sh ce E R EE EET E 91 INTERFACE PREFERENCE 92 E 93 IMAGING OPTIONS AND PREFERENCES iie 95 mul FEFREFER ENGE Rc E 95 DATABASE 96 ADVANCED PREFERENCES
20. adjusts the brightness and contrast of the image 4j Brightness Contrast Additional tools that adjust the gt brightness and contrast of the image Q Rotate Rotates the image 90 degrees E Flip Vertically Flips the image vertically rla Flip Horizontally Flips the image horizontally r4 Advanced Tools Advanced tools that permit more gt advanced modifications to the image Sf Quick Annotations gt Pencil and measurement tools Enhancements Access the list of available imaging 8 The image file is automatically saved and stored in the patient s file algorithms 9 Post capture enhancements can be applied to the newly captured image Select Automatic Brightness Contrast to have the application automatically adjust the settings OR Brightness Contrast to manually apply Brightness Contrast Equalize Gamma Correction or to adjust color levels 10 Additional image enhancement utilities are available under the Advanced Tools menu option Refer to the Image Enhancement section for detailed information on these and other commonly used image enhancement tools Apteryx Inc Page 15 of 99 APTERYX ftware 11 12 13 August 22 2011 XVLite Post capture operations can be performed on the newly captured image Select Rotate Flip Vertically or Flip Horizontally to orient the image as desired To retake an image select the Retake button and repeat step
21. close and the images will automatically be placed in each tile in the layout 8 Click Finished when all images in the series are captured The layout will be automatically stored to the patient s file Apteryx Inc Page 31 of 99 APTERYXW August 22 2011 XVLite IMAGE ENHANCEMENT General Information The application s image manipulation and enhancement tools enables users to improve images digitally without having to re shoot X rays or other images This guide will highlight the primary enhancement tools as the intuitive nature the imaging application enables the user to quickly grasp the functions and uses of the remaining tools Accessing Image Enhancement Options 1 View an existing patient s images and double click to view it in full view XVLite TER 74 Doe John SSnum 9999 IDnum X A100000 Enhancements Displays more tools that can be used to enhance the image or write annotations on the image Displays the notes associated with this image Labels Enables the modification of the labels associated with this image Print Prints out a hard copy of the image i Send Sends a copy of the image to aremote user Document Templates Generates a Microsoft Word document utilizing the current images PE lm s als m ics 2 Select Enhancement from the menu bar to access the image enhancement options Doe John SSnum 9
22. for creating a custom layout Apteryx Inc Page 88 of 99 APTERYX V August 22 2011 XVLite custom software APPENDIX C CONFIGURING DOCUMENT HANDLING OPTIONS Overview The imaging application provides a library of document templates e g referral letters treatment plans clinical reports image cards etc that a user can select to automatically soawn a document in Microsoft Word Each template is embedded with codes that insert an open patient s image s and select patient information Name ID number SS Number etc into a new document 9 Macros must be enabled in Microsoft amp Word in order to allow the execution of the Visual Basic codes embedded within the document templates Apteryx Inc recommends setting the macro security level to Medium The medium security setting permits a user to allow or disallow macros when working with documents Refer to Microsoft s help documentation for further instructions Configuring Document Template Options 1 The first time the Document Template feature is utilized to spawn single image document templates or multiple image document templates in Microsoft amp Word the user is presented with the Document Template Options dialog box to configure document handling settings Document Template Options Document Naming Scheme Generate a temporary filename and automatically delete it when the application closes Save the documents in the following folder using the speci
23. image 5 endo anterior formal 4 Treatment Plan 5 endo posterior 4 5 card 5 endo posterior formal 5 Four Horizontal Images Clinical Report 4 Four Vertical Images Clinical Report 5 Full Mouth Series 4 Quad Image caes 9 The naming convention of Apteryx provided document templates typically indicates the document type i e Referral letter treatment plan etc and number of images the template can handle 4 The imaging application will then proceed to launch Microsoft Word embedding the image and patient information outlined in green in the sample shown below into a new word document 55 999 99 9999 10 XVA100001 Thank for referring Jane Doe to our office for a Click here to enter procedure evaluation btt LN Click here and type recipient s address pU Mg 7 won 5 uv 4 3 1 P Er cae gt ORAL EXAMINATION nj 1 GINGIVAL TISSUE Click here to enter tissue notes PERIODONTAL PROBING MEASUREMENTS Click here to enter measurement notes MOBILITY FURCATION INVOLVEMENT RADIOGRAPHIC EXAMINATION OCCLUSAL EVALUATION TMJ Related Teeth lt Whole Mouth gt i Image Type Scanned X ray Image Sub Type Panoramic DIAGNOSIS Click here to enter diagnosis notes TREATMENT PLAN RECOMMENDATIONS 1 5 Additional fields highlighted in yellow in the sample above can be manually typed in by the user to co
24. insert an open patient s image s and select patient information Name ID number SS Number etc into a new document 9 Macros must be enabled in Microsoft Word in order to allow the execution of the Visual Basic codes embedded within the document templates Apteryx Inc recommends setting the macro security level to Medium The medium security setting permits a user to allow or disallow macros when working with documents Refer to Microsoft s help documentation for further instructions Spawning Single Image Document Templates 1 View an existing patient s images double click on the desired image to view it in full view and then select Document Templates on the menu bar 2 he first time the Document Template feature is utilized the user is presented with the Document Template Options dialog box to configure document handling settings Refer to Appendix C Configuring Document Handling Options for detailed instructions 3 The Spawn Document dialog box displays Select the desired single image document template to generate and click OK Apteryx Inc Page 73 of 99 APTERYXW August 22 2011 XVLite Spawn Document Select the document you wish to create 5 Document usage instructions 4 Recall Exam Bitewings 5 456 Anterior endo card with 1 image 4 Referral 4 46 Posterior endo card with 1 image 5 Single Image 4 Dual Image 5 Small Single Image 4 endo anterior 4 6 card 5 Treatment Plan 1
25. s database Users can access the Apteryx provided datadrill if installed to change the path to the Practice Management database and configure other options Advanced Preferences Link to Other Installation This option is used to link an application to another networked installation of the imaging application Linking two installations together allows the programs to use the same layouts document templates devices and definitions however the patient databases remain separate Select Enable link to and then browse to the directory of the other installation on the network to link the two applications together Reregister the application The Reregister button is used when then registration number of the application must be changed The user should not access this function unless directed to do so by a qualified technician Licenses Select Access Licensing Info to view a list of licensed computers and review the number of available licenses Licenses can additionally be reallocated or freed up for other computers to use the license Apteryx Inc Page 97 of 99 custom software APTERYX August 22 2011 XVLite Auto Saving Images When these settings are checked the program will automatically save a temporary duplicate file on the hard drive If these settings are not checked and the computer crashes or loses power unsaved images will be lost e Use non threaded Safety Cache TM ap
26. screens throughout the application The default option QWERTY Standard is the standard U S setting oelect one of the various international keyboards supported by the application e Block and Standard settings indicate the key arrangement that is to be used when the keys are displayed The Standard setting displays the keys in the standard keyboard configuration while the Block format rearranges the keys so that they may be easier to use in some wall mounted displays Layouts And Progressions e Select Change Group View to select a viewing preference Layouts vs Progressions for image groups series Tooltips Tooltips provide a description of the operation associated with a button that the cursor is hovering over By default the application is enabled to display all tooltips List Font Size Select an appropriate value off the drop list to increase the font size of the Patient List on the main screen Adult Toothcontrol Format allows users to set up the way the adult tooth control palettes are displayed Options include e British e International 4 quadrants 8 tooth forms 1 1 1 2 1 3 etc Universal Teeth numbers 1 32 Deciduous Toothcontrol Format allows users to set up the way the adult tooth control palettes are displayed Options include e British e Palmer 4 quadrant 5 tooth by letter 1 1 6 1 e International 4 quadrants 5 tooth by 5 1 5 2 5 3
27. store the information as a Quick Entry for future use ArayView Information General From To Patient Message Encryption To Organization ID Account Quick Ent A Add Entry 96 Delete Entry d Patient tab The tab is pre populated with the open patient s information Complete any required field if blank Apteryx Inc Page 65 of 99 APTERYX August 22 2011 XVLite ArayView Information General From To Fatient Message Encryption First Name Last Name 55 Humber ID Number DOB Cancel e Message tab Enter information for the recipient of the email ArayView Information General From To Patient Message Encryption Cancel f Encryption tab If desired enable the encryption option to encrypt the image and enter a password in the Password field The recipient will need to be provided the password in order to access the files in the attachment when sent Apteryx Inc Page 66 of 99 APTERYXW August 22 2011 XVLite ArayView Information Cancel 3 Click OK when TransIT XrayView Information tabs have been completed 4 Follow the prompts to generate the XrayView files in the destination specified Apteryx Inc Page 67 of 99 custom software APTERYX V August 22 2011 XVLite PRINTING IMAGES AND IMAGE RELATED DOCUME
28. the Image Enhancement section for detailed information on these and other commonly used image enhancement tools 12 Post capture operations can be performed on the newly captured image Select Rotate Flip Vertically or Flip Horizontally to orient the image as desired 13 To retake an image select the Retake button and repeat steps 7 12 to acquire an additional image for the teeth selected in Step 3 14 To return to the patient list click on the Select Patient button Capturing Group Layout Images from Scanner A layout is a group of free floating tiles displayed in a single workspace The groups of images can be captured and displayed in individual tiles within the selected layout capture a series of images from a scanner 1 Enter the patient s information in one or more fields of the search utility or scroll down to find the desired patient record 2 Select the patient record and click on the Acquire Image button on the menu bar The wizard advances to the Take X rays for which teeth screen Select Take an Automated X ray Series 3 The wizard will advance to a layout selection screen Select the desired layout 2 Bite Wings 4 Bite Wings etc Apteryx Inc Page 21 of 99 APTERYX V August 22 2011 XVLite custom software XVLite Aasand Mike SSnum 4064 IDnum XVA100002 4 BITE WINGS IO CAMERA 4 Bite Wings Bite Wings Checkup FMX 1 ERES d LLLI ud E mE AJ 9 L
29. you can select move and modify labels Pan Image Mode Activates the pan mode that you may move around an image that does not fit entirely into the display Angle Label Arrow Label Ellipse Label Pencil Label Rectangle Label Text Label Time Date Label Measurement Label Calibrate Measurement 4 Remove Labels re 2 Removes all annotations mp and labels on this image In this mode you can move select and modify various labels by clicking and double clicking on them with your left mouse button August 22 2011 SSnum 7 9999 IDnum X A100000 XVLite EEK GoBack 3 Select Calibrate Measurement from the menu bar The cursor will change into a crosshair with a gear above it 4 Place the calibration crosshair at the starting point of the object of known length single click on the left mouse button move the cross hair to the end point of the object and then double click on the left mouse button 9 Non linear calibrations can be created by left clicking on mid points while moving the mouse from point to point Double click on the left mouse button at the final end point 5 A Calibrate Measurements pop up screen will appear Type in the correct length of the object Click OK Apteryx Inc Page 44 of 99 APTERYX August 22 2011 XVLite Calibrate Measurements Reported Distance Actual Distance 1 30 in 4843 cm 46 425 mm
30. 10 0 Build 1 Apteryx Inc e General Emailer Creator Ready Version 10 0 Build 1 Apteryx Inc r zv Creator Ready Version 10 0 Build 1 Apteryx Inc e Mail Creator Ready Version 10 0 Build 1 Apteryx Inc Access TranslT Options The TranslT Configurations dialog box displays Select FastAttach by NEA and click on Edit Options 4 The FastAttach Options dialog box displays neal UMM Farn 1 View Outgoing Not Specified Attachments FastAttach iw Always use this quality Factor FastAttach Options JPEG Quality Factor 1 100 Fastattach CED fonte sere japo Low Luality High Quality cael a Select the button shown in red above to find specify the location of the NEACOMM application b Accept the default or change the JPEG Quality Factor to whatever desired The higher the quality the larger the generated jpeg files will be when converted and sent c Click OK when done 5 Click OK on the TransIT Configurations dialog to return to the Select TransIT Method dialog box Submitting Patient Images Claims Using FastAttach by NEA 1 Select Method dialog box select Fast Attach by NEA The TransIT Selection dialog box displays Click OK to continue Apteryx Inc Page 53 of 99 APTERYX V custom software August 22 201 1 Selection What you want to send Single Image
