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XrayVision® User Manual
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1. ccccccccccseeeeeeeeeeeeeeaeeseeeeeeeseseaaaseneeeeees 39 6 1 STIS al MON NUON tree ecu sane nde S a E E eoseaeusectseayeee 39 6 2 Open FIG DIEC erae E a 39 6 3 Standard Import UY vcccccascccssccccdecccescetssetedenesededeessvescteenctecedesadsieeesodsleseseescbeesctedetssadsdstededsddeniacss 41 6 4 PUUTLO IM OOM UUM wxssiresctsnssc cctctetcatectetesstniadsdesasaecastessdacheefolssntitets ieeatsecastetadecbtydadadetateledbeetocesitatane 44 7 IMAGE EN ANCEMEN TD sic tsseserccceetesscteedetnaichtetedntntorsatceteteiesGotnssshieda an aan siete e a i nai 47 7 1 General IMFOM AMON srctecacateinsane sania etnian niina naaa a a aaa iaia iaie 47 7 2 Brightness Contrast B C Control cccccccccceccceeesseeeeeeeeeeeaeeeseeeeeeeesaeeeeseeeeeeeesseaaseeeeeeesessaaaaesss 47 7 3 Brightness Contrast and Gamma Correction cccccccccccecsseesseceeeeeceeaeeeeeeeeeeeessaeeeeeeeeeesessaaaaeees 47 7 4 Sharpening and Laplace Edge Enhancement ccccccceceeeeeeeeeeeeeeeeeesaaeeeeeeeeseaeeeeeessageeeeeeeas 50 7 5 Noise Removal csn riana EEEE EEEE iare 52 7 6 Maga MATO ee r E EE E E E E A E tara 54 7 1 Reak ime PINGIS sereisas aia ERE a i iaaiiai 55 cM LABEEOING IMACE ereere ee eee ee ee ee ee 57 8 1 General MOm a UOI cree eee nee een eee eee ee ee ee ee ee 57 8 2 Adding and Modifying Labels Markers and Annotations ccccccccscceeeeeeeeeeeeeeseeeeeeesaeeeeeeeeeas 57 8 3 Calibrating Images and Adding Measurement Labels
2. ccccccseeeeeeeeeeeeeeeeeeeeeeeeeeesaeeeeeeeeeas 60 8 4 Merging a Label s With an IMaQe cccccsseeccceecseseeeeeccaeeeeeeeesseeeeeeeeseeeeeeeesseeaeeeeesseaeeeesessaeeeees 65 9 DISTRIBUTING IMAGES TRANSIT ADD ON COMPONENTS cccccccccsseseeeeeeeeeeseeeeseeeeeeees 66 9 1 General NMRA OU sacrement naai AAEE NEKEEN AERONA KUNENA 66 9 2 Transit General Email r Creator xicacsceetesantenceonaesasnerennacceentesbanedtesenceceedurnessncaoenteedacedieeceeuwiecest 66 9 3 rams Emale reoi ssaceacsescesasecaseeacaerece a O OTETO 69 9 4 FAAI DY NEA nieras E A 71 9 5 Kray View e Maller Gregor szssevarecedeeeeakecriecsseheneaisaresectonarecaerdsencsed een coouiexeoaeekeewieeseohoruedee 75 9 6 ATAY VEN CGAL O aE E T T O E 79 10 PRINTING IMAGES AND IMAGE RELATED DOCUMENTS cccccceeeeeeeeeeeeeeeeeessseeeeeeseeeeeeeeees 84 10 1 General INfOrmatON wisd snnissiscasicasstardcncssnadansuaaasensteqassdedanadanad pacdsaadundenadyaadinnesasndeasaceeansbaneeiesnesdadeeineas 84 10 2 Printing a Single Image ing scndecvctcsdeevesecacessavanece encabseecdead saxereceeavasesdeccipoaadeescdendceasoacessauasaduessaa lt deaaedeads 84 10 3 Printing Multiple IMageS ccceececccsseeeeeceeeeeeceeseeeeeeeeeeeseaeeeeesaeeesseaeeeeseeueesssaeeeesseneeeeaeeseeensass 86 Apteryx Inc Page 3 of 137 oman are N June 8 2012 WI XrayVision User Manual 104 OMOEA OUT imagos sssini ieni ARRE Ea AR e A Ean EARR EER A EERE 89
3. 2 2 1 3 Click on the Add button to create the new patient record The title bar will refresh to show the new patient record is open Doe Jane File Patient DataBa DICOM TransIT ArchiwelT Ga ji oH Open Add Upen Patient Patient 2 2 2 Importing a Patient If another instance of an Apteryx Imaging patient database exists and is accessible to a workstation a user can import a patient file and its related images using the Import Patient function To import a patient 2 2 2 1 Select Patient gt Import Patient from the main menu Apteryx Inc Page 9 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 2 2 2 2 The Select Path dialog box displays Use the directory tree to navigate to the applicable patient s folder Select Path Select the appropriate directory JANE wA 100001 fae OOEJOHN Aison a3 me ct 2 2 2 3 Click OK A new patient file will be created in the current patient database 2 5 Opening an Existing Patient Record To open an existing patient record 2 3 1 Select Patient gt Open Patient from the menu on the main screen OR select the S Open Patient _ _ icon from the toolbar The Patient Index dialog box appears Patient Index First Name Last Name E Open Patient ID Number 55 Number Cancel Record a mi gt 1 out of 2 F Clear Search EA Search Syntax Direct Select gt Add Patient E fa Doe
4. 2 4 2 2 Thumbnails of all images are displayed on the patient s index card Expand the All Images collapsible list for options to filter images by year month or day Alllmages ET 2011 2009 T 2007 S 1999 April ifeni 2e July e To open a single image double click on the image thumbnail to display it on the application s desktop e To open multiple images select each thumbnail one at a time 2 4 2 3 Click Open Patient to open the patient file and display the selected image s on the application desktop Apteryx Inc Page 13 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 2 4 3 Using the Tooth Selection Control 2 4 3 1 After opening an existing patient record click the TEETH button on the vertical toolbar to the right of the application s desktop to open the tooth selection control Gp aa 2 4 3 2 If desired right click to switch the tooth control to display either adult or deciduous tooth numberings 2 4 3 3 To view images e Click on a tooth number to view all images related to that tooth e To view images associated to multiple teeth click hold down and drag the mouse button to select the desired teeth e Click on Right or Left to select a side of teeth e Click in a quadrant to select all teeth in a desired maxillary or mandibular quadrant e Click in the center to select ALL teeth 2 4 3 4 The Tooth Teeth Related Image
5. pt a Series fo NP ages with Claim Form Lower ANT Endo Lower Left Molar ENDO Taken from Prompt Use Taken from Prompt Use Lower Right Molar ENDO Beh La Ara es col Te ia T469 20 2 amp NewLayout1250107669 ie ble 2 8 tt AC ANACIOA t Import Export ay Cay Layout Definition ee Order Layout Options lt No Tile Selected gt Done coal Layout Imaging Extension Preference lt No Preference gt e All existing layouts are listed in the Layouts section outlined in blue above e lf alayout is selected it will display in edit mode in the large preview window outlined in green above Apteryx Inc Page 127 of 137 APTERYX custom software June 8 2012 WI XrayVision User Manual 14 2 2 Layout Options 14 2 3 S Apteryx Inc 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 Name Layout Type Background Color T This is an inside out viewed layout Oe Sa Users can define redefine the follow general layout options e Layout Type Users can select between a grid type with static tiles OR a layout with free floating tiles e Grid Size If the grid is selected as layout type the user can specify the amount of rows and
6. section Layout Options If sending one or more layouts select one of the following file format options o Combined single image i e JPEG format o Apteryx layout file i e a compressed zip file containing the layout STB images and related data files A common file format ZIP file i e a compressed zip file containing the images in JPEG format 9 6 3 3 Click on OK The TransIT XrayView Information screen displays Complete the following information on each tab e General tab Complete the Subject and Reference Number fields TranslT ArayView Information General Fram Ta Patient Message Encryption To Or John Doe From Or Jane Doe Patent John Doe Drum 4100000 Reference Humber i 23456709 Apteryx Inc Page 81 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software e 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 TransiT ArayView Information General From To Patient Message Encryption From ID Number Organization Address Phone E mail C Add FROM Entry a Delete FROM Entry cued e To tab Enter the recipient s information Select the Add To Entry button to store the information as a Quick Entry for future use TranslT ArayView Information General From
7. APTERYX amp custom software June 8 2012 WI XrayVision User Manual 12 12 The Tooth Control Tab The Tooth Control tab allows users to set up the way the tooth control palettes are displayed The tab allows selections of the following adult and deciduous formats Options General 2 lntertace Interace 2 Image Safety Database Syne Sensor Language Tooth Control 4 Available Adult Controls International Universal 4 vailable Deciduous Controls British International To change controls either click on the new control from the lists or click on the appropriate selection buttons Adult Control Directory VAU sert Stefano est20104Bin Filename UniversalAdult TOF lo Select Adult Control Deciduous Control Directory Wars Users Stefano T est2010 Bin Filename UniversalD eciduous TOF Fi Select Deciduous Control Cancel Appl Help e Adult International 4 quadrants 8 tooth forms 1 1 1 2 1 3 etc e Adult Universal Teeth numbers 1 32 e Deciduous International 4 quadrants 5 tooth by 5 1 5 2 5 3 e Deciduous Palmer 4 quadrant 5 tooth by letter 1 a 1 b 1 c e Deciduous Universal Letters A T e Adult and Deciduous in British format Apteryx Inc Page 121 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 12 13 The Time Date Tab Options available on the Time Date tab determi
8. Claim Amount Transl FastAttach Information General Provider Payor Patient Insured Message Date of Service From Date of Service To EW October 2010 4 BR L gt Sun Mon Tue Wed Thu Fri Sun Mon Tue Wed Thu Fri Sat 26 27 28 29 30 26 27 28 29 30 1 2 3 5 6 7 3 4 5 6 7 amp 9 10 aff 12 13 14 10 df 12 13 14 15 16 17 18 19 20 21 17 18 19 20 21 22 23 24 25 26 27 2 24 25 26 27 28 29 3 31 2 3 4 5 Ff 7 7 3 A4 5 Z5 Today 10 11 2010 Z Today 10 11 2010 Payor Reference Number Claim Amount Fields marked in bold blue font are required cancel Apteryx Inc Page 72 of 137 APTERYX June 8 2012 WI XrayVision User Manual e Provider tab Enter the required dental practice information Click the Add button to store the entered information as a quick entry for future use TranslT FastAttach Information irst Nam TID UX ABC Dental 1 Main Street Anywhere 330 555 5555 John Doe ABC Dental TransiT FastAttach Information Apteryx Inc Page 73 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software o Select the Browse button shown in red above to launch and select the patients insurance company from the Select NEA Player dialog box Select NEA Payor Defined Payors Payor Name Payor ID Requires Payor Number Payor Type Comments Procedure Code Notes ABC Insurance 123456789 Ohio o Click OK
9. Keep track of recent patients globally Enable this option if imaging application is installed on a network It will to make the recent patient list available to all workstations Enable Global ID Matching If bridging from a Practice Management application this option allows the imaging application to automatically merge patient information based on the following criteria O ID Number only O Social Security SS Number only O Both ID and SS Number A Warning Enable this option ONLY if the entire organization utilizes a global ID scheme for patient identification Prevent data Wiping Option is enabled by default to avoid replacing pre existing patient information with blank content A Warning It is strongly recommended not to disable Prevent Data Wiping Contact Apteryx Support at 877 APTERYX 278 3799 to learn more about the possible impact to patient data during a merge Page 110 of 137 APTERYX amp custom software 12 4 The Interface Tab June 8 2012 The Interface tab contains settings that control the appearance of the user interface and information displayed on different control windows pop ups and the status bar Options General General 2 Interface Interface 2 Image Safety Database Syne Sensor Language Tooth 4 t Desktop Color Tooth Control Highlight Color Selected Color Fill Color Use flat control fw Display both adult and d
10. Shii iit Default Tooth Control Apteryx Inc 15 af 16 gt 10 W 2 1 14 15 4 Rig ht t Left 32 31 30 ay 2 237 2 25 24 23 2 2 20 1953 8 7 HTT 17 Flat Tooth Control Page 111 of 137 WI XrayVision User Manual custom software Apteryx Inc June 8 2012 WI XrayVision User Manual Display both adult and deciduous tooth controls If selected the tooth control on the pop out bar will be adjusted to display both adult and deciduous teeth as shown below a TIFE hii jiii Display patient name If enabled the Patient Index File gt Open Patient will display the patient s first name and last name on the rolodex Display patient SS number If enabled the Patient Index File gt Open Patient will display the SS number on the rolodex Display patient ID number If enabled the Patient Index File gt Open Patient will display the patient s ID number on the rolodex Keep control s position relative to application This option limits the toolbar to display within the boundaries of the interface when the application is not in full screen mode If disabled the toolbar may appear outside of the interface After adding a label switch to pointer mode After inserting a label the cursor will automatically turn into a pointer If disabled the cursor will remain in label mode The pointer icon will need to be manually selected when d
11. 105 DOCUMENT TSMPIAl SS irrst neninn nAn re Ar ENE RERE niTRo AEEA ONAE ERA TR 91 11 APPENDIX A COMMON FUNCTIONS AND UTILITIES 00 ee cccceeeeeeeeeeeeeeeeeeeeeeseaeeeeeeeeeeeaas 98 It IMGT OIG Tr ACIS sagas ce stnetnercitssenwatanctseemiacnmnnsncieacetacuiee tandynotnsaeanetectsacatdiantdeamveneetuiaarauaincteeateiaaerns 98 11 2 Moving Images from One Patient to Another cccccccceeeeeeeeceeeeeeeeeeeeeeeeeeeaeaeeeeeesaaeeeeeessaneeeess 99 11 3 Creating a Patient CD DVD DISKk cc ceecceceeeeeceeeeeeeeeeeeeeesaaasaeeeeeeeeeaeaaeeeeeeseeseaaageeeeeseeseaas 100 11 4 Finding Images by Date cccccccccsssseccccceeseececcceeuseeeccceaueccecsseaaseeeeeeeaaeceeeseeaeeeeessaageeeesssaages 102 11 5 Deleting Patient Images vi cciese dcccesivecavesenacntdenracintnerdessacdiecsdenaedeesbousacundgngedeenceesedtaeidensoreenccatoeas 104 11 6 Exporting Patient IMAGES vcnctso tcustsiiscaxiozendcstaneenciutnenoeenaciieccdentdectteusacntaogiaaenisectinndancemascmtenns 105 11 7 Take Retake From Layout Capture cccccceccccsssseeeeeeeeeeeaeeeseeeeeeeeeeaeeaeeeeeeeeeesaaaaseeeeeeeeseaas 106 12 APPENDIX B CONFIGURING OPTIONG ccccccccccsssssseeeeeeeeeeaeeseeceeeeesseeeeeeeeeeeessueeaeeeeeeeeeseaas 108 121 GeneraliNormaNOI kesinin aiana ae iaden iieii eiia 108 12 2 The General Tab cccccccccsscccesceceeecceeecceeeceeecaueeseescseecaeesaueesaeeesaeeseueesaueesaeeesaeessueeseueesas 108 12 3 The General
12. 4 3 10 If acquiring from a phosphor plate scanner 4 3 10 1 Click on the OK button The device specific interface will display and prompt the user when ready 4 3 10 2 Place each X ray film into the phosphor plate scanner as instructed by the manufacturer 4 3 10 3 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 4 3 11 The application will then advance to the next tile in the series e If Continue using this source was selected in Step 4 3 7 the device will automatically be prepared and readied for the next capture e f 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 4 3 12 Repeat Steps 4 3 9 2 4 3 9 4 for flatbed scanners until the last image in the series has been captured 4 3 13 Once all the images are captured click the Done button on the Layout Capture screen The screen will close and the layout complete with images in each tile will display in the Layout View screen EBs Tolle sre Seles el el ea E he 2009 11 21 2009 11 21 2010 09 10 3 Fies 11 21 09 13 06 Apteryx Inc Page 31 of 137 custom software June 8 2012 WI XrayVision Use
13. List and Icon and Name Select the tab preferred for viewing layouts on the selection screen and it will be stored as a default setting for the workstation 3 3 4 Select the desired capture layout by double clicking on it or click on it once to highlight it and then click on OK The selected layout will open up in capture mode 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 Sensor Sensor Sensor 3 4 5 28 29 30 12 13 14 19 20 21 14 15 16 17 18 19 Apteryx Inc Page 24 of 137 APTERYX amp custom software June 8 2012 WI XrayVision User Manual 3 3 5 3 3 6 3 3 7 3 3 8 3 3 9 Apteryx Inc Ay 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 Place the sensor in the patient s mouth and position it to capture the teeth associated to the tile Click on the Capture Series button on the Capture Layout toolbar 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 capturi
14. Periapical Always use this quality factor Bite Wing Series JPEG Quality Factor 1 100 Full Mouth Series Ceph a Fp ia e ja ik A j Pa Low Quality High Quality q k Panoramic Stamp Drive Space Conservation if Use image stamp files The current storage format ts Ii Include labels in stamp images Apteryx Secure Tag Block Taken Date Labeling Apply storage scheme to already saved images W Auto place taken date labels Change Storage Format Miscellaneous Update all views when palette changes i Automatically prompt for tooth information Use status bar indicators on secure images Automatically prompt for image type i Draw real representations of layouts i Use Time Date format for layout tile dates if When dragging images in layouts automatically reassociate tooth numbers Cancel Help e Default resolutions 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 e Stamps Stamps also referred to as thumbnails are the small icon like copies of the original image files that display on the Patient Index Open Patient Images Tooth Teeth Related Images dialog boxes Enabling Use image stamp files will create and store the small image stamp file Include labels in stamp images includes any added labels in the image
15. Take Retake from Oo Take Retake from functionality is also available on the Capture Layout screen Selecta tile to retake an image for select the Take Retake from button 11 7 2 Unlike Take Retake which takes retakes the image from the source that was assigned to the tile Take Retake from permits a user to select the source from where the image is to be taken e Scanner The software will prepare to capture from an imaging device if selected e Sensor The software will prepare to capture from a digital x ray sensor if selected e File The software will prepare to acquire images from the local hard drive network or media device attached to the computer if selected Apteryx Inc Page 106 of 137 APTERYX custom software Apteryx Inc June 8 2012 WI XrayVision User Manual e Clipboard The software will prepare to acquire an image stored in the computer s memory via the lt copy gt function if selected e Open Image The software will prepare to acquire an image that is open on the application desktop if selected e Unassociated File The software will prepare to acquire the image from unassociated files a file not associated with a tile contained in the current layout group Note When unassociated images exist in the layout group a document stack icon is located in the lower right hand corner of the layout o Although a tile may display the associated tooth number for the image th
16. Wan v after a fle appears to be sure that no more fles are being transfered to the target directory ts Click on the Wait drop down list to select an appropriate wait time for the import utility to wait for more images before completing the import Oo This feature is useful if the images are to be directly imported from a digital camera that is attached to the computer and multiple shots are being taken on one patient In the Import As section specify whether the files to be imported should be imported as Individual Files or A layout If a layout select the appropriate layout option If desired select an appropriate Image Type and Image Subtype to categorize the images to be imported C Individual Files A layout Image Type Scanned Image Image Subtype Digital Camera X Layout Type BG Color W 2 Bite Wings Free Form RGB 255 255 255 4 Bite Wings Free Form RGB 255 255 255 4 Bite Wings 10 Camera Free Form RGB 255 255 255 4 Bite Wings Scanners Free Form RGB 255 255 255 FRB 5x5 Group 5x5 Grid RGB 0 0 0 4 Checkup Free Form RGB 255 255 255 W FMX H Free Form RGB 0 0 0 A Fx 18 Free Form RGB 0 0 0 W FMX H2 Free Form RGB 0 0 0 A FMX 21 Free Form RGB 0 0 0 WAiS Users Stefano T est201 O U ser 2BiteW ings Layout Select Enable constant automatic importing of images if desired If enabled the XV will automatically import images from the specific location whenev
17. menu path to the command is Image gt Rotate gt 90 counter clockwise 13 2 1 Select Tools gt Customize Toolbar from the menu The Customize Toolbar dialog box displays Customize Toolbar Select the command and graphic that you want to add to the toolbar Category Graphic Actions b Commands Auto Image Extraction Calibrate Measurements Color Picker i r EE Open Add Print Print Patient Patient HMulitple Images f Add New D Delete D Delete All Reset To Default NOTE Buttons can be reordered by dragging and dropping with the left mouse button cance _ Apteryx Inc Page 124 of 137 APTERYX June 8 2012 custom software WI XrayVision User Manual 13 2 2 Pick the appropriate Category from the drop down list provided The categories match the commands across the main menu of the program Category Actions v 13 2 3 The Command field refreshes to display the menu options available under the selected Category Select the desired command Commands Resize Reduce gt Resize Rotate gt 180 Rotate gt 90 Clockwise Rotate gt 90 Counterclockwise Rotate gt Custom Taken Date Twin gt Horizontally Twin gt Yertically View Palette v 13 2 4 Select the Graphic drop down list on the top right corner of the dialog box and choose an appropriate icon to be used for the command button being added Graphic
18. the selected image on the application s desktop in the Single Image View screen Additionally the Layout View displays as a small floating screen on top of the Single Image View screen to allow users to select and view a different image in the layout Y a Reese iaren E 110_102301 Auto Original E Bf E E Ta Mle ot a mm File 4 Tile_4 5TB Teeth 1 2 3 03 30 10 1 12PM 1 826 017 bytes Apteryx Inc Page 15 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 2 5 4 Double click on the single image to zoom back out and return to the initial Layout View 2 6 Editing Patient Information 2 6 1 To edit an existing patient entry 2 6 2 Open an existing patient record 2 6 3 Select Patient gt Edit Patient The Edit Patient dialog box displays Edit Patient Last Name First Marne ame SS Number 9399 99 9999 ID Number feet 00001 0972371 g69 F Cancel 2 6 4 Edit the desired field and click OK to save the changes 2 7 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 Patient 2 7 1 If any patients are open click File gt Close All Patients The Delete Patient function requires all patients to be closed 2 2 Select Patient gt Delete Patient from the main menu Ap
19. 2 Tab 0 0 0 cccccccccssccceeeccseeceseeceeecaeeseeecseecaucesaeesaeeesseeesueesausesaeeesaseseseesgeesaass 109 12 4 The Interface Tab ccccccccccscccssceceececseecceeeceueecaeeesaeeseeecaeesaueesaeeeeseeseaeesaueesaeessaeesseeesgeessass 111 to ThE NAC 2 TA racine E EIE EE E 113 t26 The Image gee EE EEE E ee ee 114 e TME oae T e E E E E T mad 116 12 8 The Database Tab ee eee ee ee ee eee 117 t The TA eer E A E E da eotiientanenevelanedinindusheninertbentemassneteg 118 12 10 ING Sensor TaD eair TE EE EEEE E Eri 119 12 11 The Language Tab s eee een en ne me ee en ee ee ene ee oe 120 12 12 The Tooth Control TaD ssis aa aE EEEE REEE ERE EEEE EEEN EEEE 121 12 13 The Time Date TaDesrsmie aE EEEE EE EE EEEE EEEE Ei 122 12 14 Setting up Default Options for all COMPUTELS cc ccsseeeeeseeeeeeeeeeeeeeeeeeeeeesaaaeeseeeeeeeeeeeeeeeees 123 13 APPENDIX C CUSTOMIZING THE TOOLBAR ccccccceccccceeeeeeeeeeeeeeeeessaeeeeseceeeeesssaaeeeeeeesensaaas 124 Ded ae He ral MOV AHON aae E wsctecagecceatecsdce eng E EER 124 De CUSTOMIZING Te TOODA aacaciee eta ece cece rsoeteee ead TEO 124 13 3 Setting up a Toolbar as the Default for all Computers ec ceeecceceeeeeeeeeeeeeeeeeeeeesaeeeeeees 125 14 APPENDIX D CUSTOMIZING LAYOUT DEFINITIONS cc ccccccecccceeeeeseeeeeeeeeeeessaeeeeeeeeeeeeeaas 127 a eRe Vall ANOVA AMO eceee nese catenccorccen coseneseensse sseaccesacuscesetonoceouncauce nn cbar
