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User`s Manual - Absolute Safety Training, Inc.

1. A ssn off ON TEC A proRMATI HNoLosy a an gt Meg y PLANMECA G all in one INTEGRATED DENTAL SOLUTION rm Dea r ea aoe SaR PLANMECA Imaging Software Users Manual Ha O O O O Ha N O O ae PLANMECA OY Asentajankatu 6 00880 Helsinki Finland tel 358 20 7795 500 YNNN fax 358 20 7795 555 e mail sales planmeca com www planmeca com TABLE OF CONTENTS 1 INTRODUGHON sisina A AAA 1 1 1 Brief Introduction to Digital Imaging sessssennensnennnsnnsrnrnsrssrrrsrrresrrnrrrerrenrrrsrrrerrrsrrrerrnenrnnrrnenrennne 1 12 securing the Image Data seios iat diete aan uaueelaai aol elseaeeee 2 S SANG CUIGIIOMD seceteceteae tense at noose sata a A 3 tA ULI C acts varetaaacas teattuesasredanttcanusareteueidmed a te nritaaninedsvenmrtentasadeisxinansencicaaaiennaiaweteeaastane 3 Ty WANCHIVING ccna a a race at eee ie uet cea aurea es ree anaes 3 1 5 1 Disk Space Requirements ccccceecccsseeceeeeeceeeeceeeeceeeeceaeeceaeeesaeeeseeeeseaeessueesseeeeseeeesseeeess 3 EO ONG TEIMACNIVIAO eee ttt cre estates a tarda te edi a ela ecatelicee ates cedar Nastia 4 1 7 Study Templates Optional only in US 00 cccccceeceeeeeeeaeeeseeeeeeeeeeeeeeeeseeeesaeeeseeeeseeeeseesesseeess 5 to PrOCESSINO eana we cea cae nan eG eecdnctet aoe acne aA 5 Teor IVES CITING apterestncecnasuencaune ompareumcbed a a spaneee 5 MPO eAATAIMON LO lilacs Sarat atte etree a E cies aia
2. ee eeeeceeeeeeeeneeeeeeeeaneseeneeseneeeanees 165 11 1 Creating Editing Study Templates 0 0 0 0 ccccccccccccssscecceeeeeceeeeecseueecseueeessaseecseaeesseeseesseeeessaaess 165 TELIT Adding Image PIACENOIGCIS ieeuieccsacnevences cevorentesncesenemoutuacasenpaemenommenacemadntieeten 168 11 1 2 Deleting Image PlaCeholders cc cceccsseceseseeceecenesesesecseeeeeeeensesessueeensueensneeseneeenes 170 TSAN Mages Sti sn5cs enced canst cet a uae mantecasncteonn ean neniec tame sens cacneiaeaceetetscaatian 170 11 1 4 Changing the Description visit acteristic ela ti owAli aca tiaee 170 11 1 5 Selecting Exposure Order sencccteincsassuecevsanssaneceranuacensmnaattegeasaosiancouenetseeuneceensnacnan 171 11 1 6 Selecting DICOM Image Series ccccseccccccsseeeeceeenseeeceeeeeeeeeeuseeeeseeeeeessuageeeeesseeeeeeeas 171 11 1 7 Changing DICOM Send Order sccie cere cncosesoicawesnteidanieacsdseudaneoeedanteneuteamsutieaciesaeeseeeeuwee 173 11 1 8 Changing Image Placeholder Parameters cccccccceseceeceeeeeeeeeeeeeeeeeeeeeeeeueeeesneeeeenees 173 112 Hide Unhide a Study Template scsngsene i EE E E 175 11 3 Deleting a Study Template 2 0 0 cccccccccccceeceeceeeeeeceeeeeeseueeeceseeessueeeseueeesseeeenseeeesseeesssansessags 175 APPENDIX A PMBRIDG E sarasa a 178 APPENDIX BV ODS sarie aE ETE E E 180 APPENDIX C PLANMECA DICOM GATEWAY Pro version only 020 002 182 APPENDIX D NAME CONVERTER csccc
3. 2 panoramic Adult Adult full mouth seres Adult full mouth seres wert Adult full mouth seres naraw Check out Faediatric 10 image series Paediatric 6 image series Pan amp ceph Preschool paediatric User s Manual Dimaxis Pro Classic 175 STUDY TEMPLATES Optional only in US Select the study you want to delete and click OK The message window shown below appears Click Yes to delete the template or cancel the action by clicking the No button Planmeca Dimas ed he Do vou really want to delete the study template D If you try to delete a template that is used in a study the message window shown below appears Planmeca Dimaxis AN The template is used in one or more studies Therefore it may not be deleted 176 Dimaxis Pro Classic User s Manual STUDY TEMPLATES Optional only in US User s Manual Dimaxis Pro Classic 177 APPENDIX A PMBRIDGE PmBridge is a simple way for software companies to bridge their practice management software with Planmeca Dimaxis In this integration model Dimaxis will handle all the image manipulation and viewing related operations and user interactions All the patient practice data related operations including patient selection and interactions are to be handled by the practice management software This system makes it very simple and quick for the practice management software house to create this link or bridge to the Dimaxis PmBridge documen