31. 999 X A100000 Undo Last Undoes the last operation Undo All Undoes all the current operations 4j Automatic Brightness Contrast Automatically adjusts the brightness and contrast of the image Brightness Contrast Additional tools that adjust the gt brightness and contrast of the image Q Rotate Rotates the image 90 degrees E Flip Vertically Flips the image vertically rla Flip Horizontally Flips the image horizontally g Advanced Tools Advanced tools that permit more b advanced modifications to the image Quick Annotations Pencil and measurement tools Advanced Imaging JER Enhancements Access the list of available imaging 4 N algorithms i Select Patient GoBack Apteryx Inc Page 32 of 99 custom software APTERYX August 22 2011 XVLite Brightness Contrast Overview The imaging application provides a standard Brightness Contrast and Gamma Correction utility that can be used to improve image quality In general brightness contrast enhancement adjusts the brightness and the contrast of an image in order to try to improve the overall dynamic appearance of the image Gamma correction 15 a very versatile tool when dealing with images that are captured by video hardware Gamma correction differs from standard brightness enhancements because it dynamically adjusts each pixel to maintain its relation to all the other pixels hence exa
32. Capture Buttons About t Capture d Multiple images can be captured at one time if desired Additional thumbnails will appear below the initial one as images are captured e If unsatisfied with an image right click on the image thumbnail and select Delete Current Image f When finished click the Done button 7 The DirectVideo interface will close and the image s will be acquired and displayed in the imaging application 8 The image file is automatically saved and stored in the patient s file Apteryx Inc Page 27 of 99 custom software APTERYX V August 22 2011 XVLite XVLite rer JK f 1 AAA 4 Undo Last zzz 22 9999 IDnum XVA100000 Undoes the last operation Undo All Undoes all the current operations H Brightness Contrast Additional tools that adjust the ight tra image Rotate Rotates the image 90 degrees Flip Vertically the image vertically F 3 Flip Horizontally Flips the image horizontally Advanced Tools _ Advanced tools that permit more advanced modifications to the 9 Sf Quick Annotations Pencil and measurement tools Advanced Imaging Enhancements Access the list of available imaging algorithms 9 kg Select Patient GoBack Post capture enhancements be applied to the newly captured image Select Automatic Brightness Contrast will adjust the brightness and contrast for an image automatically The Br
33. Displays options related to the interface and general functionality of the application ME Sensor Displays options related to digital x ray capture of the application Imaging Displays options related to the various imaging and imaging device handling Print Displays options related to printing images Database Displays options related to the patient database and data formats Advanced Displays advanced options and functions related to the program About And Technical Support Displays technical support and about information for the application Apteryx Language Enables the user to select the language for the application Inc Database Preferences Database Directory This program should use the databa est2010 Patients the following directory my an significantly reduce pa cae lag over slow or he affect until the application is restarted Database Synchronization gl Enable Store database this subi ation is being used in conjunctio for er forwarding of images ify you are NOT i applic ati Image File Format New images should be saved in the following image file format STB Apteryx secure file format Y Update Patient Database Data Drills S DataDrill Options You sh Find Images y Find Images By Date is button if you want to S tk a e Update Patient Database s button if there have this 2 utton if you u need
34. Doe John 1 images Move To Another Patient lt Apteryx Inc Page 82 of 99 APTERYXW August 22 2011 XVLite a Select a patient on the left column to preview their related images b If the desired image is found click Open to view it click on Move to Another Patient to transfer the image to the correct patient 5 Move to Another Patient was selected in the previous step The Move Layout to Patient utility displays Select the patient from the list to which the layout is to be moved and click on the OK button Move Layout To Patient The group should be moved from patient Nobody to patient LastName FistName SSnum IDnum 24100001 00000 Apteryx Inc Page 83 of 99 APTERYXW August 22 2011 XVLite APPENDIX B CUSTOMIZING LAYOUT DEFINITIONS General Information A layout is a patented method of displaying a series of images in a single workspace The imaging application comes equipped with pre defined layouts that a dental practice can use to capture patient images for bitewings 2 and 4 BWXs full mouth series 18 and 22 FMXs anteriors upper and lower etc Each layout has a series of free floating tiles that are arranged to be a representation of the anatomical location of groups of teeth in a mouth Each tile in a layout identifies the source of the image sensor scanner video etc its orientation related toot
35. Failure Sound MAI3 Users Stefano T est201 0 Bin FY_SFAILURE WAY d EJ When capturing layout progression pause between sensor captures Pause for seconds Advanced Options Bl Display B C adjustment dialog immediately after single x ray capture Digital X ray Sensor Settings Click on this button to add a new sensor ID to the software Digital X ray Sensor Settings Lists the currently installed sensor extensions Double click an entry to access the sensor extension settings for post capture filtration and other sensor specific settings Digital Sensor Addition Depending on the manufacturer s specifications a sensor definition or configuration file calibration correction or Gain file may need to be added for the digital x ray system Select Add Sensor to add new sensor definitions to the software 9 Not all digital x ray systems require the addition of sensor files for their digital sensors Please consult the documentation that came with the system to see if the system requires sensor definition files to be loaded into the software Audible Indicators The available options enable an audible voice that will say Sensor or Sensor Failure when interacting with the sensors Users can select a male female or cartoon voice by clicking on the appropriate button Although the imaging application provides default sensor ready and sensor f
36. GES FROM SCANNERS General Information If a TWAIN compliant scanner e g a flatbed scanner with manufacturer provided TWAIN drivers is attached to the computer on which the imaging application is installed The application will automatically recognize the device and configure its settings Before booting up Windows turn on the power to the scanner to ensure that the computer s operating system sees the device The scanner will available for selection in the Capture Image device selection screen under the Scanned X ray for scanning in X rays or Scanned Image for scanning in digital images tabs lf a phosphor plate scanner e g Air Technique s ScanX is attached to the computer on which the application is installed The application will require the related Apteryx imaging device extension to be installed in order to interface with the manufacturer s drivers scanner will be available for selection in the Capture Image device selection screen under the Scanned X ray or Imaging Device tabs In this user guide captures will be limited to capturing from TWAIN compliant scanners or phosphor plate scanners using the Scanned X ray tab Capturing Single Images from a Scanner 1 Enter the patient s information in one or more fields of the search utility or scroll down to find the desired patient record Select the patient record and click on the Acquire Images button on
37. N Image Source DirectVideo Capture ls Automatically Acquire lt Auto Size gt Lj gt z z wll MISC Resolution Media Type XVLite More gt gt 5 Click on the Image Source drop down list and select DirectVideo Capture 6 The DirectVideo interface displays DirectVideo Video Devices Video Options Images Capture Buttons About t Capture 9 If more than one video source is attached to the computer select Video Devices from the menu and then select the applicable device a Note that the live video feed displays on the right hand side Place the camera in the patient s mouth and position it where desired b Capture the image using one of the following methods e Press the button on the camera DirectVideo comes equipped with different capture button configurations designed to interact with various cameras Select Camera Buttons from the menu to change the configuration to one that applies if the camera button does not trigger the capture e Step on the foot pedal if configured e Select the Capture button on the DirectVideo interface e Press the space bar on the keyboard Apteryx Inc Page 26 of 99 APTERYXW August 22 2011 XVLite c Once captured a thumbnail of the image will appear in the area below the buttons on the DirectVideo interface When finished click the Done button DirectVideo Video Devices Video Options Images
38. NTS General Information The imaging application has built in print functionality that allows users to print images and related information directly to a local or networked printer In addition users have access to a library of customizable Document Templates that can be used to generate referral letters treatment plans etc in Microsoft Word Printing a Single Image 1 View an existing patient s images double click on the desired image to view it in full view and then select Print on the menu bar 2 The Wizard advances to the print utility Doe John SSnum 9999 X A100000 Printer rint Image tints the image or rogression to the the t layout progression selected printer with specified information Setup Printer Accesses the selected printer s setup and printing options Preferences Displays the application options KEYBOARD a Select the desired printer off the Printer drop down list Complete the Doctor s Information text box if desired that should be printed with the image c Complete the Message text if desired 3 Select Print Image off the menu bar to print the image to the select printer Printing Multiple Images 1 View an existing patient s images and then select Print Multiple Images off the menu bar 2 Wizard will advance to an image selection screen Apteryx Inc Page 68 of 99 4 August 22 2011 XVLite S
39. RA 4 Bite Wings Bite Wings Checkup FMX 1 ERES d LLLI o mE AJ 9 Layouts definitions specify the source sensor scanner etc that the image will be acquire from By default layouts are configured to capture from sensors If the tiles in a layout specify a source other than a Video Source it will need to be modified or a similar one created to capture from a TWAIN device or scanner Select Customize Layouts and then refer to Common Layout Tasks Changing the Capture Source Appendix B for detailed instructions 4 The Wizard will advance to the Layout capture screen Note that the first tile in the series is selected awaiting an image capture Additionally note that the related tooth numbers are displayed in each tile XVLite Vid urce Video source Video source Video source 1 2 3 30 31 32 3 4 5 28 29 30 12 13 14 19 20 21 14 15 16 17 18 19 Start Take Retake Take Retake From Image Operations Starts the automatically advancing Takes or retakes the image for the A Takes or retakes an image from a HH Allows you to make modify the acquisition of the selected tile specified source currently selected image 4a layout progression Go Back hd A Warning X ray images will be automatically captured in the order set by the layout definitions They will be oriented according to the teeth defined in the layout tile If the user deviates from the order without taking the pr
40. UE a 18 images were selected 5 page s will be printed Print separating grid Click on the button to reconfigure the layout of the print job Use the mouse to select the desired number of columns and rows for the image grid Humber Of Images Per Page Printing Dim 1 by 1 images 5 images were selected Complete the Message text if desired 4 Select Print Image off the menu bar to print the images to the select printer Printing Images in a Layout Group Series The imaging application gives users the ability to print an entire layout or to select specific images in the layout for printing Printing an Entire Layout 1 View an existing patient s images and then double click on the desired layout thumbnail to view the entire layout in full view Select Print Print Layout Progression off the menu bar The Wizard advances to the print utility Apteryx Inc Page 70 of 99 APTERYX custom software 4 Select Print Image off the menu bar to print the layout to the select printer August 22 2011 XVLite Print Image Prints the image or layout progression to the selected printer with the specified tion Setup Printer Accesses th ce s the selected printer s setup and printing options 5 Preferences Displays the application options E KEYBOARD Select the desired printer off the Printer drop down list PEx XVLite Complete the Doctor s
41. Use the brightness and contrast sliders click and drag the sliders located on the right side brightness and bottom contrast of the adjustment tool to enhance the image as desired The enhancements are adjusted in real time in the Resulting Image Preview area 4 Click OK to apply the settings to the image If desired click on Undo to remove the B C enhancement applied to the image When done click Go Back to return to the patient images or Select Patient to return to the patient list A dialog box will appear prompting the user to save the modification Select Yes to save the change Applying Equalization The imaging application offers users the ability to apply equalization by selecting Brightness Contrast Equalize Equalize provides a non linear approach to altering the brightness contrast Apteryx Inc Page 34 of 99 APTERYX August 22 2011 XVLite of an image This enhancement is typically used to improve the image quality of very low contrast images Most images span an entire range of brightness with all levels well represented However sometimes images are too light or too dark and some levels are overpopulated leaving others under populated The Equalize effect modifies an image so that all levels of brightness are equally well represented within the image The equalize option is only available for grayscale images Before Equalization After Equalization Sharpening Overview Most imag