20. 263 KB Message Jane Doe SS Number kk_ k k 09099 ID Number XVA100001 DOB 09 23 1969 Sex F Teeth lt Whole Mouth gt Taken Date 2016 16 85 Image Type Group 9 2 3 5 Add the email information of the recipient and proceed to send the attached image layout in Outlook Outlook Express 9 3 TransIT Emailer Creator 9 3 1 Overview 9 3 2 The Emailer Creator 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 9 3 3 Configuring Emailer Options Oo 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 9 3 3 1 Select TransIT gt Options gt Component Options 9 3 3 2 The TransIT Configurations dialog box displays Select Emailer Creator and click on Edit Options Apteryx Inc Page 69 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 9 3 3 3 The General Emailer Options dialog box displays General Emailer Options Outgoing SMTP Server Oo e W This SMTP server requires a user name and password
21. Additionally select the applicable drive letter for the CD DVD drive from the Prompt for drive drop down list e If desired enable the Encrypt the images option to encrypt the images and enter a password in the field provided The recipient will need to be provided the password in order to access the files on the CD DVD when received 11 3 2 4 Click OK to save the changes 11 3 3 Burning Patient Images to CD DVD 11 3 3 1 Insert a blank CD DVD into the drive 11 3 3 2 Open the desired patient s file 11 3 3 3 Select Patient gt Patient Utilities gt Create Patient CD DVD or Disk Apteryx Inc Page 101 of 137 APTERYX June 8 2012 WI XrayVision User Manual 11 3 3 4 The Select Patient Images Files dialog box displays Select Patient Image Files Select the images that should be exported Doe John Select All Images Cancel 11 3 3 5 To export and burn all images choose Select All Images from the provided drop down list 11 3 3 6 To export and burn one or more specific images e Choose Select Specific Images The Select Patient Image Files dialog box expands to display thumbnails of all the patient s images Select Patient Image Files Select the images that should be exported Doe John Select Specific Images E Cancel Digital X rays i scanned X rays e Use the mouse to select the desired images and then click on the Select button when complete 11 3 3 7 The CD DVD
22. 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 Apteryx Inc Page 8 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 2 2 Adding Creating a New Patient 2 2 1 Manually Creating a Patient O 2 2 1 1 Select Patient gt Add Patient from the menu on the main screen OR select the Add Patient Le icon from the toolbar The New Patient dialog box appears New Patient Last Hame Doe First Hame ane 55 Number 999999999 ID Number B W Automatically sequence ID numbers Cancel 2 2 1 2 Enter in the required patient information The following restrictions are placed on the following entries e SS Number o Maximum of 16 characters o Can contain characters digits or symbols e ID Number o Maximum of 64 characters o Can contain characters digits or symbols oO Patient information entry requirements can be configured by accessing Tools gt Options and selecting the Patient Definition Requirements button on the General tab
23. Automatically applies a brightness and contrast enhancement to the image Darken Dynamic Range Performs a dynamic darken enhancement on an image Auto Adjust Levels Average Performs an average less than median automatic histogram adjustment on an image Sharpen Performs a sharpening enhancement on an image Capture Single Image Displays a screen that allows all possible types of single image capture Capture Sensor Image Starts the process of capturing from sensor Label Properties Displays the label properties screen o e is ca Equalize Performs a equalization enhancement on an image Lighten Dynamic Range Performs a dynamic lighten enhancement on an image HLS Adjustment Displays hue saturation and lightness values that can be manually adjusted and applied to the image Smooth Performs a smoothing enhancement on an image Capture Layout Images Starts the process of capturing a series mount FMx Quick Sensor Capture Remembers the last sensor used and starts the process of capturing Color Label Draws the label using a specified color WI XrayVision User Manual Normalize Performs a normalization enhancement on an image Adjust Levels Performs a histogram stretching adjustment on an image Gamma Correction Displays gamma correction values that can be manually adjusted and applied to the image Noise Reducti
24. Custom Print Range All of the image C Selected portion lt lt Less Print Range z Indicates whether the entire image should be printed or only that portion that is selected by the image selection box If no portion of the image is selected then the Selected portion option will be disabled Print Size l e Real sized image Prints the image so that one inch in the image is equal to one inch on paper Apteryx Inc Page 84 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software e As large as possible Enlarges or reduces if the image is larger than the print area the image so that the image prints as large as possible e Real sized or as large as possible Attempts to print the image real sized however if the image is too large it will be adjusted to fit on the page e Print Range By default all of the image will be printed unless a portion of the image is selected using the Image Selection tool Actions gt Image Selection prior to clicking on the Print button 10 2 3 3 Image Text tab Print Image General Print Size Image Text Header Footer A Cancel Patient Information Image Notes Tooth Information Extended Image Information lt lt Less with the mage Specified Text Permits you to print your own textual information Font Permits you to change the font that is to be used when printing image text
25. John Doe Jane Alllmages 2 3 2 Scroll down to find the patient record or enter one or more of the following types of patient information in the search fields first name last name ID number and or SS number Apteryx Inc Page 10 of 137 APTERYX o June 8 2012 WI XrayVision User Manual custom software 2 3 3 To open the patient s record double click on the patient s file OR click on the record to select it and then click on the Open Patient button 2 3 4 The title bar will refresh to show the new patient record is open Doe Jane Fie Patient Datafa DICOM TransIT ArchiwelT s a wl amp 4 Open Add D Open Fatient Fatient 2 4 Viewing a Patient s Images Once a patient record has been opened images captured for the patient can be viewed The imaging application provides three different options to access and view a patient s images 2 4 1 Using The Open Patient Images Dialog Box Da Open 2 4 1 1 After opening an existing patient record click on File gt Open OR click on the Open icon on the main toolbar to display the Open Patient Images dialog box Open Patient Images Patient Doe Jane By Image Type By Tooth By Listing Open File Direct DIGITAL SCANNED E ME NE my T Digital rays Scanned M rays Scanned Documents SC 4NMER Bl EE iy EH te i Mil il Scanned Images Captured Images Miscellaneous
26. Measurement Sample view Warming Measurements are not guaranteed to be accurate Intermittent Measurement Dashed Line and Dot Measurements General Properties Main Measurement Color Scheme Display In Calibration HorzHes DPI Vertes DPI Freeze Label Cancel 0 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 Apteryx Inc Page 64 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 8 3 5 4 A measurement label will be placed on the image displaying the measurement Taken 4 28 99 1 26PM Sele 8 3 5 5 To remove the measurement label click on the label and then select Labels gt Remove 8 4 Merging a Label s With an Image Labels are not part of the image when added They are floating objects that can be moved modified resized or deleted at any time In some circumstances a label may need to be merged making it an actual part of an image For instance labels must be merged to be included in an image printout or email attachment Oo Labels cannot be directly merged into STB16 or STB images the proprietary secure image format of Apteryx imaging applications If intending to email or print a STB image export as a duplicate JPEG format image right click on the image then click Save
27. Patient Images B Fa V Automatically import files from this directory as soon as this dialog is opened 6 3 4 4 d Click on the button shown in red above The files that are stored in the specified directory that meet the file specification criteria will be added to the Files to Add or Import section Page 43 of 137 APTERYX o June 8 2012 WI XrayVision User Manual custom software 6 3 5 In the Import As section specify whether the files to be imported should be imported as Individual Files or A layout If a layout select the appropriate layout If desired select an appropriate Image Type and Image Subtype to categorize the images to be imported C Individual Files A layout Image Type Scanned Image Image Subtype Digital Camera X Layout Type Tiles BG Color 4 2 Bite Wings Free Form 2 RGB 255 255 255 4 4 Bite Wings Free Form 4 RGB 255 255 255 4 4 Bite Wings IO Camera Free Form 4 RGB 255 255 255 W 4 Bite Wings Scanners Free Form 4 RGB 255 255 255 E 5x5 Group 5x5 Grid 25 RGB 0 0 0 Checkup Free Form 7 RGB 255 255 255 Ww FM HI Free Form 22 RGB 0 0 0 We Fx 18 Free Form 18 RGB 0 0 0 We FMX H2 Free Form 20 RGB 0 0 0 A FMX 21 Free Form 21 RGB 0 0 0 WAIS Users Stefano T est201 OSU ser 2BiteW ings Layout Cancel 6 3 6 Click OK when done The images will be imported and displayed on the application desktop 6 4 Aut
28. To Patient Message Encryption To Organization ID Account Quick Ent A O Add TO Entry Y Delete TO Ent Cancel Apteryx Inc Page 82 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software e Patient tab The tab is pre populated with the open patient s information Complete any required field if blank TranslT ArayView Information General From To Fatient Message Encryption First Mame Last Mame 55 Mumber ID Number DOB Sex Cancel e Message tab Enter information for the recipient of the email TranslT ArayView Information General From To Patient Message Encryption e 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 9 6 3 4 Click OK when the TransIT XrayView Information tabs have been completed 9 6 3 5 Follow the prompts to generate the XrayView files in the destination specified Apteryx Inc Page 83 of 137 APTERYX N A June 8 2012 WI XrayVision User Manual 10 PRINTING IMAGES AND IMAGE RELATED DOCUMENTS 10 1 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 add
29. Uzer Hame Em ailer User Password Copyright 2000 pter INe All rights reserved M Always use this quality factor JPEG Quality Factor 1 100 j fox Low Quality High Quality Small File Large File P About Emailer Cancel e Complete the Outgoing SMTP Server and Port fields e Click to enable the option This SMTP server requires a user name and password Complete the User Name and User Password fields e 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 e Click OK when done 9 3 3 4 Click OK on the TransIT Configurations dialog to return to the application desktop 9 3 4 Sending Images Using the TransIT Emailer Creator 9 3 4 1 Open an existing patient record and view the desired image or layout to send 9 3 4 2 Select TransIT gt Email Creator The TranslT Item Selection dialog box displays TranslT Item Selection What do you want to send Single Image Options As an Apteryx secure image STB vV b d Layout Options Sends the image in Apteryx s STB file format The sent image guarentees 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 view i e XrayView or the receiving party has one of Apterys s pr
30. burning utility will proceed to export and burn all the patient s images to the CD DVD When complete the following dialog box displays Click OK to return to the application desktop 11 4 Finding Images by Date 11 4 1 Overview Occasionally users may need to perform a search for an image 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 11 4 2 Performing a Search 11 4 2 1 If one or more patient files are open select Patient gt Close All Patients from the main menu Apteryx Inc Page 102 of 137 APTERYX o June 8 2012 WI XrayVision User Manual custom software 11 4 2 2 Select Database gt Database Utilities gt Find Images by Date 11 4 2 3 The Find Images by Date dialog box displays Find Images By Date Please select the starting and ending dates in which to search To a February 2010 EE February 2010 Sun Mon Tue Wed Thu Fri Sun Mon Tue Wed Thu Fri 1 2 3 4 5 1 2 3 4 65 7 8 9 10 iF 12 7 68 9 10 11 Te 14 15 16 17 18 19 q4 15 16 17 Ee 19 el 22 23 24 25 26 ef 23 24 25 26 25 e Use the From and To calendars to specify an application date range to perform a search e Click on the OK button to proceed with the search 11 4 2 4 The Found Images dialog box displays if there are images in the patient database that match the
31. can be created for different sensor sizes used in a dental practice Once created it will be available to other computers once users exit and restart the software Apteryx Inc Page 62 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software To add an auto calibration 8 3 4 1 Open the Calibration control from the pop out bar on the right of the user interface and double click on lt Create New Auto Calibration From Current Image gt under the Quick Calibration section Calibrated 0 168103 c a Quick Calibrations g double click to apply D Calibration rey lt Add Current Calibration Quick Calibration Test 0 168103 Set 130 Calibration 130 000000 Set 442 Calibration 44 OO0000 Set No Calibration 100 000000 Auto Calibrations automatically applied after capture Hame Image Size W Create New Auto Calibration From Current Image 8 3 4 2 The Auto Calibration Dialog box displays Auto Calibration Please enter information for this calibration entry Mame Auto Calibration Test M Enabled Image Size a00 600 M Any orientation Calibration Factor 0 166103 fx ME Cancel e Enter an applicable name e Select any orientation to configure the calibration to be applied to any images captured that match the dimensions displayed in the Image Size field Click on OK to save the new calibration Apte
32. columns in the grid e Background Color Users can select the drop down to specify a different color for the layout background e This is an inside out viewed layout Can be enabled to define the layout as being viewed from inside out Images 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 Recovers lost Adjusts height e Aligns the center Generates a tiles caused by ii of selected ae of selected tiles Ez duplicate of the modifications tiles to equal selected tile that cause tiles length to disappear from preview Forces tiles to Adjusts height Aligns the right Rotates the snap to a amp width of a hand edge of J selected tile defined grid selected tiles selected tiles to equal length Flips entire BnS Evenly spaces oy Aligns the top Adds a new tile to layout OC selected tiles Res edge of selected Ga the layout horizontally horizontally tiles inside out view Page 128 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software Cu Sets layout tile Evenly spaces n Aligns the middle O Adds a vertical tile o source video o selected tiles tht
33. document templates typically indicates the document type i e Referral letter treatment plan etc and number of images the template can handle Click OK to continue Apteryx Inc Page 96 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 10 5 5 3 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 Image Type Scanned X ray image Sub Type Ceph Taken April 28 1999 8 26AM 10 5 5 4 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 97 of 137 APTERYX custom software June 8 2012 WI XrayVision User Manual 11 APPENDIX A COMMON FUNCTIONS AND UTILITIES 11 1 Merging Patients 11 1 1 Overview The imaging application has the ability to merge multiple patient records in the event two or more entries in the patient database refer to the same patient The software offers two database utilities e Patient Merge the standard utility useful for merging select patient records e Advanced Patient Merge An advanced criteria based utility that queries the entire database for duplicate patients and then combines them into single patient entries A Warning The Advanced Patient Merge uti
34. e NameGrabber Apteryx s patented applet When installed NameGrabber runs in the Windows System Tray Users simply open a patient s record in the PM application by clicking 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 e PM DataDrills Thru the use of Apteryx s PM DataDrills the imaging application 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 e 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 oO In many circumstances before a PM bridge is implemented a dental practice manually creates patients in the software
35. file to a patient 6 2 1 Add create a new patient or open an existing patient record Ta 6 2 2 Click on File gt Open OR click on the Open icon on the main toolbar to display the Open Patient Images dialog box and then click on the Open File Direct button Open Patient Images Patient Doe Jane By Image Type By Tooth By Listing O Dome O SCANNED SCANNED Open File Direct IE gt il rs NE Digital X rays Scanned X rays Scanned Documents Di SCANNED GITAL sc E W A il will Scanned Images Captured Images Miscellaneous mgs EXT T ils Hi ISC o By Thumbnail By Listing 2x1 Buttons 5x2 Buttons lt No image selected gt Apteryx Inc Page 39 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 6 2 3 The Open dialog box will display Browse to the known location directory where the 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 Look in Patient Images e ee Ez IV Preview My Recent Documents patient image 2 jpg patient image jpg My Network File name patient image 2 jpg x __ OPeny Places Files of type fan Image Files X Cancel 10 04 2010 03 06 PM 41 891 bytes 356 pixels x 236 pixels 6 2 4 The Move files to patient dialog box displays Enable the option to delete t
36. find the executable Options r When opening patients from other applications proceed directly to Open Patient Images UndoRedo Options Track E undo and redo operations Enter zero for infinite undo and redo operations Tay Capture arming X Display warning messages when capturing under nobody Prevent image capture under nobody i Display user cancelled messages Microsoft Word Microsoft Word can be found in the following directory Measurement Units Measurements should initially Millimeter be displayed in Patient Information Patient Definition Requirments Alternate Painting Drawing r Use alternate painting drawing method to compensate for choppy displays Prompt For Database On Startup Cancel Help 10 5 2 3 When found the path will display in the provided field Microsoft Word Microsoft Word can be found in the following directory C Program Files Microsoft Office Officel 2 vINWORD EXE Hi Search 10 5 2 4 Click OK to save the setting and return to the application desktop Apteryx Inc Page 92 of 137 APTERYX amp custom software June 8 2012 WI XrayVision User Manual 10 5 3 Configuring Document Handling Options By default documents are created as temporary documents that will be deleted once Microsoft Word is closed To change these settings 10 5 3 1 10 5 3 2 10 5 3 3 Apteryx Inc Select Tools gt Documents gt
37. for future use Previously saved header footer definitions can be entered by clicking on the Load Defs button and selecting the saved definition file by name e Select the Header Font button to adjust the text font size and color of the header as desired e Select the Footer Font button to adjust the text font size and color of the header as desired Apteryx Inc Page 90 of 137 APTERYX custom software June 8 2012 WI XrayVision User Manual 10 4 4 4 Layout Text tab Print Image s Layout Image General Header Footer Layout Text Cancel lt lt Less Font Permits you to change the font that is to be used when printing image text Specified Text Permits you to print your own textual information Load Text e Specified Text Select this option to enter additional textual information If selected the text box will be enabled Text entered in the textbox can be saved as a text file for future use by clicking on the Save Text button Previously saved text can be entered by clicking on the Load Text button and selecting the saved text file by name e Select the Font button to adjust the text font size and color as desired 10 4 5 Click on the Print button when complete to print the image to the select printer 10 5 Document Templates 10 5 1 10 5 2 Overview The imaging application provides a library of document templates e g referral letters treatment plans clinical rep
38. i Fail if target disk is not blank Prompt and then wipe disk before copy c Copy to target anyway Xray r a Eo General Options 01999 Apteryx Inc sets mA rights rea le i Multiple disk wamings IY Always use disk drive Kd About rap ie Cancel Enable an applicable option in the Non blank Disk Handling section o 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 is blank Create XrayView Disk The disk in drive T is not blank t j Do you want to replace the disk and try again No o 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 mot blank Do you want bo erase this disk and continue Yes Target disk will be erased and used to create a new disk No Enables you to replace the disk and retry the operation Cancel Abort the rayview disk creation Yes o Copy to target anyway If selected any pre existing XrayView files will be overwritten without warning e Accept the default or ch
39. image capture Additionally note that the related tooth numbers are displayed in each tile Theke From E Autoincot gt Video source Video source Video source 3 4 5 28 29 30 12 13 14 19 20 21 14 15 16 17 18 19 Q Fa f Cuapand dop the mazes sord n helapeu Youd not have to dop the mages ao other ties Dopping mages into erngty space wi automabcaly Coase a tie hese the imager we Gopped Perie aso tes wi suciwicaly dsapex I you diag the image cf of then 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 3 5 Click on the Capture Series button on the Capture Layout toolbar 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 MS DirectVideo video Devices Video Options Images Capture Buttons About a Capture i If more than one video source is attached to the computer select Video Devices from the menu and then select the applicable device Apteryx Inc Page 37 of 137 APTERYX o June 8 2012 WI XrayVision User Manual custom software 5 3 5 1 Note that the live video feed displays on the right h
40. of commonly used features and functions on the right hand side of the user interface Toolbox The toolbox control should be thought of as a cross between the standard menu and a toolbar with a few extra features When selected the control displays various buttons that enable users to quickly access and execute the related feature function STEPE x 30 gt z K CA E If the toolbox is not in locked mode it can be customized to display the desired toolbox option All buttons on the toolbox with the exception of the Pointer button h have a black triangle in the lower right hand corner of the button which indicates the option can be changed Refer to Appendix E Toolbox Options for additional information on customizing the Toolbox and the available options o To switch toolbox size select Window gt Control Windows gt Use Small Toolbox to enable or disable the option Open Patients The patient control when selected can be used to quickly switch between the various open patients in the application To switch to another patient click on the patient s button in the patient pop up control SUE CPE Tl le Page 6 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software Teeth The tooth selection control gives users an option to select one or more teeth and view ALL the images related to the selection Users can switch between adult and deciduous tooth numberings by