4. After defining the reference distance click the Measure length button The Distance Measurement window appears A distance path consists of consecutive line segments 106 Dimaxis Pro Classic User s Manual PULLDOWN MENUS To draw the line segments click the left mouse button at the start point release the button and click the left mouse button at the end point The length and angle from the horizontal axis of each segment are shown in the Distance Measurement window The distance path and total length are shown on the image after measurement if the Create Annotation option is selected The length and angle of the currently drawn line as well as the total length of the path are shown in the Distance Angle and Total Length boxes in the Distance Measurement window To end the distance path click the right mouse button or click the New button in the Distance Measurement window To end the distance path and close the window click OK and to cancel the meas urement click Cancel Distance Measurement x Fath Distance Angle Distance 0 49 Angle fe Total Length 317 MM Create Annotation Angles are measured counterclockwise relative to 3 o clock direction Mew Cancel Measure Angle Click the start point release the mouse button and click the center and the end points to measure the angle The angle will be shown in the Angle window The measurement line and angle are shown on the image after measurement
5. DICOM Printer Setup User s Manual Printer Film Session Priority Mediun Type DEFAULT Film Destination DEFAU LT Film Bow Film Orientation PORTRAIT x Film Size DEFAU LT Magnification Type DEFAU LT Smoothing Type Border Density BLACK Empty Image Density BLACK Configuration Info Preferred Image Sizes Pixels Width Specify these values only if the printer does not support tag 2020 0030 Requested Image Size Panoramic Cephalometric Intraoral Print Level Other Properties Supports PRINT JOB f Film Session Prints Only amp Bit Images C Film Box Center Patient and Image Info Texts Cancel Dimaxis Pro Classic 71 DICOM The DICOM Printer Info window appears when you click the Status button in the DICOM Print window DICOM Printer Info Printer 4E PRINT_S CF Printer Mame Codonics Print SCP np1 660 Manufacturer Codonies Model Hame NPT BGOMD Software Versins a Calibrated 25 1 1 1958 a1 2 00 Status NORMAL Status Info E TAN DARD 7 2 DICOM Storage Pro Version only The DICOM Storage button is located on the upper toolbar You can send the selected image to a remote DICOM application by clicking this button or selecting the DICOM Storage command from the DICOM pulldown menu DICOM Storage button The Send Image to DICOM AE window appears Fill in the DICOM specific fields Study ID etc if the receiv
6. Study Panoramic Cephalometric Intraoral Intracam 1370172003 16 06 29 1370172003 16 06 13 1370172003 16 00 34 Fulp chamber Decayed tooth 13 01 2003 16 06 24 1370172003 16 00 54 36 Dimaxis Pro Classic User s Manual IMAGE FINDING AND VIEWING 4 3 Selecting by Tooth Range The intraoral images of the patient can be selected by using a tooth navigator The tooth identification system can be selected in the Global Settings Intraoral window refer to section 9 1 6 Intraoral on page 135 In the FDI ISO system teeth are designated by a two digit code The first digit indicates the quadrant and the second digit indicates the tooth In the ADA system teeth are designated by consecutive numbers Click the Select by Tooth Range button located on the upper toolbar or select the Select by Tooth Range command from the Image pulldown menu and the Tooth Range window appears Select by Tooth Range Number of images containing this tooth button FDI ISO system i ADA system Tooth Range Select the desired teeth by clicking the teeth pictures in the Tooth Range window The selected teeth are marked with blue colour The number above the tooth indicates the number of images containing that tooth User s Manual Dimaxis Pro Classic 37 IMAGE FINDING AND VIEWING Click OK and the Select Image Intraoral window with only the image s of the selected teeth appears 4 4 Image Navigator The panoramic cephalometric int