42. age Enhancement Algorithms The imaging application comes equipped with customized image algorithms that apply a sequence of enhancements commonly used to improve image quality Applying an Advanced Image Enhancement Algorithm Select Advanced Image Enhancements choose from the following options Apteryx General Enhancement Applies Normalize Median Blur 5x5 Mask Size and Sharpen 21x21 Mask Size and Gamma Correction Custom Image Enhancement Applies a Median Filter 3x3 Mask Size Sharpen 7X7 Mask Size Adaptive Normalize and Gamma Correction General Endo Enhancement Applies filters that enhance files etc used in endo Modifying an Advanced Image Enhancement Algorithm Image quality is subjective therefore the imaging application allows users to modify the Apteryx General and Custom Image Enhancement algorithms to suit their needs To modify an enhancement algorithm 1 oelect Advanced Image Enhancements Image Filter Options and choose the applicable enhancement algorithm to modify The algorithm s dialog box displays Modify any of the available settings as needed and then click OK Apteryx Inc Page 38 of 99 August 22 2011 Apteryx General Enhancement Options M sigma Nose r Apteryx Inc XVLite Page 39 of 99 APTERYXW August 22 2011 XVLite LABELLING IMAGES General Information Unlike other systems the imaging applicati
43. age can only be processed by those applications that support the STB image file format the sending method comes complete with its own Image view View the receiving party has one of Apterys s products this is the recommended transfer type Cancel a Single Image Options If sending a single image specify whether to send it as a plain image i e JPEG format or as an STB file in the Single Image Options section b Layout Options If sending a layout select one of the following file format options e Combined single image i e JPEG format e Apteryx layout file i e a compressed zip file containing the layout STB images and related data files e Acommon file format ZIP file i e a compressed zip file containing the images in JPEG format 2 Click on OK to generate and send the email via the outgoing SMTP server FastAttach by NEA Overview The FastAttach module enables users to submit patient images and claims to NEA s FastAttach web based service Apteryx Inc Page 52 of 99 APTERYXW August 22 2011 XVLite Configuring FastAttach Options 1 View an existing patient s images double click on the desired image to view it in full view and then select Send on the menu bar 2 The Select TranslT Method dialog box appears Click on Access TranslT Options Select Method Ready Version 10 0 Build 1 amp pteryx Inc NEA Fast ttach by NEA Ready Version
44. ailure WAV files user can configure their own by selecting the applicable browse buttons to locate and select a different file Layout Capture Pause e When capturing a layout progression pause between sensor captures This option should be enabled when a sensor system times out too fast or if a certain sensor system needs more time to reset itself before it is prepared to capture the next tile in a layout e Enter the amount of time to pause in the text field provided Advanced Options e Display B C adjustment dialog immediately after single x ray capture Enable this option to allow brightness contrast adjustments after single x ray captures Apteryx Inc Page 94 of 99 APTERYX August 22 2011 XVLite Ignore Always Prompt tiles When capturing a layout series this option indicates the system should ignore the Always prompt for device sensor tile option in layout definitions Images will still be captured for the tile but the prompt will be overridden e Activate single x ray captures immediately If enabled the sensor will automatically be activated during single image captures without the user having to click on the Activate Selected Unit button This option is useful to users with one or more sensors from the same manufacturer that utilize the same hardware drivers Imaging Options and Preferences Users can access the specific settings of installed extensions for imaging d
45. ange to Real Time Video Extension for older analog cameras click on Preferences Imaging and then select the Video Device Type button Enable the Real Time Video option on the Video Source dialog box Capturing Single Images from an IO Camera 1 Enter the patient s information in one or more fields of the search utility or scroll down to find the desired patient record 2 Select the patient record and click on the Acquire Images button on the menu bar The wizard advances to the Take X rays for which teeth screen Select one or more teeth to associate to the image after the capture is complete This will automatically setup the tooth association with the image and properly orient the displayed image once captured XVLite 10 4112 IDnum 2 Eg Take Automated akes a series of images arranged in a layout progression 69 patient s teeth P Pedo Adult Switches between deciduous and adult tooth ayouts progressions View Images Displays the images for the currently selected patient Select Patient lt No Teeth Selected gt 4 The Capture Image device selection screen will display prompting users to select the tab that applies to the image to be captured Select the Misc tab Apteryx Inc Page 25 of 99 APTERYXW August 22 2011 Capture Image Digital Image Scanned X ray Scanned Image Scanned Document Misc Imaging Device General TWAI
46. arantee the accuracy of any calibration measurement performed in the imaging application Calibrating an Image The Ellipse Label command will place an ellipse on an image Placing an ellipse on an image is useful in bringing attention to a designated area Users have control of the ellipse s properties 1 View an existing patient s images and double click to view it in full view XVLite DER aken 4 Undo Last Doe John SSnum 7 9999 IDnum XVA100000 Undoes the last label operation F d Delete Label 2 Deletes the selected label Pointer Mode Activates the pointer mode so that you can select move and modify labels Pan Image Mode Activates the pan mode that you may move around an image that does not fit entirely into the display Angle Label Arrow Label Ellipse Label Pencil Label Rectangle Label Text Label Time Date Label Measurement Label Calibrate Measurement l 24 Remove Labels T Removes all annotations ty are taken from the image Straight line You may take non linear calibrations by right GoBack 2 Select Labels from the menu bar to access the labeling options d amp 20 Apteryx Inc Page 43 of 99 APTERYX custom software Y XVLite jk 7 Undo Last Doe John Undoes the last label operation Delete Label Zi Del etes the selected label Pointer Mode Activates the pointer mode so that
47. as the HP Scanjet G4050 do not work with Auto Acquire if Auto Size is selected nor will they utilize the transparency adapter If necessary check with the hardware manufacturer to see if this functionality is supported 9 If acquiring from a flatbed scanner skip to Step 10 for phosphor plate scanners a Place the X ray or other media as instructed by the manufacturer o Flatbed scanners must have a trans illuminating cover for scanning X rays b Click on the OK button c this is the first time the TWAIN compliant scanner is being used imaging application will display a device settings screen to configure the device Accept the defaults by clicking the OK button they can be changed at any time if necessary d The imaging application will send instructions to the scanner and automatically scan the image and display it in the selected tile 10 If acquiring from a phosphor plate scanner a Click on the OK button The device specific interface will display and prompt the user when ready b Place each X ray film into the phosphor plate scanner as instructed by the manufacturer Apteryx Inc Page 23 of 99 custom software APTERYX WX August 22 2011 XVLite c When all images are scanned and display in the device interface select Done The imaging application will then acquire the images from the device s interface and insert them into each tile in the capture window 11 The application will then advance to the
48. at you want to delete these files a Delete Patient Images Are vou ABSOLUTELY sure that these Files should be deleted Once they have been deleted they can be recovered Yes b Finding Images by Date Overview Occasionally users may need to perform a search for an image that was inadvertently captured under the wrong patient The Find Images by Date utility gives users the ability to search the entire patient database for all images captured within a specified date range Apteryx Inc Page 81 of 99 APTERYX August 22 2011 XVLite Performing a Search 1 Select Preferences off the main menu bar After the wizard advances select Database and then click Find Images By Date Find Images Bv Date Find Images By Date Please select the starting and ending dates which to search From February 2010 February 2010 Sun Mon Tue Wed Thu Fri Sun Tue Wed Thu Fri 1 2 3 4 5 1 2 3 4 5 7 8 9 10 12 7 8 10 11 12 14 15 16 17 18 13 14 15 16 12 4E 13 el 22 23 24 25 26 el 22 23 24 25 26 28 a Use From and calendars to specify an application date range to perform a search b Click on the OK button to proceed with the search 4 The Found Images dialog box displays if there are images in the patient database that match the search criteria Found Images The following patients had images created taken from March 30 2010 to March 31 2010
49. aving storage format that uses the highest possible quality setting Image authenticity is sacrificed with this format Update Patient Database A patient s image database keeps track of the images tooth information and image types of the patient The application automatically checks to see if a patient s image database becomes out of date and will automatically update the database Should a patient s image database hopelessly become out of synch i e incorrect times and dates on different computers a user can select Update Patient Database to run the utility and rebuild the patient index 9 Depending on the size of the database this utility may require a significant amount of time to complete Apteryx recommends running the utility at the dental facility outside of normal business hours Contact Apteryx Support for at 877 APTERYX 877 278 3799 for consultation if needed Find Images By Date Occasionally users may need to perform a search for an image that was inadvertently captured under the wrong patient Select Find Images by Date to perform a search of the entire patient database for all images captured within a specified date range Refer to Finding Images By Date Appendix A for detailed instructions DataDrill Options The DataDrill options are used to access the various options associated with practice management bridges Primarily these options are accessed when changing the database location of a practice management
50. ay Unit x Stop Capture Note that the last sensor utilized on the computer workstation will display in the area outlined in red above To select a different sensor click on Switch Digital X ray Unit or Sensor The Capture Sensor Image selection screen displays Select the applicable sensor and then click on OK Capture Sensor Image Please select and configure the sensor that should be used when capturing the image Digital System Selected Sensor Description Test lt Auto gt Select Sensor Cancel 6 Click on Activate Selected Unit to proceed to prepare the sensor for capture The sensor indicator will turn green when the sensor is ready to capture an image A vocal cue will also be heard if the computer has a sound card and speakers XVLite Page 14 of 99 custom software APTERYX August 22 2011 XVLite XVLite k Doe John SSnum 9999 IDnum XVA100000 SUNIRAY CHD10102541XD SUATRAY Fosition Sensor And Actryate x ray Unit x Stop Capture 7 Proceed to shoot the x ray The new image from the sensor will be acquired and stored in the patient s record The amount of time it takes for the image to appear on the screen is dependent upon the sensor manufacturer XVLite EVANS CHARLIE IDnum XV 100058 Undo Last Undoes the last operation Undo Undoes all the current operations y Automatic Brightness Contrast Automatically
51. ayouts definitions specify the source sensor scanner etc that the image will be acquire from By default layouts are configured to capture from sensors If the tiles in a layout specify a source other than a TWAIN Device or Scanner it will need to be modified or a similar one created to capture from a TWAIN device or scanner Select Customize Layouts and then refer to Common Layout Tasks Changing the Capture Source Appendix B for detailed instructions 4 The Wizard will advance to the Layout capture screen Note that the first tile in the series is selected awaiting an image capture Additionally note that the related tooth numbers are displayed in each tile XVLite Scanner Scanner Scanner 3 4 5 28 29 30 12 13 14 19 20 21 14 15 16 17 18 19 Start A Take Retake Take Retake From Image Operations Starts the automatically advancing Takes or retakes the image for the A Takes or retakes an image from a FEH Allows you to make modify the acquisition of the selected tile specified source currently selected image 4a layout progression Go Back hd A Warning X ray images will be automatically captured in the order set by the layout definitions They will be oriented according to the teeth defined in the layout tile If the user deviates from the order without taking the proper steps images will be placed in the wrong tile and be oriented incorrectly Apteryx Inc Page 22 of 99