41. other types of labels markers and annotations available in the imaging application The Callout Labels command will place labels with stems on the image Users have control of the direction and look of the stem and text 8 2 1 Select Labels gt Labels gt Callouts OR select the Callout icon from the Toolbox E Apteryx Inc Page 57 of 137 APTERYX o June 8 2012 WI XrayVision User Manual custom software 8 2 2 Hover the cursor over the image and note that it changes into a Callout Indicator M 8 2 3 Place the stem of the call out 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 8 2 4 The Callout Properties dialog box will display 8 2 4 1 On the General Properties tab enter the appropriate text in the Text Field and select the desired color scheme from the Color Scheme drop down Callout Properties Callout Sample View General Properties Appearance Properties Text Properties SAMPLE TEXT eee E semet tevet SAMPLE TEXT Freeze Label Cancel 8 2 4 2 On the Appearance Properties tab select the desired Pen Size Pen Color and Fill Color Select the callouts border properties Callout Properties Callout Sample Wiem General Properties Appearance Properties Text Properties SAMPLE TEX Pen Size gt 10 Fen Color E
42. right clicking on the control JA Fo 2 J5 i 23 12 it iii e B C The Brightness Contrast control offers a real time B C adjustment tool that can be utilized for diagnostics in real time without modifying the original image Refer to Image Enhancements Brightness Contrast Control 0 pat s e Calibration The Calibration control allows users to store calibration factors from a calibrated image Calibration factors can be stored as quick calibrations to be manually applied to other images or as an auto calibration to be automatically applied to images that match the dimensions of the calibrated image Refer to Calibrating Images and Adding Measurement Labels for detailed information 1 1 5 Status Bar The status bar located at the bottom right of the user interface is used for displaying information about the current state of the program and providing quick access to information associated with an image Some features include e Tool Tips And Status Indicators Displays at the left of the status bar Provides a description of the operation associated with a toolbar button that the cursor is hovering over It additionally provides the status of an operation Displays an image in a full screen view e Patient Indicator The patient indicator displays the patient that the user is currently working with If more than one patient record is open the user can left click on the indicator to AAE to
43. stamp Apteryx Inc Page 114 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software e Auto place taken date labels Option adds a taken date label as shown below when displayed on the application desktop The label is only applied to images captured after the option is enabled Modified 10 25 10 9 28A Taken 2010 10 25 e Update all views when palette changes When a palette is changed all views on the screen will be updated to reflect the change e Use status bar indicators on secure images If disabled status bar indicators will not be shown with the secure images e Draw real representations of layouts Displays image thumbnails or stamps of the layout as opposed to just gray boxes that represent a layout e Automatically prompt for tooth information If disabled users will not be prompted for tooth information during image acquisition e Automatically prompt for image type If disabled users will not be prompted to specify an image type or subtype during image acquisition e Use time date format for layout tile dates If disabled the date displayed below layout tiles will appear in the YYYY MM DD format e Always use this quality factor 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 sacrif
44. to return to the Payor tab o Click the Add button to store the entered information as a quick entry for future use e Patient tab The tab is pre populated with the open patient s information Complete any required field if blank TransiT FastAttach Information General Provider Payor Patient Insured Message First Name Last Name Doe SS Number 999 99 9999 ID Number 4100001 DOB mm dd yyyy 09 23 1969 Fields marked in bold blue font are required Apteryx Inc Page 74 of 137 APTERYX amp custom software June 8 2012 WI XrayVision User Manual e 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 TranslT FastAttach Information General Provider Payor Patient Insured Message Same as patient First Name Last Name Insured ID Relationship Group Plan Name Group ID Fields marked in bold blue font are required cancel e Message tab Enter any additional information to relay to the Insurance Company regarding the claim and or attachments 9 4 3 4 Click OK to forward the image and claim information to NEA s FastAttach communication application 9 5 XrayView e Mailer Creator 9 5 1 9 5 2 Overview The XrayVie
45. 0 5 3 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 MM DD Av HH MM DOC C Date So MM DO HH MM OOC f Patient Name Lastrame FirstName MM DO HA MM DOC f Patient Name First ame Lastname MM DD 7 HA MM DOC 10 5 3 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 10 5 3 6 Click OK to save the changes 10 5 4 Spawning Single Image Document Templates 10 5 4 1 Open the desired patient image or layout group to view it on the application desktop 10 5 4 2 Click on Tools gt Document and select the desired single image document template to generate Options Document Lisk I Document usage instructians WiordXP 46 Anterior endo card with 1 image WiordXP 46 Posterior endo card with 1 image WiordXP Dual Image WiordP Endo anterior 4x6 card WiordsP Endo anterior Formal WiordXP Endo posterior 46 card WiordXP Endo posterior Formal WiordXP Four Horizontal Images Clinical Report WiordXP Four Vertical Images Clinical Report WiordsP Full Mouth Series WiordXP Quad Image WiordXP Recall Exam Bitewings Word Referral WiordXP Single Image WiordXP Small Single Image WiordXP Treatment Plan 1 image Words Treatment
46. 000 e Use database caching This option requires more memory but can significantly reduce network lag over slow or heavy networks This option will help reduce delays when looking up patient over Wide Area Networks WANs Apteryx Inc Page 117 of 137 APTERYX amp custom software June 8 2012 WI XrayVision User Manual 12 9 The Sync Tab Apteryx Inc The To Store database feature 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 office locations For more information on XV Sync contact Apteryx Support at 877 APTERYX 877 278 3799 Options General General 2 Interface Interface 2 Image Safety Database Sync Sensor Language Tooth 4 Database Synchronization This option can be enabled when this application i being Used in conjunction with a synchronization application such as SY Sune to facilitate quicker forwarding of images IF you are NOT using an application such as sw Syne then this option should be DISABLED NOTE None of these changes will affect until the application is restarted Page 118 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 12 10 The Sensor Tab Users can access the specific
47. 1 13 2 5 Click on the Add New button at the bottom of the Customize Toolbar dialog box The button is added to the right end of the Step 2 toolbar button display area The toolbar button s added to the Step 2 display area can be repositioned by clicking on and dragging it to any desired position Click on the appropriate action to add the button bse amp 82 Z IS sfa Capture Capture Capture Quick Taken Full Document Spawn Rotate Layout Video Sensor Sensor Date Screen List Multiple 90 cc Images Image Image Capture View Image Document 13 2 6 Click OK to save the changes and close the dialog box XV will refresh display the newly added button on the toolbar tal a ol Al el 13 3 Setting up a Toolbar as the Default for all Computers A toolbar customized on a computer is specific to that computer however the imaging application allows the computer specific toolbar to be setup as the master for all other computers using the software in a networked environment To specify the computer s options as the default 13 3 1 Select Tools gt Options Management from the main menu and click on Set this computer s toolbar as the default toolbar Apteryx Inc Page 125 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 13 3 2 On all other computers select Tools gt Options Management from the main menu and click on Make this computer use the default toolbar The
48. 103 Quick Calibrations uoneIqiep double click to apply Hi Name Calibration ee lt Add Current Calibration gt Set 130 Calibration 130 000000 a Set 44 Calibration 44 000000 Set No Calibration 100 000000 Auto Calibrations automatically applied after capture Name Image Size CO lt Create New Auto Calibration From Current Image gt lt gt 8 3 3 2 The Quick Calibration Dialog box displays Enter an applicable name and click on OK Quick Calibration Please enter information for this calibration entry Mame Quick Calibration Test Calibration Factor 016903 Zo Kh a 8 3 3 3 The newly added calibration factor will be listed under Quick Calibrations Users can apply it to any open image in the future by double clicking on the selection Marne Calibration s dd Current Calibration Quick Calibration Test 0 168103 Set 130 Calibration 130 000000 Set 4425 Calibration 44 000000 Set No Calibration 100 000000 8 3 4 Adding Auto Calibrations Once an image is calibrated the calibration factor can be stored and set up to be automatically applied to subsequent images captured that match in image size This feature is useful in setting up a calibration factor that can be automatically applied to any sensor s or imaging device that consistently produces images with static dimensions For example an auto calibration entry
49. 12 WI XrayVision User Manual Oo Files can also be added manually by using Microsoft Windows drag and drop feature Open the file location in Windows Explorer and then click hold drag and drop the image file into the Files to Add or Import section 6 3 4 To automatically add files located in a common directory location Apteryx Inc 6 3 4 1 Click on the Browse button shown in red below in the Automatically Import Files From section Automatically Import Files From Directory File Specification i e Automatically import files from this directory as soon as this dialog is opened 6 3 4 2 b The Select Path dialog box displays Find and select the appropriate folder Click OK Select Path Select the appropriate directory O Insurance O Miscellaneous hy Dental eS My Music My Pictures G Apter Imaging O Patient Images Cancel 6 3 4 3 The path of the folder selected will display in the Directory field If this location has been permanently designated as the directory to import files from select enable the Automatically Import files radio button If desired specify the file extension for specific file types to import e g jpg in the File Specification field highlighted in green below Automatically Import Files From Directory File Specification i e C Documents and Setting johnathan doe My Documents My Pictures
50. 37 APTERYX N June 8 2012 WI XrayVision User Manual To create a new layout based on an existing layout 14 6 1 Select the New Layout button The New Layout dialog box displays New Layout Layout Name 4 BITE WINGS 10 CAMERA Based On Preview Based On lt New Layout gt Layout Type FF Background Color gt This is an inside out viewed layout Os mar 14 6 2 Enter a descriptive name for the new layout in the Layout Name field 14 6 3 Click on the Based On drop down list to select the desired layout the new one being created will be based on 8 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 for creating a custom layout Wew Layout Layout Name 4 BITE WINGS 10 CAMERA Based Un Preview Based On Mew Layouts o l 2 Bite Wings Layout Type Images with Claim Form Lower ANT Endo Lower Lett Molar ENDO Lower Right Molar ENDO One Image with Claim Form Peda FM Scanned EMs and FMs Pan test Upper ANT Endo Dimeric oft hinalar PRI This ig an inside Os 14 6 4 Refer to the Layout Options section above to configure the additional general options Apteryx Inc Page 131 of 137 APTERYX o June 8 2012 WI XrayVision User Manual custom software 14 6 5 Click OK to continue The New Layou
51. 7 2 3 Click and Drag the sliders located on the right side brightness and bottom contrast of the tool OR click and drag the crosshair located in the center of the control box to adjust B C 7 2 4 Toreset the B C back to its original setting a right click once OR double click on the control i200 D On the main menu click on Undo 2h to remove the enhancement applied to the image OR Save to store the changes 7 3 Brightness Contrast and Gamma Correction 7 3 1 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 Apteryx Inc Page 47 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software Gamma correction is 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 exaggerating 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 After Gamma Correction Correction 7 3 2 Applying brightness co
52. APTERYX custom software Apteryx Inc 313 S High St Suite 200 Akron OH 44308 330 376 0889 voice 330 376 0788 fax sales apteryx com www apteryx com XrayVision User Manual Abstract Abstract This document contains work instructions related to utilizing the dental imaging application XrayVision version 3 12 and above APTERYX W custom software Copyright 2004 2011 Apteryx Inc Apteryx is a registered trademark of Apteryx Inc All rights reserved All other trademarks and tradenames are the property of their respective owners Controlled Document Printed or downloaded copies are considered uncontrolled and are for reference only QMS_WI_TS_XrayVision_UserManual Apteryx Inc Page 1 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software REVISION HISTORY i aah ane Revision DT ole Revision Revision Description of Effective Author Approver s Change Task Level Date Revision Date Initials Initials pee 02 09 2011 Corrected step 1 02 09 2011 SN Open Existing record section Updated Viewing Patient Images section to be more in depth Moved Viewing layouts mounts section below View Patient Images Added drag n drop note to Importing Images General Info Fixed grammar in Step 1 Open File Direct Real Time Filter images updated to reflect generic options ae ae 10 2011 Renamed doc from XV_2010
53. Actions Image Enhancement Labels TransIT ArchivelT Tools Window Help Hl Bl 4 bd Add Bade a a gt Nad Document Open Save Patient Patient Frin Single Lay ie ee Sensor m List r 4 Taken 4 28 99 8 50AM T lt Whole Mouth gt EEE Jobe Doe 12345 6789 Keep an eye on these _ P 9 eh OP 4 ae AN ake sure you take care of this uoHeiqued 9 4 4320L Ss Uua3eq UadQ xoqjooy 1 1 1 Main Menu The main navigation menu 1 1 2 Toolbar The user interface provides a familiar Window s toolbar that is retrofitted with the more frequently used options Each operatory in a dental practice can have their own set of commonly used options setup on the toolbar Refer to Appendix C Customizing the Toolbar To accommodate user preferences users can switch between a small toolbar size and a larger toolbar which contains text descriptions of the functions associated with each button The smaller toolbar takes less room and increases the viewing area i To switch toolbar size select Window gt Control Windows gt Use Small Toolbar to enable or disable the option 1 1 3 The Desktop The desktop is where images are displayed when they are being viewed or captured from an external source such as sensors scanners etc Apteryx Inc Page 5 of 137 custom software June 8 2012 WI XrayVision User Manual 1 1 4 Apteryx Inc Pop out bar The user interface provides easy access to a range
54. Fill Color gt Ho Accent va Border Penden Freeze Label Cancel Apteryx Inc Page 58 of 137 APTERYX June 8 2012 WI XrayVision User Manual 8 2 4 3 On the Text Properties tab configure the text justification color and font type size Callout Properties Callout Sample View General Properties Appearance Properties Text Properties SAMPLE TEX Justify Centr l tock Freeze Label Cancel 8 2 4 4 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 8 2 4 5 When satisfied click on OK 8 2 5 The label will then appear on the image Taken 4 28 99 8 32AM T lt Whole Mouth gt AHA i Label properties sizes etc can be modified at any time while in the Pointer mode The Pointer mode is the default mode of the application and is selected by either Selecting Pointer from the Actions main menu or by clicking on the pointer button the upper left hand button in the toolbox Once in Pointer mode either click on a label with the left mouse button then select the appropriate attribute from the Labels menu or right click on a label then select the appropriate attribute from the secondary menu Apteryx Inc Page 59 of 137 APTERYX June 8 2012 WI XrayVision User Manual 8 3 Calibrating Images and Adding Measurement Labels 8 3 1 Overview Before m
55. Images from a Sensor 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 Oo Layouts definitions specify the source Sensor scanner etc from which the image will be acquired By default in layouts are configured to capture from sensors If the tiles in a layout specify a source other than a sensor they will need to be modified or a similar one created to capture from a sensor Select Tools gt Layout Definitions from the main menu and then refer to Common Layout Tasks Changing the Capture Source Appendix D for detailed instructions To capture layout images 3 3 1 Add create a new patient or open an existing patient record Apteryx Inc Page 23 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 3 3 2 Click on the Capture Layout Images icon on the toolbar oa Capture Layout 3 3 3 The Select Layout screen displays allowing users to choose the layout definition to be used for capturing XV includes layouts for bitewings posteriors anteriors full mouth series etc Select Layout R Please select the layout definition that should be used when capturing images pea Icon List Icon and Name aJ Edit Layout Definitions Cancel O By default the imaging application displays available layouts in Icon view Additional views include
56. Options from the main menu The Document Template Options dialog box displays 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 specified format The documents should be saved in the following folder fi Use the the following for the format of the filename Date MM DD YYYY HH MM DOC C Date YYY MM DD HH MM DOC C PatientName Lastname FirstName MM DD YYYY HH MM DOC Patient Name FirstName Lastname MM DD YYYY HH MM DOC Microsoft Word Microsoft Word can be found in the following directory C Program Files Microsoft Offices Office 2 WIN WORD EXE K Search V Automatically handle images that may be too big for MS Word Cancel Select Save the documents in the document in following folder to specify a specific location on the computer to store soawned documents Click on the browse button outlined in red above The Select Path dialog box displays Select Path Select the appropriate directory E My Documents gt Apterys 5 Apterys Imaging gt Apter Imaging Dental Documents hal i gt cet gt Use the directory tree to find and select the appropriate folder Click OK to return to the Document Options dialog box Page 93 of 137 APTERYX o June 8 2012 WI XrayVision User Manual custom software 1
57. P WUE ISE o By Thumbnail By Listing gt 2 1 Buttons C Fe Buttons f Fy Buttons Ha image selected gt Apteryx Inc Page 11 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 2 4 1 2 The available Images can be categorically filtered e By Image Type Select the desired type Digital X Ray Scanned Document etc to view available thumbnails or a listing of related images By Image Type By Tooth By Listing DIGITAL i s SEARHER gt a Me H all P Scanned says Scanned Documents BIGITAL SCAN om S Scanned Images Captured Images Miscellaneous e By Tooth Select the desired tooth number or click hold down and drag the mouse button to select the multiple teeth The user can toggle between Adult and Deciduous teeth Ey Image Type By Tooth By Listing e Adult r piling 15 C Deciduous 2 4 1 3 The bottom half of the dialog box by default display thumbnails of the images related to the image type or teeth numbers selected above Users have the option to display related images e By Thumbnail To open a single image double click on the image thumbnail to display it on the application s desktop To open multiple images select each thumbnail one at a time 31 Buttons f Fy Buttons Apteryx Inc Page 12 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software e B
58. Page 95 of 137 APTERYX June 8 2012 custom software WI XrayVision User Manual 10 5 5 2 Click on Tools gt Document gt Spawn Multiple Image Document The Spawn Document dialog box displays Spawn Document Select the images to print Image Taker 4728799 6 264M Taker 4 26 99 amp 324M T lt Whole Mouths Select the document you wish to create A Document usage instructions 4e6 Anterior endo card with 1 image 446 Posterior endo card with 1 image Dual Image Endo anterior 446 card Endo anterior formal Endo posterior 446 card 5 wordP A wordP A wordP A wordP 5 wordP A wordP A wordP mage preview Endo posterior formal 4 word Four Horizontal Images Clinical Report 4 Word Four vertical Images Clinical Report word Full Mouth Series 4 word Quad Image Recall Esam Bitewings Referral Cancel e The images open on the application desktop will be listed in the Select the images to print section Select each image in the order they should be embedded in the document When selected the order number displays on the Order column Ordered images can be deselected by clicking on the desired image e In the Select the document you wish to create section choose the desired multiple image document template to generate O The listed document templates are not necessarily multiple image templates The naming convention of Apteryx provided
59. Plan O 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 Apteryx Inc Page 94 of 137 APTERYX June 8 2012 WI XrayVision User Manual 10 5 4 3 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 Treatment Plan SS 999 99 9999 ID XVA100001 Thank for referring Jane Doe to our office for a Click here to enter procedure evaluation ORAL EXAMINATION 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 a Image Type Scanned X ray Image Sub Type Panoramic DIAGNOSIS Click here to enter diagnosis notes TREATMENT PLAN RECOMMENDATIONS 1 Click here to enter treatment notes 10 5 4 4 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 10 5 5 Spawning Multiple Image Document Templates 10 5 5 1 Open the desired patient image s or layout s group s to view it on the application desktop Apteryx Inc
60. Quality FastAttach Options cano 9 4 2 4 Select the button shown in red above to find specify the location of the NEACOMM application 9 4 2 5 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 9 4 2 6 Click OK when done 9 4 2 7 Click OK on the TransIT Configurations dialog to return to the application desktop 9 4 3 Submitting Patient Images Claims Using FastAttach by NEA 9 4 3 1 Open an existing patient record and view the desired image or layout to send Apteryx Inc Page 71 of 137 APTERYX June 8 2012 WI XrayVision User Manual 9 4 3 2 Select TransIT gt Fast Attach by NEA The TransiT Selection dialog box displays Click OK to continue TransiT Item Selection What do you want to send Single Image Options As a plain image As an pter secure image STB IV Merge labels i Layout Options C As a combined As an Apterve layout A common file format ZIP file IV Remove unnecessary file Sends the image in a standard file format The resulting image can be processed by a majority of other applications cancel 9 4 3 3 The TransIT Fast Attach Information dialog box displays Complete the following information on each tab o General tab Select the applicable date range of service using the calendars Enter the optional Payor Reference Number and
61. QuickView EXE B Export Target Export the images into a patient subfolder in the target Export to directory Leave blank to be prompted each time Prompt me if files exist in the t ret path X Export to CD DVD lt Prompt for drive gt X Eject disk after writing the images Encryption Password X Encrypt the images WARNING Encrypted files will only be viewable by one of Apteryx s viewer applications or imported by one of Apteryx s imaging applications If you are not including one of Apteryx s viewers with the exported images or you are not exporting the images for importation to another Apteryx product then you should not enable this option 11 3 2 3 In the Export Format section select one of the following options e Export images as JPEG If enabled images burned to CD DVD will be in JPEG format compatible with any image viewing applications e Export images as XrayVision images If enabled images burned to CD DVD will be in a format that can be imported by a recipient who also uses the imaging application at their practice e Each of the above export format selections include the option Include Viewer If enabled the QuickView image viewing application will be included on burnt CD DVD QuickView gives recipient s the ability to view files exported in Apteryx s unmodifiable Secure Tagged Block STB file format e In the Export Target section enable the Export to CD DVD option