7. User s Manual If you expose a new image by choosing the type of exposure from the pulldown menu or by clicking the specific icon on the upper toolbar and if you have selected the option Image Navigator as a default image selection method in the Global Settings window see 9 1 2 Image on page 129 the Image Navigator window will be opened after taking the exposure Dimaxis Pro Classic 53 IMAGE ACQUISITION The Intraoral Exposure window appears When the X ray is in the ready state the message Waiting for Exposure appears in the lower right corner of the window Prepare the patient for the exposure and select the exposure parameters refer to the Planmeca Intra X ray unit s users manual You can now take the exposure In the Intraoral Exposure window the Planmeca Intra X ray settings can be controlled through the Intra control panel The exposure parameters can be set in this window if you are using the Planmeca Intra with updated software 3 0 3 The control panel logic is identical to that of the Planmeca Intra remote control The functionality of the Intra control panel requires that the synchronization cable for the Intra is connected Intraoral Exposure Image Notes eg Parameters Uzer Burns Sensor Type PLANMECA Doctor Gamma Sensor ae Comments a Cc mw Noma al High oe Tope E WE e E 54 Dimaxis Pro Classic User s Manual IMAGE ACQUISITION After t
8. Intraoral Intracam Setup CH Scanner Directories cons Default Export Directory ss Browse Default Import Directory ai Browse Long Term Archive Root CMtemps Temporary Directory CMtemps Browse NOTE Settings for Directories apply to the local workstation only 148 Dimaxis Pro Classic User s Manual SETTINGS Use the Browse button in the Directories window to locate the directory Browse for Folder Ei ES Default Export Directory _ mssetup t _ Acrobats __ Adobe _ Adobeapp Byscan _ Dialogos rl ka Marmente An error message is given if it is not possible to write to the temporary directory Dimaxis checks this during the startup This problem can occur for example if the temporary directory has been specified to a network drive which no longer exists x x It is not possible to write to the temp directory Mew images should not be taken before the problem has been solved JATEMF The system cannot Find the path specified 0x6 User s Manual Dimaxis Pro Classic 149 SETTINGS 9 2 7 Icons Pro Version only In the Icons window you can select the buttons which you do not wish to have in the toolbar by unchecking them Local And User Specific Settings Export Tal Subtract System Printer User Intraoral lntracam Setup CH Scanner irectories Icons Uncheck the icons which you don t want to have in the toolbar 150 Dimaxis Pro Classic Us
9. MERGE_QR_SCP DICOM application entity title of this Dimaxis Dirnaxis AE Title DIMAXIS workstation OF Cancel If there are several Dimaxis workstations in the network the workstations should have different AE Titles for example DIMAXIS_1 DIMAXIS_2 etc By selecting the Default Worklist AE you will be able to select unselect the option Use Worklist for patient selection f the Worklist has been selected the Worklist window instead of the Select Patient window will be opened when starting up the program NOTE Settings for Applications apply to the local workstation only User s Manual Dimaxis Pro Classic 155 SETTINGS Select the storage printer worklist Q R application and click OK This setting applies to the local workstation only Select Remote DICOM AE S x MERGE _STORE_SCP MERGE_STORE_SCU MERGE_MEDIA_FSU MERGE MERGE_QR_SCU MERGE PRINT SCP WA_SCP MERGE WORK_SCP Add Edit Remove Cancel With the Edit command you can edit only the AE s that have been added with the Add command Add New DICOM AE E xj DICOM AE Title Server Host Hame Fort Humber Click the upper Setup button in the Applications window to check or change the settings for the DICOM storage application The DICOM Storage Setup window will appear Click the respective Setup button in the Applications window to check or change the settings for the media storage application The DICOM Storage S