52. bnails of all images in patient s database XVLite aum Doe John IDnum XVA 100000 Print Multiple Images Prints out a hard copy one or more of the images Sawin Shae JANE MD NE cy LLL CENT ui Spawn Multiple Image Document Generates a Microsoft Word document utilizing one or more of the images Slide Show Chronologically displays other images associated with the selected teeth 9 Import Images Permits you to import images into this patient for the selected 5 images for teeth lt Whole Mouth gt Select Patient GoBack 4 When previewing image thumbnails the following viewing options are available gt gt Apteryx Inc Double click on any desired image layout outlined in red or single image thumbnail outlined in green to display the related image in full view Select the Slide Show button to view all the related images in full view as a slideshow Page 11 of 99 August 22 2011 XVLite Viewing a Group Series of Images The imaging application has the ability to display a group of images in a single workspace known as Layouts Layouts provide a conventional method of displaying images in the standard dental template view XVLite fr Doe John IDnum 00000 aaa Image Operations gt Contains tools that can be used to manipulate the currently selected image Print gt E Prints out a hard copy of the ayout progression Send
53. ce Displays options related to the interface and general functionality of the application DIGITAL capture of the application Imaging Displays options related to the various imaging and imaging device handling Print Displays options related to printing images Database Displays options related to the patient database and data formats Advanced Displays advanced options and functions related to the program About And Technical Support Displays technical support and about information for the application Language Enables the user to select the language for the application Sensor xX Displays options related to digital General Preferences Time Format Date Format Use 24 hour clock pc de secor Short Format Sample 7 18 11 12 02PM Long Format S ample July 18 2011 12 02PM Label Properties Set Default Label Properties EJ Do not prompt for label properties after creating a label Switch to pointer mode after creating a new label Left Mouse Button Only Label Creation ints along a path for the the left mouse button to Desktop And Start Menu Shortcuts Monitor Test BS Create Local Shortcuts Display Monitor Test Pattern Time Format e Use 24 hour clock Time reads out in military time 9 50 PM would be 21 50 Zero pad the hour Places a 0 in front of the hour So 9 50 PM would read 09 50 PM Include seconds Places seconds at the en
54. creen Enter the patient s information in one or more fields of the search utility or scroll down to find the desired patient record Select the patient record and click on the Take X ray button on the menu bar The wizard advances to the Take X rays for which teeth screen Select one or more teeth to associate to the image after the capture is complete This will automatically setup the tooth association with the image and properly orient the displayed image once captured XVLite Take An Automated X ray Series k akes a series of images arranged in a layout progression 69 Take Takes an image that will be iat d with ALL of the patient s teeth e Pedo Adult Switches between deciduous and adult tooth layouts progressions 3 View Images Displays the images for the currently selected patient Apteryx Inc Hancock John SSnum 1112 IDnum 2 lt No Teeth Selected gt Select Patient Page 13 of 99 APTERYX X custom software Apteryx Inc August 22 201 1 XVLite s Hancock John SSnum 7 7 1112 IDnum 2 Activate Selected Unit Activates the sensor hardware and prepares it for x ray exposure Ls Switch Digital X ray Unit or Sensor Permits you to select a different digital x ray system or digital sensor The currently selected system and sensor is Fosition Sensor And Activate x r
55. d of the time 9 50 PM would read 9 50 45 PM Date Format Put date before month Places the date before the month as they do in Europe Instead of August 14th it would read 14th August e Use the full year Instead of placing 00 it would read 2000 Zero pad the date Places a 0 in front of the date if it is less than 10 e Include weekday long format only Includes the day of the week e g Monday Tuesday etc in long format Label Properties Apteryx Inc Page 91 of 99 APTERYX M custom software August 22 2011 XVLite Click the Set Default Label Properties to set the default formatting of common labels and markers such as Angles Arrows etc A related properties dialog box will appear allowing users to configure pen size pen color fill color etc Do not prompt for label properties after creating a label If selected the label properties dialog box will be suppressed with adding labels markers or annotations The defaults set here will always be applied Switch to pointer mode after creating new label If selected the mouse will return to pointer mode rather than remaining in the mode of the selected label Interface Preferences The Interface Preferences screen contains settings that control the appearance of the user interface and information displayed 7 XVLite Interface Preferences Displays options related to the general functiona
56. de Show Chronologically displays other images associated with the selected teeth 2 Import Images Permits you to import images into this patient for the selected 7 images for teeth lt Whole Mouth gt August 22 2011 XVLite 7 e pue Select Patient GoBack 5 Open dialog box will display Browse to the known location directory where image s is stored and click on it once To select more than one hold down the control button and select each additional image Click on Open when done Le My Recent Documents erm patient image 2 jpg My Documents My Computer z My Network Places patient image jpg File name Files of type 10 04 2010 03 06 PM 41 891 bytes 356 pixels x 236 pixels patient image 2 m All Image Files M Preview 6 The Move files to patient dialog box displays Enable the option to delete the original file after the move if desired Click the Yes Apteryx Inc button to proceed with the move Page 79 of 99 APTERYXW August 22 2011 XVLite Move Files To Patient Should the following files be added to the database of patient Doe Jane n successful move delete original C Documents and Settings PictureszsPatient Images patient image DEBE Hol Open them under Nobody WSS Yes Add these files to the patient Cancel 7 opt
57. eator module enables the sending of emails from within the imaging application Multiple patient images and files can be sent directly through a dental practice s Internet Service Provider ISP Outlook Outlook Express is not required with this extension Configuring Emailer Options 9 For the TransIT Emailer component to function an outgoing SMTP mail server must be configured The Emailer is only compatible with outgoing mail servers that DO NOT require authentication or encryption e g SSL for transmission Contact your ISP for outgoing SMTP server information and transmission requirements 1 View an existing patient s images double click on the desired image to view it in full view and then select Send on the menu bar 2 The Select TransIT Method dialog box appears Click on Access TranslT Options Select TransiT Method Cy Emailer Creator Ready Lae NEA FastAttach by NEA Ready EC General Emailer Creator Ready pw EK XrayView Creator Ready NK Xj ArayView e Mail Creator Ready Access TranslT Options Version 10 0 Build 1 Apteryx Inc Version 10 0 Build 1 Apteryx Inc Version 10 0 Build 1 Apteryx Inc Version 10 0 Build 1 Apteryx Inc Version 10 0 Build 1 amp pteryx Inc 3 The TranslT Configurations dialog box displays Select Emailer Creator and click on Edit Options 4 The General Emailer Options dialog box displays General Emailer Options
58. efinitions Toolbar section above for additional functions that can be performed to further configure the tile as needed Apteryx Inc Page 87 of 99 APTERYX August 22 2011 XVLite custom software Common Layout Tasks Creating New Layouts Based on Existing Layouts The imaging application gives users the ability to create a layout from scratch or to create a new layout based on an existing layout Basing a new layout on an existing one is a useful if needing to create a duplicate layout for different hardware For example if a user has an existing 4 Bitewing Layout on the Layout Definition screen that is set to capture from a sensor a duplicate layout can be easily created and set to capture from their intra oral camera if needed To create a new layout based on an existing layout 1 Select the New Layout button The New Layout dialog box displays New Layout Layout 4 BITE WINGS ID CAMERA Based Preview Based lt Hew Layout Layout Background Color This is an inside out viewed layout Ec 2 Enter a descriptive name for the new layout in the Layout field 3 Click on the Based drop down list to select the desired layout the new one being created will be based on o When creating a new custom layout from scratch using the Layout Type of grid is limited compared to free floating Accordingly free floating is the preferred Layout Type
59. eight of Nm Aligns the center of Generates a lost tiles li selected tiles to Wa selected tiles Ba duplicate of the caused by equal length selected tile modifications that cause tiles to disappear from preview Forces tiles to Adjusts height amp ag Aligns the right B Rotates the pe snap to a H width of selected E hand edge of j selected tile defined grid tiles to equal selected tiles length Flips entire Er Aligns the top edge Adds a new tile to D layout L1 E selected tiles fx of selected tiles the layout horizontally Apteryx Inc Page 85 of 99 APTERYX V August 22 2011 XVLite custom software inside out horizontally view mu Sets layout tile tr Evenly spaces Aligns the middle of Adds a vertical L1 source video selected tiles selected tiles to the layout sensor etc vertically Adjusts width D Aligns the left 1 Aligns the bottom Adds horizontal EH of selected H hand edge of edge of selected wj tile to the layout tiles to equal selected tiles tiles length Common Layout Tasks Changing the Capture Order Each tile in a layout identifies the source of the image sensor scanner video etc its orientation related tooth associations and its order in the capture series To change the capture order 1 Select the desired layout to edit The layout tiles display in the preview window 2 Select t
60. elect Images Selected Images Images To Choose From EL Swims ONE M ku n MEL Lii Select any number of images 8 images 0 selected a The Images To Chose From section on the right displays the current images in the patient s record Click on each desired image to add to the print job b Each image that is added to the print job will display in the Selected Images section on the left If the wrong image is selected click on it once to remove it c When ready to proceed with the print job click on OK 3 The Wizard advances to the multiple image print utility DAR 2 Doe John SSnum 9999 IDnum X A100000 Q Printer Print Image HP LaserJet 4300 PCL 6 Prints the image or layout to the selected printer with the specified information Setup Printer Accesses the selected printer s setup and printing options 55 Preferences Displays the application options Doctor Information Message KEYBOARD a Select the desired printer off the Printer drop down list b Complete the Doctor s Information text box if desired that should be printed with the image Apteryx Inc Page 69 of 99 custom software August 22 2011 To the right the Number of Images Per Page section indicates way images will be printed on a grid and the total number of pages Humber Of Images Per Page Mail
61. ent prompts OK Cancel o Select Continue to Use This Sensor if all images in the layout will be captured using the same sensor If unchecked the Capture Sensor Image screen will display between each capture in the series 7 The software will advance and prepare the sensor for x ray exposure green Sensor Ready indication will display at the top of the screen A vocal cue will also be heard if the computer has a sound card and speakers 8 Proceed to shoot the x ray The new image from the sensor will appear in the selected tile 9 The application will then advance to the next tile in the series Apteryx Inc Page 17 of 99 custom software APTERYX WX August 22 2011 XVLite f Continue using this sensor was selected in Step 6 the sensor will automatically be prepared and readied for the next capture f Continue using this sensor was not selected in Step 6 the Capture Sensor Image screen will display for the user to select the desired sensor Click on OK to continue with the capture 10 Place the sensor in the patient s mouth and position it to capture the set of teeth associated to the next tile 11 Repeat Steps 8 10 until the last image in the series has been captured 12 Click Finished when all images in the series are captured The layout will be automatically stored to the patient s file Apteryx Inc Page 18 of 99 ccce August 22 2011 XVLite CAPTURING IMA
62. ers to spawn their email client application e g Microsoft amp Outlook and automatically attach patient images and files to a new email message The General Emailer requires Outlook Outlook Express or other MAPI clients Configuring the TransIT General Emailer Creator 9 The TransIT General Emailer component will attempt to use the default email application set up in Windows Refer to Microsoft Support s Online Knowledgebase Article KB 154359 for instructions to specify Microsoft amp Outlook or Outlook Express as the default email application 1 View an existing patient s images double click on the desired image to view it in full view and then Select Send on the menu bar 2 The Select TransIT Method dialog box appears Click on Access TranslT Options Select TransiT Method Cy Emailer Creator Ready Version 10 0 Build 1 amp pteryx Inc uet NEA Fast ttach by NEA Ready Version 10 0 Build 1 Apteryx Inc General Emailer Creator Ready Version 10 0 Build 1 Apteryx Inc LAE BY ArayView Creator Ready Version 10 0 Build 1 Apteryx Inc K iV ArayView e Mail Creator Ready Version 10 0 Build 1 Apterys Inc Access TranslT Options 3 The TranslT Configurations dialog box displays Select General Emailer Creator and click on Edit Options 4 The General Emailer Options dialog box displays Apteryx Inc Page 47 of 99 APTERYX V August 22 2011 XVLite General