62. Select Enhancement gt Sharpening to use the standard sharpening tool or Enhancement gt Edge Enhancement gt Laplace edge enhancement from the main menu The applicable enhancement dialog box displays Laplace Edge Enhancement Original Image Resulting Image Preview Enhancement Factor _ f Mask Size Height a Cancel 7 4 2 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 kal Select to pan the image in the preview to view a specific area Click and drag the image with the left mouse button e lal 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 T Select to automatically resize the image and make it fit in the viewing area TM e 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 Apteryx Inc Page 51 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 7 4 2 3 The mask size and sharpening factor work hand in hand in determining the degree of sharpening that is applied to the image 7 4 2 4 The Sharpening Factor specifies the magni
63. User Manual custom software 7 5 2 Applying Median Minimum or Maximum Noise Removal 7 5 2 1 Select Median Minimum or Maximum from the Enhancement gt Noise Removal menu option The applicable Noise Reduction dialog box displays Moise Reduction Median Original Image Resulting Image Preview Cancel 7 5 2 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 Select to pan the image in the preview to view a specific area Click and drag the image with the left mouse button ES 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 100 Select to automatically resize the image in the preview to 100 magnification When clicked the i image in the preview will resize to the actual dimensions of the image 7 5 2 3 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 area of noise is considered to be 7 5 2 4 Click OK to ap
64. Video extension e Auto Import If selected the layout will be setup to acquire using the Auto Import utility 14 4 5 Click OK when done 14 4 6 Select the Save button on the Layout Definitions dialog box to store the changes 14 5 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 14 5 1 Select the desired layout to edit The layout tiles display in the preview window D 14 5 2 From the toolbar below the preview window select HH to add a horizontal tile OR F S to add a vertical tile to the layout 14 5 3 Refer to The Layout Definitions Toolbar section above for additional functions that can be performed to further configure the tile as needed 14 6 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 Apteryx Inc Page 130 of 1
65. Video Source dialog box 5 2 Capturing Single Images from an Intra Oral Camera 5 2 1 Add create a new patient or open an existing patient record 5 2 2 Select File gt Acquire gt Capture Video Image OR select the Capture Video Image button from the toolbar E Capture Video 5 2 3 The DirectVideo interface displays E PirectVideo video Devices Video Options Images Capture Buttons About E Capture Oo If more than one video source is attached to the computer select Video Devices from the menu and then select the applicable device Apteryx Inc Page 33 of 137 APTERYX o June 8 2012 WI XrayVision User Manual custom software 5 2 3 1 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 5 2 3 2 Capture the image using one of the following methods e Press the button on the camera Oo 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 5 23 3 Once captured a thumbnail of the image will appear in the area below the buttons on the DirectVideo interface When
66. Window s Recycle Bin screen s Original Location column Apteryx Inc Page 109 of 137 custom software Apteryx Inc June 8 2012 WI XrayVision User Manual Log all TWAIN acquisitions If enabled a TWAIN log file will be generated whenever acquisitions from the device are performed Enable patient FMap validation This option enables or disables the automatic update and checking of patient file maps This option is only to be disabled on systems with significant network lag The patient FMap needs updated anytime new images are added to a particular patient Consult Data Drills when opening patients from other applications If enabled the imaging application will check the name against a practice management PM database for the ID number SS number Date of birth and sex The feature requires a related PM data drill installed and configured properly to work e g z Keep track of files Define the amount of recently accessed image files the imaging application should keep track The files will be included on the recent file list an easy access list of recent files available under File on the main menu Recent Patient List Keep track of 5 patients Define the amount of recently accessed patients the imaging application should keep track of The patient files will be included on the recent patients list an easy access list of recent patients available under Patient gt Recent Patients of the main menu
67. _UserManual to XV_UserManual fom 1 Added Take Retake from section per QM Ticket SRX00038 A Updated document E 11 2011 So formatting and name to comply with new doc control requirements 03 29 2012 Added Toolbox info to 5 24 2012 SN WH document Sec 15 Linked in User Int section Apteryx Inc Page 2 of 137 a as N June 8 2012 WI XrayVision User Manual TABLE OF CONTENTS PCV ISIOM STONY see aun a E A E E A 2 TREO COMNEN ouii E A E A E A EEN E sane ineseaenes 3 1 TAE USERINTERFA C E raren ene ee E N E E ee eee ee ee 5 1 1 General OSV N i E snes ce E E A EE N seca sacsaenee 5 2 MANAGING PA HENT rca cena E OE cesses beai cececenene cbeaeseadber 8 2 1 Open Create Patients Using a Practice Management Bridge ccccccccsssseeeeeeeeeesseeeeeeeeeeeeeeaas 8 2 2 Adding Creating a New Patient ccccccccsseseeccceeeeceeeeeseeeeeeesseeeeeeseeeeeeesseeaaeeeeeeeesssaeaaeeeeeeeeeeaaas 9 2 3 Opening an Existing Patient Record cccccccccccceeecsseeeeeeeeeeeesaeeeeeeceeesesseaeeeeeeeeesseaeaeeeeeeeeseaas 10 2 4 Viewing a Patient s Images cccccccssccceseecaecccseeceseeceeecaueesaeeecaeeseueesaueeseeesaeeseeeesaueeseeeeseeesses 11 2 5 Viewing Leal OUNSWIOUN SinccnssanmewaausntvanmenietsaantenSetwnrqacasetsd innie rini iit oaiae e EFENA EER aiaa 15 2 6 Editing Patient Information sin csssnctesessuicnemednaetadannenan sad cneiicnnneWaamtdemitadannisansiesusietenslM
68. a different patient Nobody Doe Jane Doe John Doe John f e Current Magnification Indicator The current magnification indicator displays the magnification of the image currently being viewed e Notes The notes indicator appears in black when notes are associated with an image otherwise it is grayed out To access the notes or edit the notes of an image you can click on this indicator with your left mouse button e Modified Indicator The modified indicator appears in black when the image or file currently being worked on is modified Apteryx Inc Page 7 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 2 MANAGING PATIENTS 2 1 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
69. abels that users do not wish to view 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 The various labels can be accessed by selecting the desired label from the Labels gt Labels menu option Angle Measurements Chrl ShiFt 4lk h rrows Ctrl Shift Alt A Bisecting Lines Ctrl Shift Alt 6 Callouts Chrl Shift 4lt H Ellipses Ctrl Shifk 4lt Four Point Bisection Cbri Shift 4lt 4 Freehand Lines Chrl ShiFt 4lt F Graphics Ctrl Shifk 4lk 6 Implant Ctrel Shift Alt I Measurements Chrl ShiFt 4lt 2 Predefined Text Ctrl Shifk Alk U Rectangles Ckrl ShiFt Alt k Relative Angles Ctrel ShiFt Alt F Straight Lines Ctrel ShiFt Alt L Texts Chrl ShiFt Aalk T Time and Dates Chrl Shift 4lt 0 There are a number of different labels that can be chosen including Arrows Callouts Measurements Date Time Stamps Text and several others In general adding a label to an image is simple Select the label from the menu then click and sometimes click and drag on the image A Label Properties dialog box will then display allow users to specify various attributes including text type if applicable size and color of the label 8 2 Adding and Modifying Labels Markers and Annotations O The following example of how to add a callout label to an image effectively demonstrates how to add
70. age numbers to include page numbers on the printout Additionally define the position and page number format by selecting the available options 10 3 3 3 General tab Select the desired printer off the Printer drop down list Adjust the Left Right and Top Bottom page indent settings as desired Print Image s Multiple Image Images Per Page General Image Text Header Footer Print Printer Adobe PD Cancel Page Indents Left Right i inches Top Bottom 0 00 inches L ats i Sa Setup Printer Print separating grid ce a M Use alternate printing method lt lt Less Printer E Used to select the printer that should be used when printing the image Use alternate Printing method Prints the image using an alternative printing method Normally this option should be disabled but should the printer not print the image this printing alternative can be used to try to force the printer to xl 10 3 3 4 Image Text tab Apteryx Inc Page 87 of 137 APTERYX o June 8 2012 WI XrayVision User Manual custom software Print Image s Multiple Image Images Per Page General Image Text Header Footer Print Cancel Image Notes Tooth Information A See Extended Image Information Taken Date Specified Text lt lt Less Filename Prints the filename that is associated with the image Image Notes Prints any image notes that may
71. al Files t Are you sure that once the files have been moved to the patient that the original Files should be deleted Yes No 6 2 7 6 3 Standard Import Utility The imported image s will display on the application desktop when complete The standard import file utility streamlines the import process by providing a single interface that allows users to add multiple files from any location or define an import file location that the software will always look to for files to import specify import file types and categorize the files being imported before they are moved into the patient s record 6 3 1 Add create a new patient or open an existing patient record Apteryx Inc Page 41 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 6 3 2 Select File gt Acquire gt Import Images or Layout from the main menu The Import Images or Layouts interface displays Import Images Or Layout Files To Add Or Import Show preview Modified Date To add files drag and drop them onto this window click on the browse button to the right and select the files that should be added or fill in the auto import parameters below The files can be reordered by dragging and dropping them to their new locations Right click on an item for B additional options Double click for view Automatically Import Files From Directory File Specification i e ee F Automatically import files from
72. and side Place the camera in the patient s mouth and position it where desired 5 3 5 2 Capture the images using one of the following methods e Press the button on the camera 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 5 3 5 3 Once captured a thumbnail of each image will appear in the area below the buttons on the DirectVideo interface E DirectVideo video Devices Video Options Images Capture Buttons About 5 3 5 4 If unsatisfied with an image right click on the image thumbnail and select Delete Current Image 5 3 5 5 When finished click the Done button 5 3 6 The DirectVideo interface will close and the images will automatically be placed in each tile in the layout 5 3 7 Once all the images are captured click the Done button on the Layout Capture screen The screen will close and the layout complete with images in each tile will display in the Layout View screen 5 3 8 The image files and layout are automatically saved and stored in the patient s file 5 3 9 The layout group is automatically saved and stored in the patient s file if Automatically save patient images in their records after capture is enabled in Tools gt Options gt Safety tab If this option is not enabled the Save Modified Image dialog box will display when attempt to close the image prompting the user to Save S
73. ange the JPEG Quality Factor to whatever desired The higher the quality the larger the generated jpeg files will be when converted and sent e Click OK when done 9 6 2 4 Click OK on the TransIT Configurations dialog to return to the application desktop 9 6 3 Distributing Images Using the XrayView Creator 9 6 3 1 Open an existing patient record and view the desired image or layout to send Apteryx Inc Page 80 of 137 WI XrayVision User Manual APTERYX June 8 2012 custom software 9 6 3 2 Select TransIT gt XrayView Creator The TranslIT Item Selection dialog box displays TranslT Item Selection What do you want to send Single Image Options As an Aptens secure image STE I Merge labels into the image Layout Options As a combined single image f 4s an Aptens layout file IF f 4 common file format ZIP file IY Remove unnecessary files Sends the image in Apternys s STB file format The sent image quarentees image authenticity but the resulting image can only be processed by those applications that support the STE image file format If the sending method comes complete with its own image view Le Hray View or the receiving party has one of Apterns s products this i the recommended transter type e 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
74. as been modified What do you want to do with the image Save s Esport Cancel 3 2 Quick Sensor Captures Quick Sensor Capture is the quickest way to capture an image The capture process is streamlined to acquire from the last sensor utilized on the workstation To perform a quick capture from the last sensor used 3 2 1 Add create a new patient or open an existing patient record 3 2 2 Place the sensor in the patient s mouth and then select the Quick Sensor Capture icon from the toolbar Apteryx Inc Page 21 of 137 custom softwa APTERYX June 8 2012 WI XrayVision User Manual 3 2 3 The Sensor Tooth Selection screen will appear 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 Sensor Tooth Selection Select the teeth for which you will be capturing a digital x ray eer Clear All Oo Select a group of teeth by holding down the left mouse button and dragging the cursor over each tooth in the group Release the mouse button when complete Selected teeth will be highlighted in grey Oo By default the Sensor Tooth Selection screen displays adult tooth controls To change to deciduous tooth control right click on the tooth control diagram and click Deciduous Tooth Control from the menu 3 2 4 If Automatically procee
75. asurements Permits the calibration of measurements in an image Refer to Calibrating Images and Adding Measurement Labels Text Labels Adds a label consisting of customizable text FloaterView Displays the image in a small floating screen and allows XV to be minimized Edge Detect Applies the edge detect enhancement to the image Tooth Information Displays which tooth numbers are in the image Flip Vertically Flips the image vertically on a horizontal axis Rotate 90 CC Rotates the image 90 counter clockwise Crop To Mask Crops a selected section Graphic Labels Adds another image from file or clipboard to the dental image as a label Predefined Text Labels Adds a label consisting of text based upon variables that represent patient information like name and date of birth Time Date Adds a label for time and date which is customizable is various formats LabelView Displays the image in a new screen optimized for label creation The button is named Properties Notes Adds notes about the image which can be viewed by double clicking on the bottom right of the image Display Message Information Displays message information that may be included with imported images Flip Horizontally Flips the image horizontally on a vertical axis Custom Rotate Rotates the image based upon custom settings Crop Border Color Trims the bord
76. ate Options include the following Options General General 2 Interface Interface 2 Image Safety Database Syne Sensor Language Tooth 4 Recycle Bin Recent File List Keep track of E files Logging Recent Patient List Log all TWAIN acquisitions Keep track of 50 patients Patient File Mapping W Enable patient FMap validation i Keep track of recent patients globally Thiz option enables or disables the automatic update and checking of patient file maps This option should only be disabled on systems with significant Global Patient ID Matching network lag 7 Enable Global ID Matching J Match Both ID and 5 Nu Data Drill Consulting Consult Data Drills when opening patients from other applications Warming IF you enable Global IO Matching and Mismatching Patent Information your various organizations do NOT utilize a global ID scheme for your patients then different patient x Automatically update mismatched patient images may be merged under the same patient In Information in images layouts addition patient s information may be updated ad hoc Patient Indes Only display patient list when search criteria have been entered e Move all deleted items to the recycle bin If enabled items deleted from within the imaging application will be moved to the local computer s recycle bin Before restoring an image from the recycle bin note the original location as listed in the
77. ave As Export or Discard Group Select Save to save the layout to the patient s file Apteryx Inc Page 38 of 137 APTERYX June 8 2012 WI XrayVision User Manual 6 IMPORTING IMAGES FROM AN EXTERNAL SOURCE 6 1 General Information Digital images captured from 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 several options to import and associate external files to a patient record e Open File Direct e Standard Import Utility e Auto Import Utility The standard import 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 The advanced auto import feature included allows users to better manage their import and automate the process Oo The imaging application supports the Microsoft Windows drag and drop feature to manual add import images First open the patient s file In Windows Explorer navigate to the location of the image Click on the image file and continue to hold down the mouse button while dragging the image file onto the imaging application desktop Let go of the mouse button to drop the file The image will display on the application desktop for the user to save to the patient s file 6 2 Open File Direct Use this option to locate and import an image file from a known location on the computer and associate the
78. be associated with the image Tooth Information e Select the desired patient image information to include on the image printout o Image Filename Includes filenames associated with each image o Image Notes Includes any image notes associated to the image o Tooth Information Includes the tooth numbering information associated to the image o Extended Image Information Includes extended image information such as image type e g Digital X ray Digital Image etc and image sub type e g Periapical BMX etc associated with the image o Specified Text Select this option to enter additional textual information If selected the text box will be enabled Text entered in the textbox can be saved as a text file for future use by clicking on the Save Text button Previously saved text can be entered by clicking on the Load Text button and selecting the saved text file by name e Select the Font button to adjust the text font size and color as desired 10 3 3 5 Header Footer Define the information that should be included in the header and or footer of the image printout Print Image s Multiple Image Images Per Page General Image Text Header Footer Print Header Cancel H _ E Left it Load Def Middle Right A Save Def Draw header separator line L bahia Footer Left Middle Right Draw footer separator line lt lt Less Left Middle Right Indicates the t
79. ber B99 99 89959 ID Number PATOODDT DOB 09234969 Sex FO OF Cancel Apteryx Inc Page 77 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software e Message tab Enter information for the recipient of the email TranslT ArayView Information Patient Message Password Protect Cancel e 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 when sent TranslT ArayView Information General Patient Message Password Protect IM Password protect the image amp Password P amp sswOrd cad Apteryx Inc Page 78 of 137 APTERYX amp custom software WI XrayVision User Manual June 8 2012 9 5 3 4 Click OK when the 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 Oa i Jey Test Message Plain Text 5X Message Insert Options Format Text Developer _ 7 7 g s 2 Aa iach B wa R Bel Oe AS 2 ep z uly A E gz EE a 43 oa Spelling gt J TUS A E ESFE Book Names FM Up pi z Clipboard Basic Text Names Include Options Proofing This message has
80. change will take effect once the software is restarted on these workstations Apteryx Inc Page 126 of 137 AFTIOYE N June 8 2012 WI XrayVision User Manual 14 APPENDIX D CUSTOMIZING LAYOUT DEFINITIONS 14 1 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 tooth associations and its order in the capture series 14 2 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 Select Tools gt Layout Pe Definitions from the main menu OR select the Capture Layout 2 1 button on the toolbar and then click on the Edit Layout Definitions to launch the Layout Definition dialog box 14 2 1 The Interface Layout Definition 2 Bite Wings 2 tiles file 2Bite Wings Layout 5 ad 2 Bite Wings 2 bw 2 PAs 4 Bite Wings
81. d after tooth selection is checked on the Sensor Tooth Selection screen the software will automatically advance and prepare the sensor for x ray exposure If it is not checked click on OK to proceed to prepare the sensor for capture 3 2 5 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 Apteryx Inc Page 22 of 137 APTERYX June 8 2012 WI XrayVision User Manual 3 2 6 Proceed to shoot the x ray and then the new image from the sensor will soon appear on the application s desktop The amount of time it takes for the image to appear on the screen is dependent upon the sensor manufacturer YP Taken 3 16 10 9 41AM T 18 Original E B 3 2 7 The image file is automatically saved and stored in the patient s file if Automatically save patient images in their records after capture is enabled in Tools gt Options gt Safety tab If this option is not enabled the Save Modified Image dialog box will display when attempt to close the image prompting the user to either Save Save As Export or Discard Image Select Save to save the image to the patient s file Save Modified Image Patient Doe Jane SSnum 9999 Dnum AT OO001 This image has been modified What do you want to do with the image Save s Esport Cancel 3 3 Capturing Group Layout
82. e Select the desired patient image information to include on the image printout O Patient Information Includes the last name first name SS number ID number and date of birth if available o Image Notes Includes any image notes associated to the image o Tooth Information Includes the tooth numbering information associated to the image o Extended Image Information Includes extended image information such as image type e g Digital X ray Digital Image etc and image sub type e g Periapical BMX etc associated with the image o Specified Text Select this option to enter additional textual information If selected the text box will be enabled Text entered in the textbox can be saved as a text file for future use by clicking on the Save Text button Previously saved text can be entered by clicking on the Load Text button and selecting the saved text file by name e Select the Font button to adjust the text font size and color as desired Apteryx Inc Page 85 of 137 APTERYX June 8 2012 custom software WI XrayVision User Manual 10 2 3 4 Header Footer Define the information that should be included in the header and or footer of the image printout Print Image General Print Size Image Text Header Footer Header ee Left kPath andFilename gt Middle fC a Right lt File Time Date Long gt V Draw header separator line Footer Left X Middle f