10. SETTINGS 9 3 3 Contact Information In the Contact Information window you can fill in the institution name address and the department name DICOM Settings NOTE Settings for Contact Information apply to the local workstation only as workstations may be situated in different departments and have different addresses User s Manual Dimaxis Pro Classic 159 MOVING IMAGES TO LONG TERM ARCHIVE 10 MOVING IMAGES TO LONG TERM ARCHIVE NOTE It is possible to prevent users from doing long term archiving See page 127 for details After the exposure has been taken and the image has been accepted the image is stored into the database located in the local PC or server Because of the limited hard disk space of the PC server the system should be equipped with an external device to be used as a long term archive e g DVD drive To move an image to the long term archive select the Move to Long Term Archive command from the Administration pulldown menu that is visible when no images are open Administration view Help Database Login Database Setup Database Statistics Database Backup Status Database Disk Usage Global Settings Local Settings DICOM Settings Move image s to long time archive Move to Long Term Archive The long term archive root directory must be specified before moving the images If the directory has not been specified the following message window appears Planmeca Dimax
11. User s Manual Wel Ts Se aSa a g A TOOLBARS Zoom In Mode Alt Zoom Out Zoom Out Mode Toggle Viewing Toolbar Toggle Rotating Toolbar Toggle Measurement Toolbar Eoi Print the active image DICOM Print Pro version only DICOM Storage Pro version only Diagnose Edit Intracam image Decision Support Pro version only Dimaxis Pro Classic 15 TOOLBARS 3 3 2 Right Toolbar TR Control Points for Subtraction ra Subtract Region of Interest ROI Toggle Image Processing Toolbar Z 4____ Contrast Brightness d Adjust Levels T Contrast Control 16 Dimaxis Pro Classic User s Manual IMAGE FINDING AND VIEWING 4 IMAGE FINDING AND VIEWING The archiving of images in Dimaxis is organized under patient names i e the patient must first be selected The images are stored according to 1 exposure type and 2 exposure date latest first The image s and study of the patient can be selected for viewing in the Select Image window refer to section 4 2 Selecting Image on page 18 The intraoral images can also be selected by using a tooth range selection or an image navigator refer to sections 4 3 Selecting by Tooth Range on page 37 and 4 4 Image Navigator on page 38 4 1 Selecting Patient Click the Select Patient button located on the upper toolbar or select the Select command from the Patient pulldown menu and the Select Patient windo
12. 2 Click the Control points for subtraction button located on the right toolbar or select the Control Points for Subtraction command from the Draw pulldown menu and click on the screen to add four control points to both images Add the points in a clockwise direction first to one image and after that to the other one fs I Control points for subtraction button x le Pri Tani L TEE Sore TE See tone agQs _ i Noor JAPHAS a e Fur Hole preis Fl i Hedon If necessary you can adjust the location of a control point by left clicking the mouse on a point and while the mouse button is pressed down dragging the point to the desired location 3 Click the Subtract button located on the right toolbar or select the Subtract command from the Image pulldown menu Subtract button 100 Dimaxis Pro Classic User s Manual PULLDOWN MENUS 4 Dimaxis automatically displays the subtracted image for diagnose Import This command will import an image file or several files from another system Export This command will export an image to the selected directory Alternatively you can click the Export button located on the upper toolbar Export button Export Original This command will export the original image to the selected directory The Create 8 Bit Export Files setting in the Local And User Specific Settings Export window see 9 2 8 Export on page 151 will be ignored Note tha