63. es have some degree of blurriness from focus problems or inherent limitations in the image taking process The imaging application offers an automatic image sharpening that can be applied to compensate for the blurriness in an image E Before Laplace Edge Enhancement After Laplace Edge Enhancement Applying sharpening or Laplace edge enhancement 1 Select Advanced Tools Sharpening to use the sharpening The Sharpen Image dialog box displays Apteryx Inc Page 35 of 99 APTERYX NV August 22 2011 XVLite Sharpen Image Original Image Resulting Image Preview Sharpening Factor 2 Mask Size Height ceca 2 Use one of the following image adjustment buttons to size resize reposition the images displayed in the original and resulting image preview windows as desired ju Select to pan the image the preview to view a specific area Click and drag the image with the left mouse button e Select to magnify or reduce the image in the preview To increase the magnification of an image click on the image in the preview with the left mouse button To reduce the magnification click with the right mouse button E Select to automatically resize the image and make it fit in the viewing area M Select to automatically resize the image in the preview to 100 magnification When clicked the image in the preview will resize to the actual dimensions of the image
64. evices such as digital pan ceph imaging systems phosphor plate devices transparency flatbed scanners and other TWAIN devices Additionally user can configure general capture settings that apply to all imaging devices Default Scanner Resolution Allows users to set the default resolutions of the images acquired for Periapicals Bite Wing Series Full Mouth Series Cephalometric and Panoral These settings only apply to images captured from a flatbed scanner JPEG Image Quality JPEG quality factor is an image compression technique that reduces the size of a file to save space on the hard drive Images can be compressed by as much as 90 however the more an image is compressed the more image detail is sacrificed Apteryx Inc recommends leaving the settings to the highest quality feasible Layout Stamp Creation Select Create real stamp representations of layouts progressions to displays image thumbnails or stamps of the layout as opposed to just gray boxes that represent a layout 4 Auto Taken Date Labels e Automatically place taken date labels Option adds a taken date label when a layout is viewed in the imaging application The label is only applied to images captured after the option is enabled Display taken dates in layouts If enabled taken dates will display below each tile in a layout Image Acquisition Options e Twain Devices Select this button to access the TWAIN Device C
65. fied format The documents should be saved in the following folder Is Use the the following for the format of the filename Date MM DD YY YY HH MM DOC C Date YYYY MM DD HH MM DOC Patient Name Lastname FirstN ame MM DD Y YYY HH MM DOC Patient Name FirstName Lastname 0 HH MM DOC Microsoft Word Microsoft Word can be found in the following directory C Program Files Microsoft OfficeNOfficel 2NwINWORD EXE Automatically handle images that may be too big for MS Word OK Cancel 2 By default documents are created as temporary documents that will be deleted once Microsoft Word 15 closed Select Save the documents in the document in following folder to specify a specific location on the computer to store spawned documents 3 Click on the browse button outlined in red above The Select Path dialog box displays Apteryx Inc Page 89 of 99 APTERYX August 22 2011 XVLite Select Path oelect the appropriate directory My Documents O Apter Apteres Imaging Imaging Documents Use the directory tree to find and select the appropriate folder b Click OK to return to the Document Options dialog box 4 Select the desired naming scheme to use for any Word document spawned from the imaging application Use the the following for the format of the filename Date 0 t Patie
66. ggerating density changes in an object Usually gamma correction is used in combination with one of the other B C enhancement tools to dramatically improve the overall appearance of an image Before Gamma Correction After Gamma Correction Applying brightness contrast or gamma correction 1 From the Enhancement menu options select Brightness Contrast Brightness Contrast or Brightness Contrast Gamma Correction The applicable dialog box displays Apteryx Inc Page 33 of 99 APTERYXWN August 22 2011 XVLite 7 Adjust Brightness Contrast Real Time sIm Brightness Contrast J F 3 Cancel 2 Use of the following image adjustment buttons to size resize or reposition the images displayed in the original and resulting image preview windows as desired e 3 Select to pan the image in the preview to view a specific area Click and drag the image with the left mouse button e Select to magnify or reduce the image in the preview To increase the magnification of an image click on the image in the preview with the left mouse button To reduce the magnification click with the right mouse button amp Select to automatically resize the image and make it fit in the viewing area Select to automatically resize the image in the preview to 100 magnification When clicked the image in the preview will resize to the actual dimensions of the image
67. h associations and its order in the capture series Overview of the Layout Definition Dialog Box The Layout Definition dialog box is where users can customize their own layouts by creating new or modifying the definitions in an existing layout to meet their needs To access Layout Definitions 1 Select any patient record and click on the Take X ray button on the menu bar The wizard advances to the Take X rays for which teeth screen Select Take an Automated X ray Series 2 The wizard will advance to a layout selection screen Click on the Customize Layouts button The Layout Definitions dialog box will display The Layout Definitions Interface Layout Definition Layouts 2 Bite Wings 2 tiles file 2Bite Wings Layout Images with Claim Form 9 Lower ANT Endo 9 Lower Left Molar ENDO Lower Right Molar ENDO One Image with Claim Form Sensor Sensor 49 Pedo 8 4 5 28 29 30 12 13 14 19 20 21 4 Scanned and 11 J Os New Layout Xs Delete Layout Save As 4 Export Layout Definition 122 354 Layout Options Ki m No Tile Selected N Done Layout Imaging Extension Preference lt No Preference gt 1 All existing layouts are listed in the Layouts section outlined in blue above 2 Ifa layout is selected it will display in edit mode t
68. he Order button to enable the tile ordering function Sensor 14 15 16 17 18 18 Sensor 12 13 14 19 20 21 sensor sensor LI 3 4 5 B 29 30 4 With ordering function now enabled click on each in the order desired for capturing The tile numbers will be reordered as the user selects each tile in the series Sensor 14 15 16 17 18 13 Sensor 12 13 14 19 20 21 Sensor Sensor 1 2 Ses 1 32 3 4 5 26829 30 5 Select the Save button to store the changes Common Layout Tasks Changing the Capture Source Each tile in a layout identifies the source of the image sensor scanner video etc its orientation related tooth associations and its order in the capture series To modify the capture source of a layout 1 Select the desired layout to edit The layout tiles display in the preview window 2 Select the source button S from the toolbar below the preview window 3 The Take From dialog box displays Apteryx Inc Page 86 of 99 custom software APTERYX V August 22 2011 XVLite Take From Taken tile images from Cancel 4 Select the desired source from the provided drop down list Prompt User For Source If selected the user will be prompted to select a source during the layout capture process e Nowhere If selected the user will not be prompted for any source e Scanner If selected the layout will be setup to acquire phosp
69. he large preview window outlined in green above Apteryx Inc Page 84 of 99 August 22 2011 XVLite Layout Options Users can configure general layout options when creating a new layout or editing an existing layout selecting the Layout Options button The layout options dialog box is displayed in Edit Layout mode below Edit Layout Layout Layout Type Background Color This is an inside out viewed layout Oe SS Users can define redefine the follow general layout options Layout Users can select between a grid type with static tiles EE layout with free floating tiles 288 Grid Size If the grid is selected as layout type the user can specify the amount of rows and columns in the grid Background Color Users can select the drop down to specify a different color for the layout background This is an inside out viewed layout This option can be enabled to define the layout as being viewed from inside out mages acquired will be automatically flipped inside out in this mode The Layout Definitions Toolbar There is a collection of buttons below the preview window that can be used to configure the layout tiles of a selected layout as desired Some buttons will remain grayed out until a tile or tiles are selected Refer to the table below for a quick description of each g Recovers Adjusts h
70. he menu bar 2 The Select TransIT Method dialog box appears Click on Access TranslT Options Apteryx Inc Page 57 of 99 APTERYX V August 22 2011 XVLite custom software Select TranslT Method Cy Emailer Creator Ready Version 10 0 Build 1 Apteryx Inc Lao NEA FastAttach by NEA Ready Version 10 0 Build 1 Apteryx Inc General Emailer Creator Ready Version 10 0 Build 1 Apteryx Inc ae E Creator Ready Version 10 0 Build 1 amp pteryx Inc e Mail Creator Ready Version 10 0 Build 1 amp pteryx Inc Access TranslT Options 3 The TranslT Configurations dialog box displays Select XrayView e Mail Creator and click on Edit Options 4 The XrayView e Mailer Options dialog box displays XrayView e Mailer Options M Always use this quality factor JPEG Quality Factor 1 100 feo Low Quality High Quality Small File Large File 1996 2002 Apteryx line All ighis reserved About Cancel a Enable Send attachment as a ZIP file to generate attachments as a ZIP file If disabled the attachment will attach a self extracting executable EXE file extension A Warning Some email clients may be configured not to accept EXE file extensions for security reasons If so the email client will strip out the attachment when the new message is sent b Accept the default or change the JPEG Quality Factor
71. hor plates scanners etc Sensor lf selected the layout will be ready to acquire from x ray sensors e File If selected the layout will be setup to acquire images from the local hard drive network or media device attached to the computer e Clipboard If selected the layout will be setup to acquire an image stored in the computer s memory the copy function TWAIN Device If selected the layout will be setup to acquire from devices such as document scanners that have the manufacturer s TWAIN drivers installed on the computer e Video Source If selected the layout will be setup to acquire from a video Source such as an intra oral or extra oral camera using the DirectVideo or Real Time Video extension e Auto Import If selected the layout will be setup to acquire using the Auto Import utility Click OK when done Select the Save button on the Layout Definitions dialog box to store the changes Common Layout Tasks Adding Tiles Each tile in a layout identifies the source of the image sensor scanner video etc its orientation related tooth associations and its order in the capture series To add an additional tile to a layout 1 Select the desired layout to edit The layout tiles display in the preview window 2 From the toolbar below the preview window select Su to add a horizontal tile Hi to add a vertical to the layout Refer to Layout D
72. hould appear when it is printed directly to a printer e Full Page Indicates that an image should be printed as large as possible on the page e Real Size Indicates that the image should be printed so that measurements may be taken from the printed image The Real Size setting may crop off a portion of the image if the printed image is larger than the printable are on the printer o Due to variances in image capture from imaging devices measurements in Real Sized images are not guaranteed to be accurate 96 of Page Size Indicates the maximum percentage of the page that should be used when printing the image The image will be appropriately scaled while maintaining the aspect ratio within this percentage of the page Printed Image Information Indicates what image information if any should appear when an image is printed directly to a printer This information is printed directly below the image Database Preferences The imaging application allows users to configure database options such as which patient database local or networked should be used by the application what format images should be stored caching options and database synchronization options for XV Sync Users additionally have access to database utilities and Practice Management data drill options XVLite General Displays options related to the general functionality and operation of the application Interface
73. ient P Enter the patient s information in one or more fields of the search utility or scroll down to find the desired patient record Select the patient s record and then select Advanced Patient Options Delete This Patient on the menu bar The following warning messages display If sure select Yes on each to continue with the deletion Apteryx Inc Page 8 of 99 APTERYX August 22 2011 XVLite custom software Delete Patient Gre you sure vou want to delete the patient 9 Jane 55num 9999 TDnum xvATOODOD1 and all of their associated Files Yes Delete Patient Are you ABSOLUTELY sure that vau want to delete Ehe patient Jane S5num OAR gogo TDnum 100001 and all of their associated Files Delete Patient Last Warning This patient and ALL of their assocated Files images and x rays will be deleted Are vou ABSOLUTELY sure that they should be deleted Viewing an Existing Patient s Images To view an existing patient s images 1 Enter the patient s information in one or more fields of the search utility or scroll down to find the desired patient record 2 Select the patient record and click on the View Images button on the menu bar 3 The View Images for which teeth screen displays Apteryx Inc Page 9 of 99 custom software August 22 2011 7 XVLite Doe John IDnum XVA 100000 Displays images based on a da