83. e computer s operating system sees the device e 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 e The application will require the related Apteryx imaging device extension to be installed in order to interface with the manufacturer s drivers e The 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 4 2 Capturing Single Images from Scanners 4 2 1 Add create a new patient or open an existing patient record 4 2 2 Select File gt Acquire gt Capture Single Image OR select the Capture Single Image button from the toolbar m Capture Single 4 2 3 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 Scan Cancel lt Au
84. e imported image will inherit the tooth numbers associated to the source image if the Open Image option is selected If the Clipboard option is used to import an image into a tile the image will have no tooth associations To add change tooth associations right click on the image and select Tooth Information from the pop up menu to access the Modify Tooth Associations dialog box and select the desired teeth from the teeth selection control Page 107 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 12 APPENDIX B CONFIGURING OPTIONS 12 1 General Information The imaging application is a highly customizable application that can be fined tuned to suit a user s needs These options can be accessed by clicking on Tools gt Options on the main menu The options are grouped into related settings and are available under the various tabs The following section describes the common options on each tab of the Options dialog box 12 2 The General Tab The General 2 tab contains settings that govern how the software should operate Options include the following Options General General 2 Interface lnterace 2 Image Safety Database Syne Sensor Language Tooth 4 gt Startup Actions Measurement Units Display Open Patient dialogue Measurements should initially Milimeters be displayed in m when opening patients from other applications proceed directly to Ope
85. e of a layout 14 4 1 Select the desired layout to edit The layout tiles display in the preview window a 14 4 2 Select the source button S from the toolbar below the preview window 14 4 3 The Take From dialog box displays Take From Taken tile images from Cancel Apteryx Inc Page 129 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 14 4 4 Select the desired source from the provided drop down list e 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 phosphor plates scanners etc e Sensor If 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 via the lt copy gt function e 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
86. easseeeccsonaeeaneeuetacesieea 127 14 2 Overview of the Layout Definition Dialog BOX cccceccceeccceeeeceeeeeeeseeeesaueeseueeseeseeeeseueesaues 127 14 3 Common Layout Tasks Changing the Capture Order cceccccccceeeeeeeeeeeeeeeeeeeeeeeeeeeeeteeeeetees 129 14 4 Common Layout Tasks Changing the Capture Source eccccceceeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeees 129 14 5 Common Layout Tasks Adding Tiles ccccccccceeceeeeceeeeeeeseeeeeeeeeeeeeeeeeeeeeeesaaaaaaseseeseeeeeeeeeeees 130 14 6 Common Layout Tasks Creating New Layouts Based on Existing Layouts cccccc 130 15 APPENDIX E Toolbox Options wadaiedcevs iiiccivinssasaigsudaiaguendcusisncniesataaniveraesiaustestiastaestusanagnadsetetecanne 133 15 1 Customizing the T OOIDOX secisccatsntcpsctsanscannesdveseedsdeannaendonsssianqeinnsnddas pened caendandeasrviatacnianadasssanbeuaane 133 152 WOOD OX OPIONS cst erty ae tiestnnete mcs E E EEE 133 16 APPENDIX F THE APTERYX IMAGING KNOWLEDGEBASE cccccseeeeeceeeeeeeaeeeeeeeeeeeeeeaas 136 Apteryx Inc Page 4 of 137 APTERYX o June 8 2012 WI XrayVision User Manual custom software 1 THE USER INTERFACE 1 1 General Overview The imaging application s user interface is designed to provide as much screen real estate as possible for capturing manipulating and enhancing images Doe John Taken 4 28 99 8 50AM T lt Whole Mouth gt File Patient Database DICOM Edit
87. easurements 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 Taken 4 28 99 1 26PM 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 Oo Apteryx does not guarantee the accuracy of any calibration measurement performed in the imaging application 8 3 2 Calibrating an Image 8 3 2 1 From the menu select Actions gt Calibrate Measurements OR open the Toolbox and select the Calibrate Measurements icon The cursor will change into a crosshair with a gear above it Apteryx Inc Page 60 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 8 3 2 2 Place the calibration crosshair at the starting point of the object of known length hold down the left mouse button and drag the cross hair to the end point of the object then release the mouse button 8 Non linear calibrations can be created by right clicki
88. eciduous tooth controls Open Patent Pop up Display W Display patient name Display patient 5 number Display patient ID number Patient information hiding algo affects information display r Control windows iv Keep control s position relative to application Pointer Label Mode mi After adding a label switch to pointer mode except freehand line labels ImageFile Time Display Display the time the image was taker C Display the last modified time Image Tiling Automatically tile images when they are displayed y TE Mages ponzantaly Po Tile images opened under Nobady Leave extra space at the bottom of the application window 33 percent C cea e Desktop Color Allows users to select the background color of the application desktop where images are displayed The default is gray e Highlight Color Allows users to changes the color that highlights the teeth in Tooth control window when the cursor is hovering over a tooth e Selected Color Allows users to changes the color that indicates the selected tooth or teeth in the Tooth control window e Fill Color Allows users to change the fill color of teeth in the tooth control window that indicates the teeth that have related images on file e Use flat control If selected the tooth control on the pop out bar will be adjusted as shown on the right below TOY Left tt 5 Right a
89. ed tooth numbers on image title bars when viewed e Display ImageBar horizontally Displays the Imagebar available via Patient gt ImageBar horizontally across the user interface e Maximize layout displays Select this option to maximize the display of open layouts on the application desktop e On new layout automatically switch to layout capture mode this option eliminates a click when capturing into a layout It opens layouts directly into capture mode Apteryx Inc Page 113 of 137 eee aa We June 8 2012 WI XrayVision User Manual e On new layout automatically start the series acquisition If selected layouts open in capture mode will automatically start the series acquisition As indicated auto capture must be enabled in the hardware s settings e Use the last window position for the layout single view window This option applies to displaying layouts in the single view mode Users can fix the layout single view window based on the where the window was last positioned on the application desktop e Draw tooth number indicators instead of tile number indicators If enabled tiles in layout view will display the associated images tooth numbers rather than the order number of the tile 12 6 The Image Tab The Image tab provides users with the ability to adjust among other settings image resolution format quality and labeling Options Default Resolutions Default JPEG Quality
90. en an existing patient record and view the desired image or layout to send Apteryx Inc Page 66 of 137 WI XrayVision User Manual APTERYX June 8 2012 custom software 9 2 3 2 Select TransIT gt General Email Creator The TranslT Item Selection dialog box displays TransiT Item Selection What do you want to send Single Image Options As an Apteryx secure image STB V Mera Layout Options Sends the image in Apteryx 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 view i e XrayView or the receiving party has one of Apteryx s products this is the recommended transfer type Cancel e 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 e Layout Options If sending one or more layouts select one of the following file format options o As a combined single image i e JPEG format o As an Apteryx layout file i e a compressed zip file containing the layout STB images and related data files o A common file format ZIP file i e a compressed zip file containing the images in JPEG format 9 2 3 3 Click on OK The TransIT Emailer Information screen displays Compl
91. eneral Header Footer Layout Text Print Cancel Layout C Current image Printable Options I Print number indicators 14 15 16 17 18 19 19 20 21 8 29 30 30 31 IY Print tile outline Print empty tiles Background Color No background C Layout background C Specified color Background Color v lt lt Less Layout Prints the layout as it appears in the layout view Current image Prints the currently selected image in the group Print number indicators e inthe Print section select Layout to print the entire or Current Image to print the selected tile e Enable the Print number indicators to include tile tooth numbering on the printout e Enable the Print tile outline option to include an outline around each tile e Select Print empty tiles to include image less tiles in the printout if any e In the Background Color section select o No background to remove the layout s background o Layout background to include the layout s background or o Specified color to define the color of the background Select a color from the Background Color dropdown list to choose a desired color Apteryx Inc Page 89 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 10 4 4 2 General tab Select the desired printer from the Printer drop down list Adjust the Left Right and Top Bottom page indent settings as desired Print Image s Layo
92. er an image s exists in the directory Enable Do immediately when I close this dialog to start the auto import process immediately Click OK when done Page 45 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 6 4 2 Performing an Auto Import 6 4 2 1 Add create a new patient or open an existing patient record 6 4 2 2 Select File gt Acquire gt Perform An Auto Import Now The images will be imported and displayed on the application desktop Apteryx Inc Page 46 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 7 IMAGE ENHANCEMENT 7 1 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 7 2 Brightness Contrast B C Control The imaging application offers an easy access B C adjustment tool that can be utilized for diagnostics To utilize the tool 7 2 1 Open view a patient image 7 2 2 Select the B C icon on the vertical toolbar to the right of the user interface Joa EEA EN D F 5 o Oo The brightness contrast control is only available for grayscale images It will be grayed out if a true color image is display on the desktop
93. er from around an image io o k 5o le x l z Implant Labels Adds implant labels to the image from various manufacturers and families Rectangle Labels Adds a sizeable rectangular label to an image Relative Density Reports the density of an area indicated by a drawn straight line Good for finding cavities Colorize Converts a grayscale image from black and white to color Image Information Displays data about the image including filename taken date and modified date Undo Modifications to the image can be reversed or undone with this tool Rotate 90 Rotates the image 90 clockwise Invert Converts black areas of the image to white and vice versa Reduce Reduces the image size by a desired percentage Page 134 of 137 APTERYX custom software MAX HF Apteryx Inc Brightness Contrast Performs a brightness and contrast enhancement on an image Adaptive Normalize Performs a adaptive normalization enhancement on an image Auto Adjust Levels Median Performs a median automatic histogram adjustment on an image Edge Enhancement Performs a customizable laplace edge enhancement on an image Noise Reduction Max Performs maximum noise removal on an image Scan2Print Automatically scans and prints an image Background Sensor Capture Puts certain sensors in continuous ready mode June 8 2012 Auto BC
94. esults 7 7 3 Even though various workstations can apply their own real time filters the images in the shared database are not modified when closed 7 7 4 Enabling or disabling a Real Time Filter 7 7 4 1 Open and view a patient s image layout Apteryx Inc Page 55 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 7 7 4 2 Select Enhancement gt Real Time Filters from the menu and then click on the desired filter eee Labets Tr ArchivelT Tools Window Help Brightness Contrast gt Adjust Levels a o H Edge Enhancement Noise Removal Embossing Apply Custom Mask Image Macros Imaging Extensions Imaging Algorithms wv No Real Time Fiter Real Time Filters Options gt Custom Image Ts General Endo Enhancement Oo Another option is to right click on the image select Real Time Filters from the pop up menu and then click on the desired filter 7 7 4 3 The selected image filter displays a check mark next to it when enabled To disable a filter select the enabled filter or select a different filter If none are selected viewed images will revert back to the unfiltered raw image i The imaging application also provides the ability to enable or disable filters before opening patient images Select Tools gt Real Time filters from the menu to turn filters on or off 7 7 5 Adjusting Real Time Filter Options The imaging application provides the ability to adjust the default se
95. ete the following information on each tab e General tab Complete the Subject and Reference Number fields TransiT Emailer Information General Patient Message Subject Reference Number t ao SS es Patient Jane Doe SSnum 999 99 9999 IDnum 4100001 All information is not mandatory Click on the OK button to invoke your email application cancel Apteryx Inc Page 67 of 137 APTERYX June 8 2012 WI XrayVision User Manual e Patient tab The tab is pre populated with the open patient s information Complete any required field if blank TransiT Emailer Information e Message tab Enter a message for the recipient of the email The message entered will appear in the body of the email TransiT Emailer Information Apteryx Inc Page 68 of 137 APTERYX June 8 2012 WI XrayVision User Manual 9 2 3 4 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 Untitled Message Plain Text Message Insert Options Format Text Developer ave PASE Y j E aE A i AE i Address Check _ Follow gy Spelling Book Names Up 7 Clipboard Basic Text Names Include Options Proofing This message has not been sent Send XVA ZIP
96. ew image macro just created Apteryx Inc Page 54 of 137 eae N June 8 2012 WI XrayVision User Manual 7 6 3 Adding a button on the toolbar for the Image Macro 7 6 3 1 Select Tools gt Customize Toolbar Customize Toolbar N Select the command and graphic that you want to add to the toolbar Category Graphic Actions ha K Commands Auto Image Extraction Calibrate Measurements Color Picker Image In Flace Spot Magnifier Image Selection Image Spot Colorizer Image Spot Enhancer Image Spot Inverter Image Spot Magnifier i os nS K Ca Open Add Print Print Undo Redo Patient Patient Hulitple Images F Add Hew D Delete D Delete All Ez Reset To Default NOTE Buttons can be reordered by dragging and dropping with the left mouse button Cancel 7 6 3 2 Select Enhancements from the Category drop down list 7 6 3 3 Under Commands select Image Macros gt Your New Image Macro Name 7 6 3 4 Select a button icon from the Graphic drop down list on the top right corner of the dialog box 7 6 3 5 Click Add New and then OK to exit 7 7 Real Time Filters 7 7 1 Overview 7 7 2 Real Time Filters are sets of image enhancements applied to any image that is opened but the enhancement is not saved upon the image thus preserving the authentic image Accordingly the filters can be turned on and off Apteryx Inc provides several default Real Time Filters that can be applied to obtain different r
97. ext that is to appear in that position of the header or footer The drop down lists contain predefined data that can appear in each position For example lt Current Time Date Long gt will print the current system time and date Header and Footer Separator Lines Select each drop down to define what information should be included in on the left middle or right side of the header and footer e Click on the Save Def button to store the selected definitions for future use Previously saved header footer definitions can be entered by clicking on the Load Defs button and selecting the saved definition file by name e Select the Header Font button to adjust the text font size and color of the header as desired Apteryx Inc Page 88 of 137 mea N June 8 2012 WI XrayVision User Manual e Select the Footer Font button to adjust the text font size and color of the header as desired 10 3 4 Click on the Print button when complete to print the image to the select printer 10 4 Printing Layout Images 10 4 1 Open the layout in Layout View not Single Image View 10 4 2 Select on File gt Print on the main menu OR select the print icon on the main toolbar 10 4 3 If wanting to print one image in the layout select the image s tile in the layout view 10 4 4 The Print Image s dialog box displays Complete the following tabs 10 4 4 1 Layout Image tab Print Image s Layout Image G
98. finished click the Done button E DirectVideo video Devices Video Options Images Capture Buttons About 5 2 3 4 Multiple images can be captured at one time if desired Additional thumbnails will appear below the initial one as images are captured 5 2 3 5 If unsatisfied with an image right click on the image thumbnail and select Delete Current Image 5 2 3 6 f When finished click the Done button 5 2 4 The DirectVideo interface will close and the image s will be acquired and displayed on the application desktop Apteryx Inc Page 34 of 137 APTERYX June 8 2012 WI XrayVision User Manual 5 2 5 Once the image is displayed on the desktop the Modify Tooth Associations screen will appear Select one or more teeth to associate to the image and then click on OK This will automatically setup the tooth association with the image Modify Tooth Associations a A SLIT 1 16 Right Lett ing ak we RRR TRI Te Clear All 4esociatians Tooth associations can be changed by clicking on the corresponding tooth or teeth with the left mouse button pE E You can switch between adult and deciduous teeth using the right mouse button Penal O select a group of teeth by holding down the left mouse button and dragging the cursor over each tooth in the group Release the mouse button when complete Selected teeth will be highlighted in grey i By default the Modi
99. fy Tooth Selection screen displays adult tooth controls To change to deciduous tooth control right click on the tooth control diagram and Deciduous Tooth Control from the menu 5 2 6 Click OK when complete 5 2 7 The image file is automatically saved and stored in the patient s file if Automatically save patient images in their records after capture is enabled in Tools gt Options gt Safety tab If this option is not enabled the Save Modified Image dialog box will display when attempt to close the image prompting the user to Save Save As Export or Discard Image Select Save to save the image to the patient s file Save Modified Image Patient Doe Jane SSnum 9999 Dnum AT OO001 This image has been modified What do you want to do with the image Save Ag Esport Cancel Apteryx Inc Page 35 of 137 APTERYX V June 8 2012 WI XrayVision User Manual 5 3 Capturing Group Layout Images from an Intra Oral Camera A layout is a group of free floating tiles displayed in a single workspace The groups of images can be captured displayed in individual tiles within the selected layout oO 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
100. gt Export and select Jpeg image in the Save as type field The exported image will need to be opened in order to email or print it It can be found under the Miscellaneous category Follow the directions provided below to merge one or more labels 8 4 1 To merge a single label 8 4 1 1 a Click on the desired label to select it 8 4 1 2 b From the main menu select Labels gt Merge gt Current label OR Right click on the label and select Labels gt Merge Label 8 4 2 To merge all labels added to an image Select Label gt Merge gt All Labels 8 4 3 To merge only labels of a specific type Select Labels gt Merge gt Type and then select the applicable label type the submenu will only display the label types added to the open image Apteryx Inc Page 65 of 137 ee N June 8 2012 WI XrayVision User Manual 9 DISTRIBUTING IMAGES TRANSIT ADD ON COMPONENTS 9 1 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 9 2 TransIT General Emailer Creator 9 2 1 Overview The most commonly used TransIT add on component the General Emailer enables users to spawn their email clien
101. he original file after the move if desired Click the Yes button to proceed with the move Move Files To Patient Should the following files be added to the database of patient Doe Jane iW On successful move delete original file C Documents and Settings shy Pictures Patient Images patient image Apteryx Inc Page 40 of 137 APTERYX amp custom software June 8 2012 WI XrayVision User Manual 6 2 5 The Extended Image Information screen displays Select the appropriate Image Type e g Digital Image and Sub type e g digital camera to categorize the image Click on the Done button Extended Image Information Image Type ih a z z ZCANNEDG S Miscellaneous Scanned ray Digital ray Scanned Image f Bi GirA I Bull Digital Image Scanned Document Kep Words Append Keywords Set Keywords oo Record Keywords Clear Keywords Image Subtype f Miscellaneous Periapical Bites Fhe Panoramic Ceph Photo Intra oral Digital Camera c 2 e ee Docurnerit Records Notes Graphic oe 2 Keywords should be separated by spaces If the option 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 6 2 6 Delete Original Files h You have choosen to delete the origin
102. he sensor they want to use from a list of available sensors before a digital x ray is acquired To capture from a sensor 3 1 1 Add create a new patient or open an existing patient record 3 1 2 Place the sensor in the patient s mouth and then select the Capture Sensor Image icon from the toolbar ve Capture Sensor 3 1 3 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 Auto2 BIGiraAL gt NE Select Sensor e A Cancel Apteryx Inc Page 19 of 137 APTERYX June 8 2012 WI XrayVision User Manual 3 1 4 The Sensor Tooth Selection screen will appear 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 Sensor Tooth Selection Select the teeth for which you will be capturing a digital x ray eer Clear All Oo Select a group of teeth by holding down the left mouse button and dragging the cursor over each tooth in the group Release the mouse button when complete Selected teeth will be highlighted in grey Oo By default the Sensor Tooth Selection screen displays adult tooth controls To change to deciduous tooth co
103. iced Apteryx Inc recommends leaving the settings to the highest quality feasible e Change Storage 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 o Apteryx 16 Bit Secure Tag Block STB16 Apteryx s proprietary 16 bit image storage format that guarantees image authenticity o Apteryx Secure Tag Block STB 8 The recommended image storage format o High Quality JPEG The space saving storage format that uses the highest possible quality setting Image authenticity is sacrificed with this format o JPEG This option uses a lower image quality setting than the setting above e Apply storage scheme to already saved images If this setting is enabled when the storage format is changed any existing image in the database will be converted to the new format when resaved The user will be prompted with a message indicating the format change when resaving images Apteryx Inc Page 115 of 137 APTERY custom software June 8 2012 WI XrayVision User Manual 12 7 The Safety Tab The Safety tab includes options to help users minimize image loss that can be caused by loss of network connectivity power etc during a file save process Options General General 2 Interface Interface 2 Image Safety Database Syne Sensor Language Tooth 4 Apteryx Inc Safety Cache TM Network Check