74. ightness Contrast menu contains tools that are applied manually including Brightness Contrast Equalize Gamma Correction or to adjust color levels Additional image enhancement utilities are available under the Advanced Tools menu option Refer to the Image Enhancement section for detailed information on these and other commonly used image enhancement tools 9 Toretake an image select the Retake button and repeat steps 4 8 to acquire an additional image for the teeth selected in Step 3 10 To return to the patient list click on the Select Patient button Capturing Group Layout Images from an IO Camera A layout is a group of free floating tiles displayed in a single workspace The groups of images can be captured and displayed in individual tiles within the selected layout To capture a series of images from an IO camera 1 Enter the patient s information in one or more fields of the search utility or scroll down to find the desired patient record 2 Select the patient record and click on the Acquire Image button on the menu bar The wizard advances to the Take X rays for which teeth screen Select Take an Automated X ray Series 3 The wizard will advance to a layout selection screen Select the desired layout 2 Bite Wings 4 Bite Wings etc Apteryx Inc Page 28 of 99 APTERYX V August 22 2011 XVLite custom software XVLite Aasand Mike SSnum 4064 IDnum XVA100002 4 BITE WINGS IO CAME
75. ion to delete the original file after the move has been selected the Delete Original Files dialog box displays Click Yes to delete the image s if desired Delete Original Files You have choosen to delete the original Files Are vou sure that once the Files have been moved to the patient that the original Files should be deleted Ves 8 The imported image s will display in the imaging application complete and will be automatically stored to the patient s file Deleting a Patient s Images Follow the steps below to remove one or more images from a patient s file 1 Enter the patient s information in one or more fields of the search utility or scroll down to find the desired patient record 2 Select the patient s record and then select Advanced Patient Options Delete Patient Images on the menu bar 3 The following warning messages display If sure select Yes on each to continue with the deletion 4 The Delete Patient Image Files dialog box opens displaying thumbnails of all the patient s images Select one or more of the desired images and click on the Delete button Apteryx Inc Page 80 of 99 custom software APTERYX August 22 2011 XVLite Delete Patient Image Files Delete Patient Files neat Cancel Digital X rays 5 The following warning messages display If sure select Yes on each to continue with the deletion Delete Patient Images Are you sure th
76. lication can manually pull patient and related demographic information directly from a third party PM database and use it to create a patient DataDrills are typically used in conjunction with NameGrabber to fill in any missing information when pulling patient data from an application Visit www apteryx com for more information Integrated PM Bridge Command Line Options The imaging application offers many options to open patients using command line arguments Parameters can be sent with the application s executable file to open create patients Command line options are useful to developers for creating a button within a third party PM application that automates the process of opening or creating the related patients image file For more information refer to the following online knowledgebase article OVERVIEW Command Line Parameters o In many circumstances before a PM bridge is implemented a dental practice manually creates patients in the software As a result patient information may not exactly match the information being passed via the PM bridge After the PM bridge is implemented the user may be presented with a Patient Does Not Exist dialog box when attempting to open a patient that DOES exist in the imaging application if there is a mismatch with the patient information passed Refer to the following online knowledgebase article for instructions to update the existing patient HELP Error Patient Does Not Exist Adding C
77. lity and operation of the application Interface Displays options related to the interface and general functionality of the application Miscellaneous EJ Display background bitmap gli Display ImageB ar horizontally Use Time Date format for layout tiles Patient Information EJ Hide as much patient information as possible Display patient names in uppercase Do not display entire patient list Thumbnail Rows And Columns Keyboard layout GWERTY 7 Standard DIGITAL I gt Sensor x Displays options related to digital al ray capture of the application Imaging Displays options related to the various imaging and imaging device handling Print Displays options related to printing images Database Displays options related to the 188 Currently 5 columns by 5 rows Standard Keyboard EJ Allow keyboard state updates Layouts And Progressions 2S Change Group View Groups of images will be viewed as layouts Tooltips JAN Display tooltips Y Adult Toothcontrol Format List Font Size Deciduous Toothcontrol Format D Universal m Universal M patient database and data formats Advanced Displays advanced options and functions related to the program About And Technical Support Displays technical support and about information for the application Language Enables the user to select the language for the application Ap
78. mage Resulting Image Preview Mask Size Apteryx Inc Page 37 of 99 custom software August 22 2011 XVLite 2 Use one of the following image adjustment buttons to size resize or reposition the images displayed in the original and resulting image preview windows as desired ju Select to pan the image in the preview to view a specific area Click and drag the image with the left mouse button Select to magnify or reduce the image in preview To increase the magnification of an image click on the image in the preview with the left mouse button To reduce the magnification click with the right mouse button E Select to automatically resize the image and make it fit in the viewing area H Select to automatically resize the image in the preview to 100 magnification When clicked the image in the preview will resize to the actual dimensions of the image Select a predefined Mask Size select d to manually enter a custom Width and Height The mask size specifies how large the area should be when sharpening a portion of the image The larger the area the wider the area of noise is considered to be Click OK to apply the settings to the image When done click Go Back to return to the patient images or Select Patient to return to the patient list A dialog box will appear prompting the user to save the modification select Yes to save the change Advanced Im
79. mplete the document Click on each field to enter the required information Apteryx Inc Page 74 of 99 eirca qu August 22 2011 XVLite Spawning Multiple Image Document Templates 1 View an existing patient s images and then select Spawn Multiple Image Document off the menu bar 2 The first time the Document Template feature is utilized the user is presented with the Document Template Options dialog box to configure document handling settings Refer to Appendix C Configuring Document Handling Options for detailed instructions 3 The Wizard will advance to an image selection screen Select Images nages i Jd to the doc Doe John SSnum 9999 IDnum XVA100000 Sele Selected Images Images M E dec UT OR S T MD a an cn on m Select any number of i 0 selected a The Images To Chose From section on the right displays the current images in the patient s record Click on each desired image to add to the print job b Each image that is added to the print job will display the Selected Images section on the left If the wrong image is selected click on it once to remove it c When ready to proceed click on OK 6 The Spawn Document dialog box displays Select the desired single image document template to generate and click OK Apteryx Inc Page 75 of 99 APTERYXW August 22 2011 XVLite Spawn Docume
80. n sent Apteryx Inc Page 60 of 99 APTERYX amp gt custom software August 22 2011 XVLite ArayView Information General Patient Message Password Protect W Password protect the image Password Pi amp ssw rd caret 3 Click OK when TransIT XrayView Information tabs have been completed The imaging application proceeds to spawn Outlook Outlook Express create new email is created with the image attached lA 6 45 2 3 Test Message Plain Text m x De g ca Message Insert Options Format Text Developer 5 2 gt EE i x Aiar 88 x 4 am Paste ab A EF X te Address Check Follow ri Spelling v Book Names FM Up z Clipboard Basic Text Names Include Options Proofing This message has not been sent Attached un 5 j T a Test XrayViewMailer ZIP 132 KB Tracking Information Message Reference Number 123456789 Test Name Jane Doe SS Number 0099 ID Number XVA100001 DOB 09 23 1969 Sex F Teeth 0 1 2 3 Image Type Digital X ray Image Subtype Periapical 4 Add the recipient s email information and proceed to send the attached image layout in Outlook Outlook Express Apteryx Inc Page 61 of 99 APTERYX V August 22 2011 XVLite custom software XrayView C
81. next tile in the series f Continue using this source was selected in Step 6 the device will automatically be prepared and readied for the next capture e Continue using this source was not selected in Step 6 the Capture Image screen will display for the user to select the desired device from the Scanned X ray tab again Click on OK to continue with the capture 12 Repeat Steps 9a 9e for flatbed scanners until the last image in the series has been captured 13 Click Finished when all images in the series are captured The layout will be automatically stored to the patient s file Apteryx Inc Page 24 of 99 custom software APTERYX V August 22 2011 XVLite CAPTURING IMAGES FROM AN INTRA ORAL CAMERA General Information The imaging application offers an easy to use DirectVideo and Real Time interface that allows users to capture live images from video sources such as Intra Oral Cameras and digital cameras The Real time Video Extension is used for capturing images from older analog intra oral video cameras connected to computers via video card The DirectVideo Extension is more commonly used for more recent technology that connects cameras via USB FireWire IEEE 1394 cameras and DirectX video capture cards In this user guide captures will be limited to capturing from an Intra Oral Camera with the more commonly used DirectVideo Extension o By default the DirectVideo Extension is enabled To ch
82. nt Select the document you wish to create 5 Document usage instructions 4 Recall Exam Bitewings 5 456 Anterior endo card with 1 image 4 Referral 4 46 Posterior endo card with 1 image 5 Single Image 4 Dual Image 5 Small Single Image 4 endo anterior 4 6 card 5 Treatment Plan 1 image 5 endo anterior formal 4 Treatment Plan 5 endo posterior 4 5 card 5 endo posterior formal 5 Four Horizontal Images Clinical Report 4 Four Vertical Images Clinical Report 5 Full Mouth Series 4 Quad Image caes The listed document templates are not necessarily multiple image templates The naming convention of Apteryx provided document templates typically indicates the document type i e Referral letter treatment plan etc and number of images the template can handle 7 The imaging application will then proceed to launch Microsoft Word embedding the images and patient information outlined in green in the sample shown below into a new word document Apteryx Inc Page 76 of 99 APTERYXN August 22 2011 XVLite 8 Additional fields highlighted in yellow in the sample above can be manually typed in by the user to complete the document Click on each field to enter the required information Apteryx Inc Page 77 of 99 custom software APTERYX August 22 2011 XVLite APPENDIX A COMMON FUNCTIONS AND UTILITIES Importing Images from an External Source Digital images captured fr
83. nt Mame Lastname FirstHame MM DD Y HH MM BUC t Patient Mame First ame Lastname MM DD nY HH MM BUC 5 Select the option to Automatically handle images that may be too big for MS Word If enabled large images will be automatically resized to fit within the document s designated area for embedded images 6 Before Microsoft amp Word can be used to create documents the location of the application must be configured To specify the location of Microsoft Word on the computer click the browse button outlined in green above to manually search for the Microsoft Word executable typically called WINWORD EXE OR click the Search button to have the software find the executable 7 Click OK to save the changes and continue with the process Apteryx Inc Page 90 of 99 APTERYX custom software August 22 2011 XVLite APPENDIX D CONFIGURING PREFERENCES General Information The imaging application is a customizable application that can be fined tuned to suit a user s needs These options can be accessed by clicking on Preferences on the main menu bar The following section describes the available options on the Preferences screen General Preferences Select General off the menu bar to display options related to the general functionality or operability of the imaging application XVLite General Displays options related to the general functionality and operation of the application Interfa
84. o access the Ellipse Properties dialog box Ellipse Properties Ellipse 5 ample View Pen Size Color Scheme Pen Color Freeze Label Cancel Select the desired Pen Size Pen Color and Fill Color If desired select Freeze Label on the bottom left of the dialog box to fix the position of the label The label will not be able to be moved around on the image c When satisfied click on OK 7 The modified properties will then be applied to label Apteryx Inc Page 41 of 99 APTERYXW August 22 2011 XVLite Calibrating Images and Adding Measurement Labels Overview Before measurements are added in an image the image should first be calibrated In general images are calibrated by taking a measurement of an object of a known size or length in an image as shown in the image below and then providing the actual length or size of the object to determine the images calibration factor for a subsequent measurement to be performed This method is useful in calibrating images from Cephalometric systems 3 Sensor images can be more accurately calibrated by using the actual dimensions of the sensor s active area rather than an object of known length The active area of the sensor can be determined by referring to the hardware s documentation or contacting the manufacturer Apteryx Inc Page 42 of 99 APTERYXWN August 22 2011 XVLite 7 9 Apteryx Inc does not gu
85. om digital cameras or other external sources are normally stored by the user in a Known location on the local hard drive The imaging application provides standard functionality that allows users to import and associate external files to a patient record This feature can be used to manually import one or more images JPEGs GIFs TIFFs etc into a patient record as single images or into a layout group To import images 1 Enter the patient s information in one or more fields of the search utility or scroll down to find the desired patient record Select the patient record and click on the View Images button on the menu bar The View Images for which teeth displays Select View Images For Teeth 7 Doe John IDnum 00000 Displays images based date selection View Images For All Teet Displays all of the patient images 2 Adult Switches between deciduous and adult toot layouts progressions Select Patient lt No Teeth Selected gt 4 Ascreen displaying thumbnails of the patient s images displays Select Import Images Apteryx Inc Page 78 of 99 APTERYX custom software XVLite Doe John SSnum 9999 IDnum X A100000 Print Multiple Images Prints out a hard copy one or more of the images d CE Spawn Multiple Image Document Generates a Microsoft Word document utilizing one or more of the images Sli
86. on provides users with a set of temporary labels marker and annotations that can be associated with an image A variety of different labels markers and annotations can be applied to an image to highlight problem areas add date and time information define and identify earlier procedures performed or add general notes 9 Labels are not part of the image when added They are floating objects that can be moved modified resized or deleted at any time Adding and Modifying Labels Markers and Annotations 9 The following example of how to add an Ellipse to an image effectively demonstrates how to add other types of labels markers and annotations available in the imaging application The Ellipse Label command will place an ellipse on an image Placing an ellipse on an image is useful in bringing attention to a designated area Users have control of the ellipse s properties 1 View an existing patient s images and double click to view it in full view XVLite 9999 IDnum XVA100000 Displays the notes associated with this image Labels Enables the modification of the labels associated with this image Print Prints out a hard copy of the end Sends copy of the image to remote user Document Templates Generates a Microsoft Word document utilizing the current images Advanced Options Access the advanced gt options available for this image such as launching other application
87. onfiguration options for any imaging device attached to the system TWAIN devices require the manufacturer specific TWAIN drivers to be installed in order for it to be recognized by the imaging application e Image Device Extensions Select this button to access and configure apteryx supplied extensions for imaging devices such as digital pan ceph imaging systems and phosphor plate devices Double click an available imaging device entry to access the extension settings for post capture filtration and other device specific settings e Select Video Device Type By default the DirectVideo Extension is enabled Select this button to change to Real Time Video Extension for older analog cameras Print Preferences Users can configure general printing preferences such as page indents image font sizes and image size Additionally user can configure what patient information to include on the printed image Apteryx Inc Page 95 of 99 APTERYX custom software August 22 2011 XVLite Page Indents Specify the left right and bottom page indentations All measurements are specified in inches Fonts Users can specify the font type Arial New Times Roman etc format Bold italicized and text size is to be applied to Header Image Information and Message fonts To change a font click on the appropriate font button Image Size Permit the user to specify how large an image s
88. oper steps images will be placed in the wrong tile and be oriented incorrectly Apteryx Inc Page 29 of 99 APTERYXWN August 22 2011 XVLite 7 5 When ready to capture images click the Start button 6 The DirectVideo interface displays Continue capturing images for each tile in the layout Additional thumbnails will appear below the initial one as images are captured DirectVideo Video Devices Video Options Images Capture Buttons About t Capture 9 If more than one video source is attached to the computer select Video Devices from the menu and then select the applicable device a Note that the live video feed displays on the right hand side Place the camera in the patient s mouth and position it where desired b Capture the images using one of the following methods e Press the button on the camera e Step the foot pedal if configured Select the Capture button on the DirectVideo interface e Press the space bar on the keyboard c Once captured a thumbnail of each image will appear in the area below the buttons on the DirectVideo interface Apteryx Inc Page 30 of 99 APTERYXW August 22 2011 XVLite DirectVideo Video Devices Video Options Images Capture Buttons About a Capture d If unsatisfied with an image right click on the image thumbnail and select Delete Current Image e When finished click the Done button 7 The DirectVideo interface will
89. ormat e Apteryx layout file i e a compressed zip file containing the layout STB images and related data files e Acommon file format ZIP file i e a compressed zip file containing the images in JPEG format 2 Click on OK The TranslT XrayView Information screen displays Complete the following information on each tab a General tab Complete the Subject and Reference Number fields TranslT XrayView Information General Patient Message Password Protect Subject Reference Number Patient Jane Doe SSmum 393 33 3333 lDnum 100001 Cancel Apteryx Inc Page 59 of 99 custom software APTERYX V August 22 2011 XVLite b Patient tab The tab is pre populated with the open patient s information Complete any required field if blank ArayView Information General Patient Message Password Protect First Hame Last Mame Doe 55 Mumber 1999 99 9999 ID Number 00001 09 2371 964 Cancel c Message tab Enter information for the recipient of the email ArayView Information General Patient Message Password Protect Cancel d Password Protect tab If desired enable the Password protect the image option and enter a password in the Password field The recipient will need to be provided the password in order to access the files in the attachment whe
90. plies to older or slower computers such as a 486 or Pentium 100 Such systems are not recommended Use Threaded Safety Cache TM applies to most new computers e Save layouts after each capture Automatically saves layouts in the patient s file after each tile capture If this feature is not enabled the layout must be saved manually after all images are captured Slide Show Timer This option is used by the software to determine how long of a pause should be performed when displaying the images in a slide show or automatically advancing through the images in a layout Apteryx Inc Page 98 of 99 APTERYXN August 22 2011 XVLite END OF DOCUMENT Apteryx Inc Page 99 of 99
91. re screen Note that the first tile in the series is selected awaiting an image capture Additionally note that the related tooth numbers are displayed in each tile Inc Page 16 of 99 custom software APTERYX V August 22 2011 XVLite XVLite Sensor Sensor Sensor r 1 2 3 30 31 32 3 4 5 28 29 30 12 13 14 19 20 21 14 15 16 17 18 19 Start A Take Retake U Take Retake From Image Operations Starts the automatically advancing Takes or retakes the image for the A Takes or retakes an image from a HH Allows you to make modify the acquisition of the selected tile specified source currently selected image GoBack layout progression A Warning X ray images will be automatically captured in the order set by the layout definitions They will be oriented according to the teeth defined in the layout tile If the user deviates from the order without taking the proper steps images will be placed in the wrong tile and be oriented incorrectly 5 Place the sensor in the patient s mouth and position it to capture the teeth associated to the tile Click the Start button 6 The Capture Sensor Image selection screen displays Select the applicable sensor and then click on OK Capture Sensor Image Please select and configure the sensor that should be used when capturing the image Digital System Selected Sensor Description Test Auto Continue to use this sensor No intermitt
92. reating a New Patient Manually Creating a Patient To manually create a new patient record 1 Enter in the required patient information in the Search Criteria fields The following restrictions are placed on the following entries SS Number Maximum of 16 characters Can contain characters digits or symbols ID Number Maximum of 64 characters Can contain characters digits or symbols Apteryx Inc Page 7 of 99 APTERYX M custom software 2 August 22 2011 XVLite Scroll down on the main navigation if necessary and select Create Patient Create Patient Creates 4 patient based on the information entered in the search criteria 3 The Existing Patients list will refresh to display the new patient record Editing Patient Information To modify an existing patient s record 1 Enter the patient s information in one or more fields of the search utility or scroll down to find the desired patient record 2 Select the patient s record and then select Advanced Patient Options Edit Patient Information on the menu bar 3 Add Modify any of the provided fields as desired and then click on OK to save the changes XVLite John ast Name DOB Sex 4 B Deleting a Patient Users can delete a patient from the database using the Delete Patient function Only one patient can be deleted at a time using this functionality To delete a pat
93. reator Overview The XrayView Creator creates a self extracting executable XrayView exe containing a patients images and information that can be saved on various removable media e g USB flash drive external hard disk etc and provided to other dentist practices for referrals etc Recipients that are provided the file can then run the file and view the provided images within an XrayView interface XrayView Creator supports the transmission of Apteryx s unmodifiable Secure Tagged Block STB file format guaranteeing image authenticity Configuring the XrayView Creator Options 1 View an existing patient s images double click on the desired image to view it in full view and then select Send on the menu bar 2 The Select TransIT Method dialog box appears Click on Access TranslT Options Select TransiT Method Name Status Version Sends Messages Sends Images Sends STBs Cy Emailer Creator Ready Version 10 0 Build 1 amp pteryx Inc ert NEA Fast ttach by NEA Ready Version 10 0 Build 1 Apteryx Inc e General Creator Ready Version 10 0 Build 1 Apteryx Inc il A E Bo review Creator Ready Version 10 0 Build 1 amp pteryx Inc e Mail Creator Ready Version 10 0 Build 1 amp pteryx Inc gt Access TranslT Options 1 The TransIT Configurations dialog box displays Select XrayView Creator and click Edit Options 2 The XrayView
94. s 7 11 to acquire an additional image for the teeth selected in Step 3 To return to the patient list click on the Select Patient button Capturing a Group Layout Images from an X ray Sensor Unit A layout is a group of free floating tiles displayed in a single workspace The groups of images can be captured and displayed in individual tiles within the selected layout To capture a series of images from an x ray sensor unit 1 Apteryx Enter the patient s information in one or more fields of the search utility or scroll down to find the desired patient record oelect the patient record and click on the Take X ray button on the menu bar The wizard advances to the Take X rays for which teeth screen Select Take an Automated X ray Series The wizard will advance to a layout selection screen Select the desired layout 2 Bite Wings 4 Bite Wings etc Bite Wings FMX 1 tii m LIHLLLP E GoBack 9 Layouts definitions specify the source sensor scanner etc that the image will be acquire from By default layouts are configured to capture from sensors If the tiles in a layout specify a source other than a Sensor it will need to be modified or a similar one created to capture from a TWAIN device or scanner Select Customize Layouts and then refer to Common Layout Tasks Changing the Capture Source Appendix B for detailed instructions The Wizard will advance to the Layout captu
95. s a plain image i e JPEG format or as an STB file the Single Image Options section b Layout Options If sending a layout select one of the following file format options e Combined single image i e JPEG format e Apteryx layout file i e a compressed zip file containing the layout STB images and related data files e Acommon file format ZIP file i e a compressed zip file containing the images in JPEG format 2 Click on OK The TranslT XrayView Information screen displays Complete the following information on each tab a General tab Complete the Subject and Reference Number fields ArayView Information General From Patient Message Encryption John Doe From Jane Doe Patient John Doe Drum 4100000 Subject Referral Reference Humber i 23456709 n b From tab Enter the doctor and dental practice information Select the Add FROM Entry button to store the information as a quick entry for future use Apteryx Inc Page 64 of 99 APTERYX August 22 2011 XVLite custom software ArayView Information General From To Patient Message Encryption From ID Number Organization Address Fhone E rail Web Quick Ent Add FROM Entry Delete FROM Entry cad c To tab Enter the recipient s information Select the Add To Entry button to
96. s and a DPA 0 changing the taken date tj xm of the image Select Patient GoBack 2 Select Labels from the menu bar to access the labeling options Apteryx Inc Page 40 of 99 APTERYX August 22 2011 XVLite XVLite DER jken 471 iP Doe John SSnum 9999 IDnum X A100000 Undo Last Undoes the last label operation Delete Label Zi Del etes the selected label Pointer Mode Activates the pointer mode so that you can select move and modify labels Pan Image Mode Activates the pan mode that you may move Y around an image that does not fit entirely into the display Angle Label Arrow Label Ellipse Label Pencil Label Rectangle Label Text Label Time Date Label Measurement Label Calibrate Measurement 3 Remove Labels T 20 Removes all annotations ty and labels on this image In this mode you can move select and modify various labels by clicking and double clicking on them with your left mouse button GoBack Select Ellipse Label from the menu bar Hover the cursor over the image and note that it changes into a cross hair indicator xc 5 Place the stem of the indicator in the desired position on the image Click and drag the mouse to the position where the label should be displayed Release the mouse button to place the label in the designated location 6 Double click on the label t