104. ightness 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 7 3 2 4 Click OK to apply the settings to the open image 1 3 25 On the main menu click on Undo l to remove the B C enhancement applied to the image OR Save Ef to store the changes 7 3 3 Other Common B C Enhancements The imaging application offers additional B C enhancements available on the main menu under the Enhancements gt Brightness Contrast The most common B C enhancements are listed below with an explanation of each e Equalize A non linear approach to altering the brightness contrast 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 i Before Equalization After Equalization Apteryx Inc Page 49 of 137 APTERYX June 8 2012 WI XrayVision User Manual e Normalize The process of increasing the contrast in an image by stretching the range of image intensities so that they cover the entire range of inten
105. inal image Check network connection before save operations With this feature disabled users attempting to save a file over a network system that has been terminated may lose the file or receive an error message Allow patient access tracking This setting activates a patient record tracking feature that displays dates and times of the most recent activities within a patient s file Page 116 of 137 eee aa We June 8 2012 WI XrayVision User Manual 12 8 The Database Tab The Database tab contains settings that allow administrators to specify the mechanism by which patient database changes are detected over a network The settings are dependent on the type of network setup in the dental practice Options General General 2 Interface Interface 2 Image Safety Database Sync Sensor Language Toot 4 Database Change Monitoring These settings specify the mechanism by which patient database changes are detected over a network This setting should only be used when the software is being used on a single computer If the database tt modified outside of the application it will hawe to be updated manually by selecting Update Patient Database under the Patient Utilities option in the Patent menu f Database polling Supported by all operating systems this option indicates that the application should be responsible for determining when database has been modified This option requires a li
106. ing Check network connection before save W Use threaded Safety Cache T M operations Auto Saving Patent Images Patient Access Tracking Ez Automatically save patient images in their W Allow patient record access tracking records after capture Original ImageFile Managing When saving modified images to a patient Archive the original image 0 it may be recalled later Safety Cache TMY 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 o Use Safety Cache TM applies to older or slower computers such as a 486 or Pentium 100 Such systems are not recommended o Use Threaded Safety Cache TM applies to most new computers Automatically save patient Images in their record after each capture Automatically saves patient images in the patient s file after capture If this feature is not enabled images captured must be saved manually Automatically save layouts groups 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 When saving modified images to a patient The available settings allow users to define how the software will treat modified images Available options include archiving or overwriting the orig
107. ition users have access to a library of customizable Document Templates that can be used to generate referral letters treatment plans etc in Microsoft Word 10 2 Printing a Single Image 10 2 1 Open the image to view it on the application desktop 10 2 2 Select File gt Print on the main menu OR select the print icon S on the main toolbar 10 2 3 The Print Image dialog box displays Complete the following tabs 10 2 3 1 General tab Select the desired printer off the Printer drop down list Adjust the Left Right and Top Bottom page indent settings as desired Print Image General Print Size Image Text Header Footer E Cancel Printer HP LaserJet 4300 PCL 6 ad Page Indents Left Right 0 00 inches Top Battom fe Setup Printer Use alternate printing method lt lt Less Printer E Used to select the printer that should be used when printing the image Use alternate Printing method Prints the image using an alternative printing method Normally this option should be disabled but should the printer not print the image this printing alternative can be used to try to force the printer to 10 2 3 2 Print Size tab Select the desired image size from the options presented Print Image General Print Size Image Text Header Footer Print Size Cancel Real sized image As large as possible Real size or as large as possible C
108. k Current Time D ate Long gt v Right v l Draw footer separator line lt lt Less Left Middle Right Indicates the text that is to appear in that position of the header or footer The drop down lists contain predefined data that can appear in each position For example lt Current Time Date Long gt will print the current system time and date Header and Footer Separator Lines e Select each drop down to define what information should be included in on the left middle or right side of the header and footer e Click on the Save Def button to store the selected definitions for future use Previously saved header footer definitions can be entered by clicking on the Load Defs button and selecting the saved definition file by name e Select the Header Font button to adjust the text font size and color of the header as desired e Select the Footer Font button to adjust the text font size and color of the header as desired 10 2 4 Click on the Print button when complete to print the image to the select printer 10 3 Printing Multiple Images 10 3 1 Open the images to view them on the application desktop 10 3 2 Select on File gt Print Multiple Images on the main menu OR select the Print Multiple Images icon 33 on the main toolbar 10 3 3 The Print Image s dialog box displays Complete the following tabs 10 3 3 1 Multiple Image tab Select each image in the order they should be on
109. les m Apteryx Inc Page 104 of 137 poithly nit June 8 2012 WI XrayVision User Manual Delete Patient Images 4re vou ABSOLUTELY sure that these files should be deleted Once they have been deleted they can WOT be recovered Yes Alo o If an image is already open on the application desktop it can be deleted by clicking on the image with the right mouse button and selecting Delete Current Patient Image from the pop up menu To delete an image in a layout right click on the image in the tile and select Delete Layout Image Select Delete Patient Layout to delete the entire layout 11 6 Exporting Patient Images Follow the steps below to export one or more images from a patient s file 11 6 1 Open the desired patient s file 11 6 2 Select Patient gt Patient Utilities gt Export Images from the main menu 11 6 3 The Export Target Path dialog box displays Export Target Path Esport files to the following path LJ i Convert images to JPEG whenever possible W Use special exporting for directly captured images i e those captured via a direct capture extension rea e Select the browse button shown in red above to specify the target directory to export the files to e Select the Convert images to JPEG whenever possible option if desired Images exported in JPEG format are compatible with any image viewing application e Select the Use special export for directly captured images op
110. lete with its own image view Le Hray View or the receiving party has one of Apterns s products this i the recommended transter type Cancel 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 e Layout Options If sending one or more layouts select one of the following file format options o Combined single image i e JPEG format o Apteryx layout file i e a compressed zip file containing the layout STB images and related data files Apteryx Inc Page 76 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software o A common file format ZIP file i e a compressed zip file containing the images in JPEG format 9 5 3 3 Click on OK The TransIT XrayView Information screen displays Complete the following information on each tab e General tab Complete the Subject and Reference Number fields TranslT ArayView Information General Patient Message Password Protect Subject Reference Humber pret oo O Patient dane Doe SSmum 999 99 9999 Onum A100001 cereal Patient tab The tab is pre populated with the open patient s information Complete any required field if blank TranslT ArayView Information General Patient Message Password Protect First Hame Last Mame Doe 55 Num
111. lity is a mass database correction utility that should only be used when warranted and is therefore not covered in this manual Contact Apteryx Technical Support at 1 877 APTERYX 278 3799 for consultation if needed 11 1 2 Using the Patient Merge Utility Apteryx Inc 11 1 2 1 Close all open patients by selecting Patient gt Close All Patients 11 1 2 2 Select Database Utilities gt Merge Patients gt Merge Patients The Patient Merge Utility displays a list of all patients in the database Patient Merge Select the patients that are to be merged Multiple entries are selected by holding down the lt Ctri gt key on your keyboard while you click on the entry with your left mouse button 2A100001 2A100000 william Bill Select the entry that should be used as the resulting merged patient Last Name First Name Smith Bill Smith William 11 1 2 3 While holding down the lt Ctrl gt key left click on each patient record to be merged 11 1 2 4 The selected entries will display in the bottom frame Select the entry to be used for the resulting merged patient and then click on OK 11 1 2 5 Select Yes to confirm the merge action Page 98 of 137 APTERYX June 8 2012 WI XrayVision User Manual 11 2 Moving Images from One Patient to Another 11 2 1 Overview Occasionally images may be captured under the wrong patient and need to be moved to another patient record 11 2 2 To move images from one patie
112. ll be captured using the same device If unchecked the Capture Image screen will display between each capture in the series Page 30 of 137 APTERYX o June 8 2012 WI XrayVision User Manual custom software 4 3 8 Depending on the hardware Automatically Acquire may need to be disabled if a TWAIN driver is selected i 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 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 4 3 9 If acquiring from a flatbed scanner skip to Step 4 3 10 for phosphor plate scanners 4 3 9 1 Place the X ray or other media as instructed by the manufacturer Oo Flatbed scanners must have a trans illuminating cover for scanning X rays 4 3 9 2 Click on the OK button 4 3 9 3 If this is the first time the TWAIN compliant scanner is being used XV 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 4 3 9 4 The imaging application will send instructions to the scanner and automatically scan the image and display it in the selected tile
113. llows the computer specific options to be setup as the master default options for all other computers using the software in a networked environment To specify the computer s options as the default 12 14 1 Select Tools gt Options Management from the main menu and click on Set this computer s options as the default options 12 14 2 On all other computers select Tools gt Options Management from the main menu and click on Make this computer use the default options The change will take effect once the software is restarted on these workstations Apteryx Inc Page 123 of 137 eee aa We June 8 2012 WI XrayVision User Manual 13 APPENDIX C CUSTOMIZING THE TOOLBAR 13 1 General Information The imaging application provides a familiar Window s toolbar at the top of the interface below the main menu The standard toolbar is retrofitted with the more frequently used options however each operatory computer in a dental practice can customize their toolbar to display their own set of commonly used options 13 2 Customizing the Toolbar The imaging application allows users to add any function that is available via the main menu on the toolbar Follow the steps below to add a custom toolbar button for a specific function Oo Adding additional commands requires the user to first make note of the menu path to the command For example the images below illustrate how to add a button to rotate images 90 counter clockwise The
114. n Patient Images f eiat meir Undo Redo Options Patient Definition Aeguirments Track o undo and redo operations PETN Alternate Painting Drawing Enter zero 0 for infinite undo and redo operations iv Use alternate painting drawing method to compensate for choppy displays Tal Capture Warming v Display warning messages when capturing under Prompt For Database On Startup nobody Prevent image capture under nobody z W Display user cancelled messages Microsoft Word Microsoft Word can be found in the following directory C Program Files Microsott OfficeOfficel 2 NW OAD EXE Doe Search Cancel Help e Display Open Patient Dialogue Will display the Patient Rolodex every time the program is opened e When opening patients from other applications proceed directly to Open Patient Images If bridging from a Practice Management application and opening an existing patient file the Open Patient Images dialog will display if this option is enabled e Track undo and redo operations Option will define how many undo s and redo s you will have available Choose zero 0 for an infinite number of undo operations e Display warning messages when capturing under nobody Controls the display of the warning that pops up when a user attempts to capture without a patient open first If unchecked the warning will never come up e Prevent image capture under nobody If enabled users will be u
115. nable to capture until a patient file is open first Apteryx Inc Page 108 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software e Display user cancelled messages If enabled displays a prompt indicating a cancelled capture e Microsoft Word can be found in the following directory If Microsoft Word is installed on the computer a user can browse or click on the Search button to locate the application e Measurements should initially be displayed in This will set the default unit millimeters inches or centimeters to display all measurements in e Patient Definition Requirements If selected a utility will display allowing users to define the data required to create a patient file Additionally the format of the required fields can be configured e Use alternate painting drawing method to compensate for choppy displays This option will blend the graphics on the screen with the background image to give ita smoother appearance Turn this option on if an image display is choppy when zooming In e Prompt for which database to use when starting the program If enabled the user will be prompted with a list of available patient databases to select from before the application is opened This feature is only available with use of the legacy Mobile User Add On component 12 3 The General 2 Tab The General 2 tab contains additional settings that govern how the software should oper
116. ndix D for detailed instructions To capture layout images 4 3 1 Add create a new patient or open an existing patient record 4 3 2 Click on the Capture Layout Images icon on the toolbar oa Capture Larout 4 3 3 The Select Layout screen displays allowing users to choose the layout definition to be used for capturing XV includes layouts for bitewings posteriors anteriors full mouth series etc Select Layout R Please select the layout definition that should be used when capturing images Icon List Icon and Name ZB Edit Layout Definitions Cancel oO By default XV displays available layouts in Icon view Additional views include List and Icon and Name Select the tab preferred for viewing layouts on the selection screen and it will be stored as a default setting for the workstation Apteryx Inc Page 29 of 137 APTERYX amp custom software 4 3 4 4 3 5 4 3 6 4 3 Apteryx Inc June 8 2012 WI XrayVision User Manual Select the desired capture layout by double clicking on it or click on it once to highlight it and then click on OK The selected layout will open up in capture mode 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 Scanner Scanner Scanner 3 4 5 28 29 30 12 13 14 19 20 21 14 15 16 17 18 19 Q Fi b D
117. ne how the time and dates are displayed throughout the application Any combination of the following choices can be selected Options Interface Interface 2 Image Satety Database Sync Sensor Language Tooth Control Time Date 4 Time Format Zero pad the hour Include seconds Date Format Put date before month Put pear first Use the full year Zero pad the date Include weekday long format only Short Format Sample i 471 11 44AM Long Format Sample January 04 2011 11 44AM e Time Format o Use 24 hour clock Time reads out in military time 9 50 PM would be 21 50 o Zero pad the hour Places a 0 in front of the hour So 9 50 PM would read 09 50 PM o Include seconds Places seconds at the end of the time 9 50 PM would read 9 50 45 PM e Date Format o Put date before month Places the date before the month as they do in Europe Instead of August 14th it would read 14th August o Use the full year Instead of placing 00 it would read 2000 o Zero pad the date Places a 0 in front of the date if it is less than 10 o Include weekday long format only Includes the day of the week e g Monday Tuesday etc in long format Apteryx Inc Page 122 of 137 ae aes N June 8 2012 WI XrayVision User Manual 12 14 Setting up Default Options for all Computers Options configured on a computer are specific to that computer However the imaging application a
118. nepidancladssannteosnsus 16 A Deleting a Patient aesisessiniarenssir n nin a AEREE aa Eein eA EEEE EEE Aa 16 3 CAPTURING IMAGES FROM A SENSOR 6 c ccc c 00 cccseceecssdeceseeetecnensedeceecendeceesteteusentedernencederseneedes 19 3 1 Capturing Single Images from a SENSO ccccseeeccceeceeeseeeeeeeeeseeeeeseeeeeeeeseeeeeeeeesseaeeeeeessageeeeeeeas 19 3 2 QUICK Sens r CaptUreS accses renine Ren ea EREE EErEE SEERA SAREE E ERE Ennn SERRER EE 21 3 3 Capturing Group Layout Images from a Sensor cseecccceeceeeeeeeeeeeeeeeeeeeeeeeeeeesseeeeeeessegeeeeeeeas 23 4 CAPTURING IMAGES FROM SCANNERS 0 sscccccccceceeeeeeeeceaeeeeesssseeeeeceeeeeeeeesesseeaaeaaasseeeesees 27 4 1 General Orma OI serseri Rai A EENE R EA eN EaR EEA Teia Niani 27 4 2 Capturing Single Images from Scanners ccccccccccceceeeeseeeceeeeeeaeeeseeececeesesueaeeeeeeeeeessuaaeeeeeeees 27 4 3 Capturing Group Layout Images from Scanners ccseeeeseeeeeeeeeeaeeeeeeeeeeeeeeeeaeeeeeeeeesesaaaaeeeeeeess 29 5 CAPTURING IMAGES FROM AN INTRA ORAL CAMERA cccccccccssssesessseeeeceeeeeeeeeeeeeseaaaeeeeeeeeeees 33 5 1 General TON MAN ON eiere e e E E gasertesectsianecc 33 5 2 Capturing Single Images from an Intra Oral Camera cccecccceeceeeeeceeeeaaeeeeeeeeaaeeeeeeseseeeeeeeeeas 33 5 3 Capturing Group Layout Images from an Intra Oral Camera cccceeceseeeeeeeeeeeeeeeeeeeaeeeeeeeeeas 36 6 IMPORTING IMAGES FROM AN EXTERNAL SOURCE
119. ng the image Digital System Selected Sensor Description Test Auho gt i Continue to use this sensor Alo intermittent prompts OK Cancel Oo 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 The software will advance and prepare the sensor for x ray exposure The sensor indicator will turn green when the sensor is ready to capture an image A vocal cue will also be heard if the computer has a sound card and speakers Proceed to shoot the x ray The new image from the sensor will appear in the selected tile Page 25 of 137 APTERYX amp custom software June 8 2012 WI XrayVision User Manual 3 3 10 3 3 11 3 3 12 3 3 13 3 3 14 Apteryx Inc The application will then advance to the next tile in the series e If Continue using this sensor was selected in Step 3 3 6 the sensor will automatically be prepared and readied for the next capture e If Continue using this sensor was not selected in Step 3 3 6 the Capture Sensor Image screen will display for the user to select the desired sensor Click on OK to continue with the capture Place the sensor in the patient s mouth and position it to capture the teeth associated to the tile Repeat Steps 3 3 7 3 3 11 until the last image in the series has been capt
120. ng on end points while dragging the mouse with the left button held down Release the left mouse button at the final end point 8 3 2 3 A Calibrate Measurements pop up screen will appear Type the known length of the object Click OK Calibrate Measurements Reported Distance 1 907 in 46433 cm 46 425 mm Fercentage OK Cancel 8 3 2 4 This image is now calibrated and any measurement performed will be based off the calibration 8 3 3 Adding Quick Calibrations Once an image is calibrated the calibration factor can be stored for future use and applied to other images captured before or after the calibration factor was created Once created it will be available to other computers once users exit and restart the software Oo The accuracy of the Quick Calibration is dependent upon whether the image resolution is static or dynamic For example sensors return static image sizes and thus will have an accurate Quick Calibration But phosphor plates return dynamically changing image sizes and thus will not sustain accurate Quick Calibrations Apteryx Inc Page 61 of 137 AFTIOYE N June 8 2012 WI XrayVision User Manual To add a new calibration to the Quick Calibrations list 8 3 3 1 Open the Calibration control from the pop out bar on the right of the user interface and double click on lt Add Current Calibration gt under the Quick Calibration section Calibrated 0 168
121. not been sent Subject Test Attached XrayViewMailer ZIP 132 KB al Tracking Information Reference Number 123456789 Message Test Patient Information Name Jane Doe SS Number k_ 090999 ID Number XVA100001 DOB 69 23 1969 Sex F Teeth 6 1 2 3 Image Type Digital X ray Image Subtype Periapical 9 5 3 5 Add the recipient s email information and proceed to send the attached image layout in Outlook Outlook Express 9 6 XrayView Creator 9 6 1 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 9 6 2 Configuring the XrayView Creator Options 9 6 2 1 9 6 2 2 Apteryx Inc Select TransIT gt Options gt Component Options The TransIT Configurations dialog box displays Select XrayView Creator and click on Edit Options Page 79 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 9 6 2 3 The XrayView Options dialog box displays ArayView Options Mon Blank Disk Handling
122. nt to another 11 2 2 1 Open the image s that was captured under the wrong patient 11 2 2 2 Right click on the image and select Move to Patient gt Move Image To Patient from the pop up menu Image Operations Tooth Information Image Related Information gt Save r Print Move to patient Move Image To Patient Delete Current Patient Image all I To Af History y t 11 2 2 3 The Move Image to Patient utility displays Select the patient from the list to which the image is to be moved and click on the OK button Move Image To Patient The image should be moved from patient Doe John IDnum X A100000 to patient LastName FirstName SSmum Dnm V4100001 4100000 11 2 2 4 Repeat the process for any additional images that need to be moved 11 2 3 To move a layout from one patient to another 11 2 3 1 Open the layout that was captured under the wrong patient Apteryx Inc Page 99 of 137 part d ts Ata June 8 2012 WI XrayVision User Manual 11 2 3 2 Right click on any image tile in the layout and select Move to Patient gt Move Group To Patient from the pop up menu Layout Options d Image Operations d Tooth Information Image Related Information r Save b Print Move to patient Move Image File To Patient Delete Current Patient File Group Move Group To Patient History 11 2 3 3 The Move Layout t