97. sage First Mame Last Mame 55 Mumber 1999 99 9999 ID Number 00001 DOB 0972371 969 Message tab Enter a message for the recipient of the email The message entered will appear in the body of the email Apteryx Inc Page 49 of 99 APTERYX V custom software August 22 201 1 Ematler Information General Patient Message XVLite Cancel 3 Click OK when the TransIT Emailer Information tabs have been completed The imaging application proceeds to spawn Outlook Outlook Express create new email is created with the image attached Message Insert Options Init sat c a Clipboard Basic Text This message has not been sent Format Text Untitled Message Plain Text Developer 28 Address Check Book Names Names gal oe 3 v um Include vii Follow ri Up Options Proofing E xva ziP 263 Message Jane Doe SS Number 090909 ID Number XVA100001 DOB 69 23 1969 Sex F Teeth lt Whole Mouth gt Taken Date 2016 16 85 Image Type Group 4 Add the email information of the recipient and proceed to send the attached image layout in Outlook Outlook Express Apteryx Inc Page 50 of 99 APTERYX custom software August 22 2011 XVLite TransIT Emailer Creator Overview The Emailer Cr
98. st and select the applicable driver for the TWAIN Compliant scanner or phosphor plate scanner 6 Depending on the hardware Automatically Acquire may need to be disabled if a TWAIN driver is selected o Apteryx recommends disabling Automatically Acquire if a TWAIN driver is selected Auto Acquire functionality depends on the capabilities of the flatbed scanner s TWAIN or Windows Imaging Acquisition WIA drivers Certain scanners such as the HP Scanjet G4050 do not work with Auto Acquire if Auto Size is selected nor will they utilize the transparency adapter If necessary check with the hardware manufacturer to see if this functionality is supported 7 If acquiring from a flatbed scanner skip to Step 8 for phosphor plate scanners a b C d Place the X ray or other media as instructed by the manufacturer Note Flatbed scanners must have a trans illuminating cover for scanning X rays Click on the OK button If this is the first time the TWAIN compliant scanner is being used the imaging application will display a device settings screen to configure the device Accept the defaults by clicking the OK button they can be changed at any time if necessary The imaging application will send instructions to the scanner and automatically scan the image and display it in the imaging application 8 If acquiring from a phosphor plate scanner a Apteryx Inc Click on the OK button The device specific interface
99. sured through FastAttach Information i Select the Browse button shown in red above to launch and select the patient s insurance company from the Select NEA Player dialog box Apteryx Inc Page 55 of 99 XVLite APTERYX WV August 22 2011 custom software Select NEA Payor Defined Payors Payor Name Payor ID State ABC Insurance 123456789 Ohio Payor Type Comments Procedure Code Notes Requires Payor Number li Click OK to return to the Payor tab Click the Add button to store the entered information as a quick entry for future use d Patient tab The tab is pre populated with the open patient s information Complete any required field if blank FastAttach Information General Provider Payor Patient Insured Message First Name Last Name Doe 55 Number 999 99 9999 00001 ID Number DOB mm dd yyyy 09 23 1969 Fields marked in bold blue font are required cancel Insured tab If the patient is not the insured person e g a dependant or spouse enter the insured person s information and select the applicable relationship If the patient is the insured person select the Same as patient button to auto populate the fields Apteryx Inc Page 56 of 99 APTERYX August 22 2011 XVLite FastAttach Information General Provider Payor Patient Insured Message Same as patient Firs
100. t Name Last Name Insured ID Relationship Group Plan Name Group ID Fields marked in bold blue font are required cancel f Message tab Enter any additional information to relay to the Insurance Company regarding the claim and or attachments 3 Click OK to forward the image and claim information to NEA s FastAttach communication application XrayView e Mailer Creator Overview The XrayView e Mailer Creator creates a ZIP file or self extracting executable XrayViewMailer zip or XrayView exe containing a patients images The XrayView e Mailer Creator then calls up a user s email client application e g Microsoft Outlook and attaches the file new email message Email recipients that receive the attachment can then detach run the file and view the provided images within an XrayView interface XrayView e Mailer Creator supports the transmission of Apteryx s unmodifiable Secure Tagged Block STB file format guaranteeing image authenticity Configuring the XrayView e Mailer Creator Options o The XrayView e Mailer component will attempt to use the default email application set up in Windows Refer to Microsoft Support s Online Knowledgebase Article KB 154359 for instructions to specify Microsoft Outlook or Outlook Express as the default email application 1 View an existing patient s images double click on the desired image to view it in full view and then select Send on t
101. te selection View Images For Teet Displays all of the patient images e P Pedo Adult Switches between deciduous and adult toot layouts progressions lt No Teeth Selected gt Use one of the following options to preview images of related teeth gt By tooth number XVLite Select Patient e Click on a tooth number to view thumbnails of all images related to that tooth Teeth with related images are displayed in white e To view thumbnails of images associated to multiple teeth left click hold down and drag the cursor to select the desired teeth e Click on Right or Left to display thumbnails of all images related to a particular side of the patient s mouth gt By taken date Select View Images By Date The wizard will progress to the View the images for which date screen An All Images collapsible list is made available to allow users to filter images by year month or day to view thumbnails of related images Apteryx Inc Page 10 of 99 APTERYX X custom software August 22 201 1 XVLite Doe John IDnum XVA100000 All Images 4 2011 s March m March 2 2000 April m April 11 4 1999 April m s Septemb 1 September 13 5 images i CK Slide Show fal Select Patient GoBack XVLite gt View All Images Select View Images for All Teeth The wizard will progress to display thum
102. teryx Inc Miscellaneous Display background bitmap If disabled the background image of the application will be removed Display ImageBar horizontally Displays the Imagebar horizontally across the user interface 9 The ImageBar feature is typically enabled in NameGrabber Apteryx s practice management bridging application to display a patient s images in a floating bar If utilizing a bridging mechanism built into a practice management application the imagebar feature can be enabled within the imaging application by selecting any patient on the main interface and then clicking on Advanced Patient Options Imagebar off the menu bar Use time date format for layout tile dates If disabled the date displayed below layout tiles will appear in the YYYY MM DD format lt Patient Information Page 92 of 99 August 22 2011 XVLite e Hide as much patient information as possible This option will hide SS numbers from the open patient index e Display patient names in uppercase Patient names are displayed in uppercase format when enabled Do display entire patient list If enabled the patient list on the main screen does not present an index of all patients Only patients that match the search criteria as it is being entered will be displayed Keyboard Layout e Indicates what keyboard style and type are to be used for the on screen keyboard that can be displayed on the various
103. the menu bar The wizard advances to the Take X rays for which teeth screen Select one or more teeth to associate to the image after the capture is complete This will automatically setup the tooth association with the image and properly orient the displayed image once captured Hancock John SSnum 1112 IDnum 2 Take Automated X ray Series es a series of images arranged in a layout progression 69 Take Takes image that will be associated with ALL of the patient s teeth Co Pedo Adult een Switches between deciduous t too View Images Displays the images for the currently selected patient Select Patient lt No Teeth Selected gt Apteryx Inc Page 19 of 99 custom software August 22 2011 XVLite 4 The Capture Image device selection screen will display prompting users to select the tab that applies to the image to be captured Select the Scanned X ray tab Capture Image Digital x ray Digital Image Scanned X ray Scanned Image Scanned Document Misc Imaging Device General TWAIN Image Source Scans Auto Size gt SCANNED Quick Settings bys Xi Resolution 150 gg Less Description Scanned x ray Captures a x ray fram scanner or other TWAIN capturing device Grayscale 150 DPI Acquire without device s interlace 5 Click on the Image Source drop down li
104. view View the receiving party has one of Apterys s products this is the recommended transfer type Cancel a Single Image Options If sending one or more single images specify whether to send them as a plain image i e JPEG format or as an STB files the Single Image Options section b Layout Options If sending one or more layouts select one of the following file format options e As acombined single image i e JPEG format Apteryx Inc Page 48 of 99 APTERYX V August 22 2011 XVLite custom software e As an Apteryx layout file i e a compressed zip file containing the layout STB images and related data files e common file format ZIP file i e a compressed zip file containing the images in JPEG format 2 Click on OK The TransIT Emailer Information screen displays Complete the following information on each tab a General tab Complete the Subject and Reference Number fields Emailer Information General Patient Message Subject Reference Humber Patent Jane Doe SSmrum 999 99 9999 Drum MAT 00001 All information i not mandatory Click on the button to invoke your email application caret b Patient tab The tab is pre populated with the open patient s information Complete any required field if blank Ematler Information General Patient Mes
105. way If selected any pre existing files will be overwritten without warning b Accept the default or change the JPEG Quality Factor to whatever desired The higher the quality the larger the generated jpeg files will be when converted and sent c Click OK when done 3 Click OK on TransIT Configurations dialog to return to the Select TransIT Method dialog box Distributing Images Using the XrayView Creator 1 On Select TransIT Method dialog box select XrayView Creator The TransIT Item Selection dialog box displays Item Selection What do you want to send Single Image Options As an Aptens secure image STE i Menge labels inta the image Layout Options As a combined single image As an Aptenys layout file ZIF C A common file format zIP file IY Remove unnecessary files Sends the image in Apterys s STB file format The sent image quarentees image authenticity but the resulting image can only be processed by those applications that support the STB image file format the sending method comes complete with its own Image view the receiving party has one af Apterys s products this is the recommended transfer type cae Apteryx Inc Page 63 of 99 APTERYXW August 22 2011 XVLite a Single Image Options If sending a single image specify whether to send it a
106. will display and prompt the user when ready Place the X ray film into the phosphor plate scanner as instructed by the manufacturer When the scan is complete select Done on the device s interface The imaging application will then acquire the image from the device s interface and display it in the imaging application Page 20 of 99 custom software APTERYX NV August 22 2011 XVLite 9 The image file is automatically saved and stored in the patient s file Doe John SSnum 9999 IDnum XVA 100000 the last operatio d Undo Undoes all the current operations Automatic Brightness Contrast a fed D iii unions of th Prignmess Contrast nalto n het oe piros f the tate Rotates the image 90 degrees Ek E cally END Poron image hor ly E bs sod Tools d to n a M poe en anci edm o the sp cram eld encil and measuremen t tools Advanced Imaging ni ok iie Access the list of available imaging algo rahe 10 Post capture enhancements can be applied to the newly captured image Select Automatic Brightness Contrast to have the application automatically adjust the settings OR Brightness Contrast to manually apply Brightness Contrast Equalize Gamma Correction or to adjust color levels 11 Additional image enhancement utilities are available under the Advanced Tools menu option Refer to
107. yboard Optional If selected a keyboard displays for touch screen monitors typically used in dental operatories Apteryx Inc Page 6 of 99 ei za August 22 2011 XVLite MANAGING PATIENTS Open Create Patients Using a Practice Management Bridge The imaging application provides users numerous methods to create or open patient records Although patient records can be manually created the most common method employed by dental practices is through integration referred to as a Practice Management PM Bridge PM Bridging automates the patient creation process by carrying over patient first name last name id number SS number and demographic birth date gender etc information from common third party PM application to the imaging application PM bridging assures that patient information in the imaging application matches the information contained in the PM application A PM bridge can be established using the following methods NameGrabber Apteryx s patented applet When installed NameGrabber runs in Windows System Tray Users simply open a patient s record in the PM application by and then click on the NameGrabber icon in the system tray The imaging application is automatically launched the patient s information is carried over and the patient s record is opened or created Visit www apteryx com for more information DataDrills Thru the use of Apteryx s PM data drills the imaging app

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