123. ntrast or gamma correction 7 3 2 1 Select Enhancement gt Brightness Contrast gt Brightness Contrast or Enhancement gt Brightness Contrast gt Gamma Correction from the main menu The applicable dialog box displays Adjust Brightness Contrast Original Image Resulting Image Preview Contrast NOTE Que to the fact that you can modify both grayscale and true color images there is a slight delay in the update of the preview image 7 3 2 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 Select to pan the image in the preview to view a specific area Click and drag the image with the left mouse button Apteryx Inc Page 48 of 137 APTERYX o June 8 2012 WI XrayVision User Manual custom software e al 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 MN 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 7 3 2 3 Use the brightness and contrast sliders OR click and drag the sliders located on the right side br
124. ntrol right click on the tooth control diagram and click Deciduous Tooth Control from the menu 3 1 5 If Automatically proceed after tooth selection is checked on the Sensor Tooth Selection screen the software will automatically advance and prepare the sensor for x ray exposure If it is not checked click on OK to proceed to prepare the sensor for capture 3 1 6 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 Apteryx Inc Page 20 of 137 APTERYX June 8 2012 WI XrayVision User Manual 3 1 7 Proceed to shoot the x ray The new image from the sensor will soon appear on the application s desktop The amount of time it takes for the image to appear on the screen is dependent upon the sensor manufacturer WP Taken 3 16 10 9 41AM 1 18 Original E B 3 1 8 The image file is automatically saved and stored in the patient s file if Automatically save patient images in their records after capture is enabled in Tools gt Options gt Safety tab If this option is not enabled the Save Modified Image dialog box will display when attempt to close the image prompting the user to either Save Save As Export or Discard Image Select Save to save the image to the patient s file Save Modified Image Patient Doe Jane SSnum 9999 Dnum SYA 100001 This image h
125. o Import Utility The Auto Import utility automates the import process by allowing users to define an import file location directory that the software will always look to for files to import specify import file types and categorize the files being imported before they are moved into the patient s record Once the utility is configured users can perform auto imports with a few mouse clicks 6 4 1 Configuring the Auto Import Utility 6 4 1 1 Select File gt Acquire gt Auto Import Images or Layout from the main menu The Auto Import Images or Layouts interface displays Auto Import Images Or Layout Automatically Import Files From Directory File Specification i e Wait 2 seconds bd after a file appears to be sure that no more files are being transfered to the target directory NOTE The images will be opened under whatever patient is currently opened Additionally the files will AUTOMATICALLY BE DELETED from the target directory once they have been imported into a patient but will NOT be deleted if imported into NoBody Import As Individual Files C A layout Image Type Miscellaneous x Image Subtype Miscellaneous v Layout Type Tiles BG Color 4 2 Bite Wings Free Form 2 RGB 255 255 255 4 4 Bite Wings Free Form 4 RGB 255 255 255 4 4 Bite Wings 10 Camera Free Form 4 RGB 255 255 255 4 4 Bite Wings Scanners Free Form 4 RGB 255 255 255 EE 5x5 Group 5x5Grid 25 RGB 0 0 0 4 Checkup Free F
126. o Patient utility displays Select the patient from the list to which the layout is to be moved and click on the OK button 11 3 Creating a Patient CD DVD Disk 11 3 1 Overview The imaging application allows users to burn patient images and information directly to a CD DVD disk for distribution e g referrals etc Users can burn one multiple or all patient images with ease The utility is an add on component that can be downloaded from the Apteryx com Component Updates amp Add ons website Warning The CD DVD Burning add on component requires Windows XP and version 3 9 build 86 or higher of the imaging application to function 11 3 2 Configuring the CD DVD Disk Options Prior to burning patient images to CD DVD export formatting and target preferences must first be setup 11 3 2 1 Select Patient gt Patient Utilities gt Patient CD DVD or Disk Options from the main menu Apteryx Inc Page 100 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 11 3 2 2 The Options dialog box displays Options Export Format Export images as JPEG images This format exports images that can be read by any application F Include viewer server4pterys4pterys Imaging Quick iew EXE X Export images as XrayVision images This format exports images image in a format that can be used to import the patient directly into another XrayVision X Include viewer MserverApteryx Apteryx Imaging
127. oducts this is the recommended transfer type Cancel e 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 Apteryx Inc Page 70 of 137 APTERYX June 8 2012 WI XrayVision User Manual ustom software Layout Options If sending one or more layouts select one of the following file format options o Combined single image i e JPEG format o Apteryx layout file i e a compressed zip file containing the layout STB images and related data files o A common file format ZIP file i e a compressed zip file containing the images in JPEG format 9 3 4 3 Click on OK to generate and send the email via the outgoing SMTP server 9 4 FastAttach by NEA 9 4 1 Overview The FastAttach module enables users to submit patient images and claims to NEA s FastAttach web based service 9 4 2 Configuring FastAttach Options 9 4 2 1 Select TransIT gt Options gt Component Options 9 4 2 2 The TranslT Configurations dialog box displays Select FastAttach by NEA and click on Edit Options 9 4 2 3 The FastAttach Options dialog box displays Mee eaba STE LJ View Outgoing Not Specified Attachments F stAttach W Always use this quality factor NEA JPEG Quality Factor 1 100 Fastattach CED Copyright 2000 Aptery Inc J 00 Wi rights reserved Low Quality High
128. of selected tiles uJ tothe layout sensor etc vertically Adjusts width of ce Aligns the left Aligns the oF Adds a horizontal EH selected tiles to Be hand edge of Ho bottom edge of Hj tile to the layout equal length selected tiles selected tiles 14 3 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 14 3 1 Select the desired layout to edit The layout tiles display in the preview window 14 3 2 Select the Order button to enable the tile ordering function 14 3 3 Note that the current capture order of each tile displays in the top left corner of each tile Sensor 14 15 16 17 18 19 Sensor 12 13 14 179 20 21 14 3 4 With the ordering function now enabled click on each tile in the order desired for capturing The tile numbers will be reordered as the user selects each tile in the series Sensor Sensor 2 Sepals 1 352 3 4 5 20829 30 Sensor 14 15 16 17 18 13 Sensor 12 13 14 19 20 21 14 3 5 Select the Save button to store the changes 14 4 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 sourc
129. on Performs median noise reduction on an image Capture Video Image Displays a video streaming screen from which still images are captured Toggle Sensor Port For non direct connect sensors that use a box which has multiple ports Merge Current Label Merges the selected label with the image Page 135 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 16 APPENDIX F THE APTERYX IMAGING KNOWLEDGEBASE The Apteryx Imaging Knowledgebase http apteryxware com dental knowledgebase is a resource of technical support articles available to all customers The online knowledgebase is a self service support channel that gives users the ability to search instructions for e HOWTO articles common user tasks e HELP articles resolutions for common user issues e OVERVIEW articles general information regarding features functions and components of the imaging application Visit http apteryxware com dental knowledgebase kb browse shiml for a comprehensive list of all the articles available in the Apteryx Imaging Knowledgebase Apteryx Inc Page 136 of 137 custom software APTERYX June 8 2012 WI XrayVision User Manual END OF DOCUMENT Apteryx Inc Page 137 of 137
130. one Display the time the image was taken Displays the original taken date on the image title bars when viewed Display the last modified time Displays the modified date on the image title bars when viewed Automatically tile images when they are displayed If enabled images will automatically be tiled on the application desktop when opened under a patient Tile images horizontally If enabled images will be tiled in a horizontally across the application desktop Tile images opened under Nobody If enabled images opened on the application desktop when no patient file is open will be tiled Display current sensor port If enabled the status bar at the bottom of user interface will display the current active sensor port Users can toggle between ports from the status bar if enabled Automatically hide pop up controls If enabled the automatic Properties menu that pops up when a label tool is used will be disabled Page 112 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 12 5 The Interface 2 Tab The Interface 2 tab contains additional settings that control the appearance of the user interface Options General General 2 Interface Interlace 2 Image Safety Database Syne Sensor Language Toot 4 Toolbox Title Bars W Display tooth numbers Image ar Layout Overview Display the layout overview when viewing Display ImageBar horizontall
131. one created to capture from a Video Source Select Tools gt Layout Definitions from the main menu and then refer to Common Layout Tasks Changing the Capture Source Appendix D for detailed instructions To capture layout images 5 3 1 Add create a new patient or open an existing patient record 5 3 2 Click on the Capture Layout Images icon on the toolbar oO Capture Layout 5 3 3 The Select Layout screen displays allowing users to choose the layout definition to be used for capturing XV includes layouts for bitewings posteriors anteriors full mouth series etc Select the desired capture layout double clicking on it or click on it once to highlight it and then click on OK Select Layout Y Please select the layout definition that should be used when capturing images Icon List Icon and Name EON El Gi ale Eo ee om tf gt WAiS Users Stefano T est201 05 User4BiteWings O Camera Layout pE Edit Layout Definitions O By default XV displays available layouts in Icon view Additional views include List and Icon and Name Select the tab preferred for viewing layouts on the selection screen and it will be stored as a default setting for the workstation Apteryx Inc Page 36 of 137 APTERYX June 8 2012 WI XrayVision User Manual 5 3 4 The selected layout will open up in capture mode Note that the first tile in the series is selected awaiting an
132. orm i RGB 255 255 255 W FMX 1 Free Form 22 RGB 0 0 0 W FMX 18 Free Form 18 RGB 0 0 0 We FMX H2 Free Form 20 RGB 0 0 0 We FM 21 Free Form 21 RGB 0 0 0 Enable constant automatic importing of images Do immediatly when close this dialog Cancel 6 4 1 2 Configure the import file location directory and settings e Click on the Browse button shown in red below in the Automatically Import Files From section Automatically Import Files From Directory File Specification i e Wait 2 seconds Me after a file appears to be sure that no more files are being transferred to the target directory Apteryx Inc Page 44 of 137 APTERYX amp custom software June 8 2012 WI XrayVision User Manual 6 4 1 3 6 4 1 4 6 4 1 5 6 4 1 6 Apteryx Inc The Select Path dialog box displays Find and select the appropriate folder Click OK Select Path Select the appropriate directory ES Insurance s Miscellaneous E My Dental My Music 7 poy My Pictures of Apterys Imaging Patient Images Cancel The path of the folder selected will display in the Directory field If desired specify the file extension for specific file types to import e g jpg in the File Specification field highlighted in green below Automatically Import Files From Directory File Specification Le C Documents and Settings My Pictures Patient Images Oo
133. orts image cards etc that a user can select to automatically Spawn 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 It offers two versions of document templates compatible with older MS Word 97 or greater and newer MS Word 2002 XP versions of Microsoft Word O Macros must be enabled in MS 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 Setting Up Microsoft Word Before Microsoft 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 10 5 2 1 Select Tools gt Options from the main menu The XVa3 Options dialog box displays Apteryx Inc Page 91 of 137 APTERYX June 8 2012 custom software WI XrayVision User Manual 10 5 2 2 At the bottom of the General tab there is a Microsoft Word section Click the browse button outlined in red below to manually search for the Microsoft Word executable typically called WINWORD EXE OR Click the Search button to have the software
134. plays various buttons that enable users to quickly access and execute the related feature function If the toolbox is not in locked mode it can be customized to display the desired toolbox option All buttons on the toolbox with the exception of the Pointer button k have a black triangle in the lower right hand corner of the button which indicates the option can be changed To change swap a toolbox option 15 1 1 15 1 2 15 1 3 15 1 4 15 1 4 1 Click on the black triangle of the toolbox button to swap OR click and hold down the left mouse button for about two 2 seconds Noise Reductiong Adapt Adaptive VAAI Noise W By x0 Select the desired option from the toolbox options that displays Refer to 15 2 for available Toolbox options Repeat 15 1 1 and 15 1 2 to swap out any additional Toolbox options desired On the Toolbox options have been customized as desired it can be locked to prevent additional changes Select Tools gt Options from the main menu The Options dialog box displays 15 1 4 2 Select the Interface 2 tab and enable the Lock toolbox option and then click OK to save the changes 15 2 Toolbox Options a Apteryx Inc Spot Invert Makes black areas ona small area of the image become white and vice versa Image Selection Selects a rectangular area of image for the purpose of cropping R kd Spot Magnify Magnifies an a
135. ply the settings to the open image 7 5 2 5 On the main menu click on Undo al to remove the enhancement applied to the image OR Save a to store the changes Apteryx Inc Page 53 of 137 APTERYX o June 8 2012 WI XrayVision User Manual custom software 7 6 Image Macros 7 6 1 Overview Image Macros allow users to create a customized sequence of enhancements filters that can be applied to images 7 6 2 Creating Adding a customized image macro 7 6 2 1 Open a patient image 7 6 2 2 From the menu select Enhancements gt Image Macros gt Edit Macros Image Macros Macros Original Image 3 Add Macro Macro Commands Resulting Image Previews Move Up Move Down Test Macro oOo ox e Cancel 7 6 2 3 Click Add Macro and enter aname The new macro name will be displayed under the Macros section 7 6 2 4 Click on the macro name just added to highlight select it 7 6 2 5 Click Add Command to add and customize a desired filter Repeat this process to add a sequence of filters to the macro 7 6 2 6 The macro will trigger the filters in the order displayed under Macro Commands To change order select the desired command and use the Move Up or Move Down button to place it in the desired position 7 6 2 7 Click Test Macro to preview the resulting image If satisfied click OK to exit 7 6 2 8 Once the macro is created a user can customize their toolbar to include a button for the n
136. r Manual 4 3 14 The layout group is automatically saved and stored in the patient s file if Automatically Apteryx Inc save patient images in their records after capture is enabled in Tools gt Options gt Safety tab If this option is not enabled the Save Modified Image dialog box will display when attempt to close the image prompting the user to Save Save As Export or Discard Group Select Save to save the layout to the patient s file Page 32 of 137 APTERYX June 8 2012 WI XrayVision User Manual 5 CAPTURING IMAGES FROM AN INTRA ORAL CAMERA 5 1 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 Oo By default the DirectVideo Extension is enabled To change to Real Time Video Extension for older analog cameras click on Tools gt Select Video Device Type and enable the Real Time Video option on the
137. rea of the image 1x 2x 3x or 4xina separate screen Arrow Labels Adds an arrow label to the image with a trailing straight line 4 gt Spot Enhance Performs an equalization of a small area in order to find density changes Angle Measurement Labels Adds an angle label to the image Requires the simultaneous use of both left and right mouse e 4 Spot Colorize Converts an area of a grayscale image from black and white to color Callout Labels Adds a label that is a straight line to a customizable text box Page 133 of 137 APTERYX custom software June 8 2012 WI XrayVision User Manual e l is lbe ke Apteryx Inc Ellipse Labels Adds a sizeable circular label to an image Measurement Labels Permits the placement of measurement labels Requires calibration before use Straight line Labels Adds a straight line label to an image Full Screen Maximizes the image to fill the entire computer screen and cover the desktop Emboss Applies the emboss enhancement to the image Extended Image Information Displays the image type and image subtype Redo Undone modifications to the image can be redone with this tool Rotate 180 Rotates the image 180 clockwise Duplicate Makes an exact replica of the image Freehand Labels A pencil tool is provided to draw a freehand label on the image Calibrate Me
138. ryx Inc Page 63 of 137 AFTIOYE W June 8 2012 WI XrayVision User Manual 8 3 4 3 The newly added calibration factor will be listed under Auto Calibrations Click on the box to the left of the new entry to enable it Mame Image Size Create New Auto Calibration From Current Image oO Users can create and enable multiple auto calibration entries Subsequent images captured will be calibrated automatically and be ready for measurements if they exactly match the dimensions specified in the image size column of any enabled auto calibration entry 8 3 5 Adding a Measurement Label Follow the steps below to perform a measurement and create a measurement label 8 3 5 1 Once a calibration is applied the cursor changes to a crosshair with no gear ready to take a measurement 8 3 5 2 Place measurement crosshair at the starting point of the object to be measured hold down the left mouse button and drag the mouse to the end point of the object then release the mouse button O 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 8 3 5 3 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 Warningll Measure z I E B ac tel
139. s selection screen Select each desired image thumbnail Tooth Teeth Related Images Doe Jane SSnum 9999 Daum VATO0001 Teel 8 15 Image Digital X rays Scanned X rays 2 4 3 5 Click on the Open button to open and display the selected image s on the application desktop Apteryx Inc Page 14 of 137 eae N June 8 2012 WI XrayVision User Manual 2 5 Viewing Layouts Mounts A layout is a group of free floating tiles displayed in a single workspace The groups of images are displayed in individual tiles within a layout 2 5 1 Open a layout using one of the three methods described in the previous section O The thumbnail representation in the Patient Index and Open Patient Images dialog boxes will either display tiles within a layout or images within a layout depending on how the software options are setup To display thumbnail images click Tools gt Options gt Image tab and enable Draw real representations of layouts 2 5 2 Once a layout is selected and open it displays in a Layout View All images in the layout are displayed in their anatomical positions FGrp_03302010_102301 Auto BHA 3 E a re e al 2 o 4 b it B _ _____ 2010 03 30 2010 03 30 2010 03 30 28 29 30 12 13 14 19 20 21 sensor i 19 20 21 2010 03 30 File 0 2 5 3 Double click on an image in a tile to zoom into that image Performing this action displays
140. search criteria Found Images The following patients had images created taken from March 30 2010 to March 31 2010 Doe John 1 images im Open BS Move To Another Patient Cancel e Select a patient on the left column to preview their related images e If the desired image is found click Open to view it OR click on Move to Another Patient to transfer the image to the correct patient 11 4 2 5 If 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 Apteryx Inc Page 103 of 137 APTERYX June 8 2012 WI XrayVision User Manual 11 5 Deleting Patient Images Follow the steps below to remove one or more images from a patient s file 11 5 1 Open the desired patient s file 11 5 2 Close any open patient images 11 5 3 Select Patient gt Patient Utilities gt Delete Patient Images from the main menu 11 5 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 Delete Patient Image Files Delete Patient Files sa Debete Digital X rays 11 5 5 The following warning messages display If sure select Yes on each to continue with the deletion Delete Patient Images v4 j Are vou sure that you want to delete these Fi
141. settings of installed sensor extensions and also configure general sensor capture settings that apply to all sensors Users can also configure audible indicators for sensor readiness and failure Options General General 2 Interface Interface 2 Image Safety Database Sync Sensor Language Toot 4 Sensor Device Options General Sensor Options When capturing a layout pause between sensor captures ee Audible Indications Ii Enable audible indicators Play sounds on user aborted captures Use Male Voice Use Female Voice Use Cartoon Yoice Sensor Ready Sound MAISU sers Stefano T est207 O BinsFY_SAREAD YY Way Play Sensor Failure Sound MA sershStefanosT est207 O BinkFY_SFAILURE Way Play Cancel Help e Sensor Device Options Sensor extensions files ending in SED are hardware specific files that extend the image processing capabilities of imaging application to acquire X rays from different sensors Any sensors extension Is listed in this section Double click on any listed sensor to open and modify the specific sensor s options e Prompt for tooth information before capture If this general option is enabled the user will be prompted for tooth information before the sensor is prepared for X ray exposure e When capturing a layout pause between sensor captures This option is useful when a sensor system times out too fast or if a certain sensor system needs more
142. sity values The normalize option is only available for grayscale images Before Normalization After Normalization e Adaptive Normalize The Adaptive Normalize operation usually results in the best brightness contrast for an image The adaptive normalize approach uses adaptive algorithms to determine the best application of the normalize algorithm When adjusting the brightness contrast of an image the adaptive normalize operation is the recommended first attempt Before Equalization After Equalization 7 4 Sharpening and Laplace Edge Enhancement 7 4 1 Overview Due to the fact that most images have some degree of blurriness from focus problems or inherent limitations in the image taking process the imaging application offers two forms of image sharpening Mask Sharpening and Laplace Edge Enhancement Apteryx Inc recommends the Laplace Edge Enhancement algorithm as the preferred method to sharpen an image This method applies the Laplace image processing filter that enhances the edge contrast of an image in an attempt to improve its apparent sharpness Although each method utilizes a different approach to sharpening an image both approaches can compensate for the blurriness in an image Apteryx Inc Page 50 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software Before Laplace Edge Enhancement After Laplace Edge Enhancement 7 4 2 Applying sharpening or Laplace edge enhancement 7 4 2 1
143. t dialog box closes and the new layout is displayed in the preview window Layout Definition Layouts 4 BITE WINGS I0 CAMERA 4 tiles file 4BITEWINGSIOCAMERA Layout 2 Bite Wings 4 Bite Wings 4 BITE WINGS I0 CAMERA Images with Claim Form 3 Lower ANT Endo Lower Left Molar ENDO i Lower Right Molar ENDO sensor Sensor Sensor Sensor 3 One Image with Claim Form 41 2 Sees 1 321 3 4 5 26829 30 12 13 14 19 20 21 14 15 16 17 18 19 Pedo FMX AME er i s d Mb dS mse JRA IM Xe Delete Layout amp Export Layout Definition 1 gt 2 354 Order Layout Options g Be lt No Tile Selected gt XAR Y Done Layout Imaging Extension Preference lt No Preference gt n y 14 6 6 Refer to The Layout Definitions Toolbar section above for additional functions that can be performed to further configure the layout tiles as needed 14 6 7 Refer to Changing the Capture Source section above to change the source the image should be acquired from 14 6 8 Select the Save button on the Layout Definitions dialog box to store the changes Apteryx Inc Page 132 of 137 APTERYX custom software June 8 2012 15 APPENDIX E TOOLBOX OPTIONS 15 1 Customizing the Toolbox WI XrayVision User Manual The toolbox control should be thought of as a cross between the standard menu and a toolbar with a few extra features When selected the control dis
144. t application e g Microsoft Outlook and automatically attach patient images and files to a new email message The General Emailer requires Outlook Outlook Express or other MAPI clients 9 2 2 Configuring the TransIT General Emailer Creator O 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 Outlook or Outlook Express as the default email application 9 2 2 1 Select TransIT gt Options gt Component Options 9 2 2 2 The TransIT Configurations dialog box displays Select General Emailer Creator and click on Edit Options 9 2 2 3 The General Emailer Options dialog box displays General Emailer Options I Alans use this quality factor JPEG Quality Factor 1 100 ILE Low Quality High uality ga General Sv Emailer Copyright 1999 Apter Inc All rights reserved W Mask 55 numbers Cancel e 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 e Enable the Mask SS numbers option to suppress the transmission of SS numbers e Click OK when done 9 2 2 4 Click OK on the TransIT Configurations dialog to return to the application desktop 9 2 3 Sending Images Using the TransIT General Emailer Creator 9 2 3 1 Op
145. tachment as a ZIP file to generate attachments as a ZIP file If disabled the attachment will attach a self extracting executable EXE file extension 51996 2002 Apteryx Ine All mighta reerved 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 e 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 e Click OK when done 9 5 2 4 Click OK on the TransIT Configurations dialog to return to the application desktop 9 5 3 Sending Images Using the XrayView e Mailer Creator 9 5 3 1 Open an existing patient record and view the desired image or layout to send 9 5 3 2 Select TransIT gt XrayView e Mail Creator The TransIT Item Selection dialog box displays TranslT Item Selection What do you want to send Single Image Options ie As an Aptens secure image STB I ferge labels into the image Layout Options 4s a combined single image f 4s an Aptens layout file IF 4 common file format ZIF file IY Remove unnecessary files Sends the image in Apternys s STB file format The sent image Quarentees image authenticity but the resulting image can only be processed by those applications that support the STE image file format IF the sending method comes comp
146. teeth will be highlighted in grey i By default the Modify Tooth Selection screen displays adult tooth controls To change to deciduous tooth control right click on the tooth control diagram and Deciduous Tooth Control from the menu Inc Page 28 of 137 Soe a We June 8 2012 WI XrayVision User Manual 4 2 9 The image file is automatically saved and stored in the patient s file if Automatically save patient images in their records after capture is enabled in Tools gt Options gt Safety tab If this option is not enabled the Save Modified Image dialog box will display when attempt to close the image prompting the user to either Save Save As Export or Discard Image Select Save to save the image to the patient s file 4 3 Capturing Group Layout Images from Scanners 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 O Layouts definitions specify the source sensor scanner etc that the image will be acquire from By default in 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 Tools gt Layout Definitions from the main menu and then refer to Common Layout Tasks Changing the Capture Source Appe
147. teryx Inc Page 16 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 2 7 3 The Select Patient dialog box displays Find and select the patient from the list and then click on OK Select Patient Please select the patient that is to be deleted LastName FirstName SSnum Drum 9939 99 9999 2A100001 09 23 1969 V 4100000 Click on an entry to fill in the additional information about the patient Cancel 2 4 The following warning messages display If sure select Yes on each to continue with the deletion Delete Patient re you sure vou wank to delete the patient Doe Jane Sonu o990 IDnum XY 4100001 and all of their associated Files Yes 2 7 4 1 Delete Patient Are you ABSOLUTELY sure that vou want to delete the patient Doe Jane Sonu eA gogo IDnum sA 100001 and all of their associated Files 2 7 4 2 Apteryx Inc Page 17 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software Delete Patient Last Warning This patient and ALL of their assocated tf Files images and x rays will be deleted 4re vou ABSOLUTELY sure that they should be deleted Yes Mo 2 1 4 3 Apteryx Inc Page 18 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 3 CAPTURING IMAGES FROM A SENSOR 3 1 Capturing Single Images from a Sensor Capture Sensor Image permits users to select t
148. the printout When selected the order number displays on the Order column Ordered images can be deselected by clicking on the desired image Print Image s Multiple Image Images Per Page General Image Text Header Footer Image List Cancel Image DigX_08192010_102604 Auto Misc_07152010_091817 Exported lt lt Less Image List Prints the images that are selected in the Image List Multiple images are selected deselected by holding down the lt Ctr gt key on the keyboard when clicking on the item with the left mouse button Apteryx Inc Page 86 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 10 3 3 2 Images Per Page tab Print Image s Multiple Image Images Per Page General Image Text Header Footer Print 2 total image s Cancel Cols per page FEE ggg e I be 2 page s in i Ei Print page numbers FEE 1x1 MiNi Mi Mi fe 3 C Rows Cols Per Page Indicates the number of image across and down that should be printed on a single piece of paper Print Page Numbers Indicates whether or not page numbers should be included on the printout s Page Numbers Should Be Printed e Define the columns and rows per page for the printout The number of rows and columns selected should correspond to the number of images to be included in the printout e Select Print P
149. this directory as soon as this dialog is opened Open Under C Nobody The current patient Doe Jane SSnum 9999 Dnum lt V A100001 DOB 09 23 1969 Delete the files once they have been successfully imported Import As Individual Files C A layout Image Type Miscellaneous Image Subtype Miscellaneous Layout Type Tiles BG Color 4 2 Bite Wings Free Form 2 RAGBI 255 255 255 W 4 Bite Wings Free Form 4 RGB 255 255 255 4 4 Bite Wings 10 Camera Free Form 4 RGB 255 255 255 4 4 Bite Wings Scanners Free Form 4 RGB 255 255 255 E 5x5 Group 5x5 Grid 25 RGB 0 0 0 Checkup Free Form A RGB 255 255 255 A FMX H Free Form 22 RGB 0 0 0 A FMX 18 Free Form 18 AGB 0 0 0 We FMX 2 Free Form 20 RGB 0 0 0 W FMX 21 Free Form 21 RGB 0 0 0 Cancel 6 3 3 To add files manually in the Files to Add or Import section select the related Browse button shown in red below to browse and add image files to the Files to Add or Import section Open ales Import Images Or Files To Add Or My Recent Documents E Desktop Apteryx Imaging Patient Images My Documents 95 My Computer To add files drag and auto import parameter a additional options Da w My Network File name hawig o Places Automatically Impa Files of type all Files Cancel Directory Apteryx Inc Page 42 of 137 APTERYX amp custom software June 8 20
150. time to reset itself before it is prepared to capture the next tile in the layout e Enable Audible Indicators This option enables an audible voice that will say Sensor Ready 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 failure WAV files user can configure their own by selecting the applicable browse buttons to locate and select a different file Apteryx Inc Page 119 of 137 APTERYX o June 8 2012 WI XrayVision User Manual custom software 12 11 The Language Tab The Language tab allows users to change the language that the program is presented in by selecting a different language from the Available Languages list The change will take effect once the user exits and launches the software again Options To change languages either click on the new language from the Available Languages list or click on the Select Other Language File button Netherlands Portugues f Current Directory Amerncan English E Fil Cuan urent Filename Svenska Language Amerncan English Translations amp Select Other Language File NOTE The information displayed on these pages will not be displayed in a new language until the next time you access the application options Apteryx Inc Page 120 of 137
151. tion if desired This option is applicable to handling images captured using direct capture extensions e g SuniCam3D or PlanmecasD extensions e Click on OK to continue 11 6 4 The Select Patient Images Files dialog box displays Select Patient Image Files Select the images that should be exported Doe John Select All Images Cancel 11 6 5 To export all images choose Select All Images from the provided drop down list Apteryx Inc Page 105 of 137 APTERYX o June 8 2012 WI XrayVision User Manual custom software 11 6 6 To export one or more specific images e Choose Select Specific Images The Select Patient Image Files dialog box expands to display thumbnails of all the patient s images Select Patient Image Files Select the images that should be exported Doe John Select Specific Images Cancel Digital rays Color Images Miscellaneous e Use the mouse to select the desired images and then click on the Select button when complete 11 6 7 The imaging application will proceed to export the selected images to the specified directory 11 7 Take Retake From Layout Capture 11 7 1 When a tile is selected in a layout an image can be added to the tile from any of a variety of different sources e g Sensors Scanners etc by selecting Group gt Layout Options gt Take Retake from Or by right clicking on the image and selecting Layout Options gt
152. to Size gt qee m Quick Settings X oe Resolution 150 lt lt Less Description Scanned X ray Captures a x ray from a scanner or other TWAIN capturing device ca Grayscale 150 DPI Acquire without device s interface Apteryx Inc Page 27 of 137 APTERYX custom software June 8 2012 WI XrayVision User Manual Apteryx 4 2 4 Click on the Image Source drop down list and select the applicable driver for the TWAIN Compliant scanner or phosphor plate scanner 4 2 5 Depending on the hardware Automatically Acquire may need to be disabled if a TWAIN driver is selected i 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 4 2 6 If acquiring from a flatbed scanner skip to Step 4 2 7 for phosphor plate scanners 4 2 6 1 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 4 2 6 2 Click on the OK button 4 2 6 3 If this is the first time the TWAIN compliant scanner is being used XV will display a de
153. ttings of various image real time filter options 7 7 9 1 Select Enhancement gt Real Time Filter Options from the menu and then click on the desired filter Enhancement eters TransIT Archivell Took Window Help Brightness Contrast b Adjust Lev l b Smooth Edge Enhancement b Noise Removal gt Embossing Apply Custom Mask Image Macros gt Imaging Extensions b Imaging Algorithms gt Real Time Fiters a Fil ae 8 Another option is to right click on the image select Real Time Filter Options from the pop up menu and then click on the desired filter 7 7 5 2 Adjust the settings as desired and click OK to save the changes Oo The imaging application also provides the ability to make adjustments to real time filters before opening patient images Select Tools gt Real Time filter Options and select the desired filter to adjust Apteryx Inc Page 56 of 137 June 8 2012 WI XrayVision User Manual 8 LABELLING IMAGES 8 1 General Information Unlike other systems the imaging application provides users with a large set of temporary labels marker and annotations that can be associated with an image A label does not have to be merged e g become a permanent part of an image and can float above the image without ever having to become an actual part of an image The imaging application provides a wide range of services when dealing with labels from freezing a label s position to hiding l
154. ttle more processing than OS notification but unlike 05 notification it is supported by all computers running any Windows operating system f OS notification Operating System Notification indicates that the 05 can notity the application when the database has been changed This options requires the least amount of overhead but is not supported by all versions of Wind or winga fall versions of Wink T and WiresP support this option Database Caching Use database caching These settings indicate that database caching should be used This option requires more memory but can significantly reduce network lag over slow or heavy networks NOTE None of these changes will affect until the application is restarted Cancel Apply Help e None This setting should only be used if the practice only has a single computer for dental x ray imaging This setting should only be used when computers are NOT networked e Database polling This setting applies to computers that are on a network With this setting enabled the imaging application is responsible for monitoring the database therefore it is supported by all Microsoft Windows operating systems e OS notification This setting also applies to computers that are on a network however with this setting enabled the Window operating system OS is responsible for monitoring changes to the database This setting is only supported by legacy versions Windows NT and Windows 2
155. tude of the sharpening operation Use the slider to manually adjust the degree of image sharpening as desired 7 4 2 5 5 Select a predefined Mask Size OR select i 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 7 4 2 6 6 Click OK to apply the settings to the open image 7 4 2 7 7 Onthe main menu click on Undo l to remove the sharpening applied to the image OR Save e to store the changes 7 5 Noise Removal 7 5 1 Overview Noise in an image can be caused by a number of factors such as dust scratches or image static A variety of noise removal reduction algorithms are provided e Fast Median e Median e Minimum e Maximum What is identified as noise in an image differs with each selection In most cases median noise reduction results in the best image quality The minimum and maximum noise reduction filters are usually useless on smaller images but due to their fast soeed of computation are typically utilized on large images It is important to note that excessive noise reduction leads to a loss of detail N G 7 l S Before Noise Removal After Noise Removal The options above are available under Enhancement gt Noise Removal on the main menu Apteryx Inc Page 52 of 137 APTERYX June 8 2012 WI XrayVision
156. uap and drop the mages acund i the lapout You do not have to dop the images odo offer tiles Dropping image into empty space wil esoreaicaly create a the where the image are hopped Phere autotie 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 Click on the Capture Series button on the Capture Layout toolbar 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 Scans Cancel V Automatically Acquire lt Auto Size gt Continue to Iv use this SCANNED Quick Settings source gt Display NE E Bl Resolution TELL ready 3 prompts 150 lt lt Less Description Scanned X ray Captures a x ray from a scanner or other TWAIN capturing device Sca Grayscale 150 DPI Acquire without device s interface Click on the Image Source drop down list and select the applicable driver for the TWAIN Compliant scanner or phosphor plate scanner Oo Select Continue to use this source if all images in the layout wi
157. ured Once all the images are captured click the Done button The Layout Capture screen will close and the layout complete with images in each tile will display in the Layout View screen on the application s desktop FGrp_11212009_170457 Auto lail pa ya a j B e O Ej ed e E alala E 2009 11 21 2009 11 21 2009 11 21 The layout group is automatically saved and stored in the patient s file if Automatically Save patient images in their records after capture is enabled in Tools gt Options gt Safety tab If this option is not enabled the Save Modified Image dialog box will display when attempt to close the image prompting the user to Save Save As Export or Discard Group Select Save to save the layout to the patient s file Save Modified Image Patient Doe Jane SSnum 9999 Dnum AT OOO01 This group has been modified What do you want to do with the group Save Ag Esport Cancel Page 26 of 137 APTERYX June 8 2012 WI XrayVision User Manual custom software 4 CAPTURING IMAGES FROM SCANNERS 4 1 General Information lf a TWAIN compliant scanner e g a flatoed scanner with manufacturer provided TWAIN drivers is attached to the computer on which the imaging application is installed e 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 th
158. ut Image General Header Footer Layout Text Printer Adobe PDF x Page Indents Left Right I inches Top Bottom 0 00 inches c Setup Printer Use alternate printing method lt lt Less Printer E Used to select the printer that should be used when printing the image Use alternate Printing method Prints the image using an alternative printing method Normally this option should be disabled but should the printer not print the image this printing alternative can be used to try to force the printer to 10 4 4 3 Header Footer tab Define the information that should be included in the header and or footer of the image printout Print Image s Layout Image General Header Footer Layout Text Header 0 m F meri Load Def Middle o i Right o H f Draw header separator line Save De Footer Left Middle Right l Draw footer separator line lt lt Less Left Middle Right 2 Indicates the text that is to appear in that position of the header or footer The drop down lists contain predefined data that can appear in each position For example lt Current Time Date Long gt will print the current system time and date Header and Footer Separator Lines l e Select each drop down to define what information should be included in on the left middle or right side of the header and footer e Click on the Save Def button to store the selected definitions
159. vice settings screen to configure the device Accept the defaults by clicking the OK button they can be changed at any time if necessary 4 2 6 4 The imaging application will send instructions to the scanner and automatically scan the image and display it on the application s desktop 4 2 7 If acquiring from a phosphor plate scanner 4 2 7 1 Click on the OK button The device specific interface will display and prompt the user when ready 4 2 7 2 b Place the X ray film into the phosphor plate scanner as instructed by the manufacturer 4 2 7 3 c 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 on the application s desktop 4 2 8 Once the image is displayed on the desktop the Modify Tooth Associations screen will appear Select one or more teeth to associate to the image and then click on OK This will automatically setup the tooth association with the image Modify Tooth Associations 7o 26 J 34 J3 Ga aiiai Q m Clear All Associations Tooth associations can be changed by clicking on the corresponding tooth or teeth with the left mouse button You can switch between adult and deciduous teeth using the right mouse button Gancal Oo Select a group of teeth by holding down the left mouse button and dragging the cursor over each tooth in the group Release the mouse button when complete Selected
160. w 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 in a 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 I The XrayView e Mailer component will attempt to use the default email application set up in Windows Refer to Microsoft Supports Online Knowledgebase Article KB 154359 for instructions to specify Microsoft Outlook or Outlook Express as the default email application 9 5 2 1 Select TransIT gt Options gt Component Options 9 5 2 2 The TranslT Configurations dialog box displays Select XrayView e Mail Creator and click on Edit Apteryx Inc Options Page 75 of 137 APTERYX o June 8 2012 WI XrayVision User Manual custom software 9 5 2 3 The XrayView e Mailer Options dialog box displays ArayView e Mailer Options IW Always use this quality factor JPEG Quality Factor 1 100 Low Quality High Quality Small File Large File D About Srayyiew Cancel e Enable Send at
161. y Individal images in a layout Status Bar Display current sensor port Patient Information Hiding Layout Viewing Options Hide patient information as much as possible aD Maximize layout displays Vv On new layout automatically switch to layout a Image Display capture mode W Zoom to fit images displayed fullscreen On new layout automatically start the series acquisition auto capture mode must be enabled Single Patient Use the last window position for the layout Only allow one patient open at a time single view window Draw tooth number indicators instead of tile Popup Controls number indicators Ii Automatically hide pop up controls Cancel Help e Lock toolbox Locks the top 12 buttons on the Toolbox pop out bar to what they are currently set to e Display the layout overview when viewing individual images in a layout The layout overview was discussed in the Group chapter This option can be turned off and on e Hide patient information as much as possible This option will hide SS numbers from the open patient index This setting will override the Open Patient Pop Up display settings on the Interface tab e Zoom to fit Images displayed full screen This option will display images that are opened in full screen mode to fit as opposed to 100 e Only allow one patient open at a time Limits the amount of open patient files to just one e Display tooth numbers Displays the associat
162. y Listing To open a single image double click on the image record listed To open multiple images select each hold down the Ctrl key and select the desired image records one at a time 2010 11718 TEE Whole Mouths Miscellaneous l Miscellaneous T 2010711718 11 43 9 lt Whole Mouth gt Miscellaneous l Miscellaneous T ANNOATIS 1405 lt Whole Mouth gt Miscellaneous Miscellaneous T FI 2010710715 13 11 Whole Mouth gt Miscellaneous l Miscellaneous T FI 2010709730 10 41 Whole Mouth gt Miscellaneous l Miscellaneous T FI 2010708704 15 57 04 1 2 3 4 5 Digital ray Miscellaneous T FI 2010707715 1344 01 2 17 78 Digital ray Miscellaneous T FI 201070712 9 34 oA 12 Scanned ray Miscellaneous T FI 2010707712 11 54 gwWwhole Mouth Miscellaneouel Miscellaneous T FI z And AAs da dd Fd 1 3234F 1 a eee E T a lt jiii 2 4 1 4 Click on the Done button to open and display the selected image s on the application desktop 2 4 2 Using the Patient Index wa icon and search find 2 4 2 1 If the patient record has not been opened yet click on the Open Patient Patent and the patient on the Patient Index dialog box Patient Index First Name Last Name E Open Patient ID Number 55 Number Cancel Record mi 1 out of 2 F Clear Search EA Search Syntax Direct Select Q Add Patient Doe John Doe Jane Alllmages
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