13. Dimaxis will automatically give the next free patient ID to the new patient When choosing Patient ID Social Security Number Check format the country must be selected to enable social security number checking The options are Finland and Sweden If this option is selected Dimaxis checks the correctness of the social security number when creating a new patient If the Show Patient ID in the title bar option is selected the patient ID is shown in the title bar of the main window If you have chosen the option Automatic wild card usage in selection you only need to enter the beginning of the patient name when selecting a patient It is possible to search patients by using a quick pid patient identifier shortcut the option Search using Quick PID which consists of the initial of the patient s last name followed by the last four digits of the patient ID social security number e g R1234 If the Birth date is mandatory option is selected giving the birth date when creating a new patient is obligatory If the Birth date in YYYYMMDD format option is selected the patient s date of birth is stored in YYYYMMDD format By selecting the option Birth date in YYYYMMDD format you will be able to select unselect the option Birth date formatting based on regional settings 128 Dimaxis Pro Classic User s Manual SETTINGS Global Settings Patient Image window Panoramic Cephalostatic Intraoral Study System Na
14. See section 5 3 Taking an Intraoral Exposure on page 52 If the option Show Study Comment window when creating new studies is not selected no note for the study will be prompted when creating a new study In this window you can also define if you want to show the images of a study with a higher resolution Optimize horizontal layout of images will adjust the images of a study to use the space of the paper at the best to print Also an adjustment for studies exported as an image view will be done Global Settings Patient Image Window Panoramic Cephalostatic Intraoral Study System if Use studies in intraoral exposures W Show Study Comment window when creating new studies iw Show images with high resolution Optimize horizontal layout of images Show Study Comment dialog before every exposure User s Manual Dimaxis Pro Classic 137 SETTINGS 9 1 8 System The Show Study Comment dialog before every exposure activates a dialog box to enter a comment line and DICOM specific information before every exposure of an image This information will be saved with the image Notes for the Study Comment m DICOM Specific Information Accession Number Study Instance UID OF Cancel In the System window you can predefine a timeout when Dimaxis is used by another software via PmBridge see further information on PmBridge in APPENDIX A PMBRIDGE if Allow timeout for PmBridge session is tick
15. patients OF A Of Be OF M e Change the printer and printer options Print Setup refer to your Windows manual Exit Quit Dimaxis Deselect When you have finished working with the images of one patient and you do not want to close Dimaxis you can deselect the patient by choosing the Deselect command from the Patient pulldown menu User s Manual Dimaxis Pro Classic 83 PULLDOWN MENUS Statistics Select the Statistics command from the Patient pulldown menu to see the patient Statistics Patient Statistics 84 Dimaxis Pro Classic Family Hame Adut First Name Patient Birth D ate faeemmn OOo Patient ID oom Doctor Dr D Entist Number of images Size of the images ME Number of the cephalometric images Size of the cephalometric images ME Number of the panoramic images Size of the panoramic images MB Number of the intraoral images Size of the intraoral images MB Number of the lntracam images Size of the Intracam images MB User s Manual PULLDOWN MENUS Modify Select the Modify command from the Patient pulldown menu to modify the information of the selected patient Modify Patient Xl Family Name First Hame Patient Birth Date fi 9520225 Patient ID oonan Doctor Test Clinic Gender C Male Female Fatient is pregnant Comments If you have modified the information of the selected patient in the Modify Patient window and you click
16. 1 Applications on page 155 DICOM Storage Setup Storage AE Gray Level Mapping C Send Original Raw Image Send Processed Image i C Original Image Window Center and width pa Original Image LUT with gamma Store Raps with 8 Bits Per Pixel Bum Patient Info and Annotations into Image File SOF Class for A aps C Secondary Capture Image Storage Digital s Aay Image Storage For Presentation C Digital s Aap Image Storage For Processing Storage Commitment Use Storage Commitment r Cancel 7 3 DICOM Pulldown Menu no Images Open Pro Version only This DICOM pulldown menu is visible when no images are open Study Administration View H Read DICOM Media Import DICOM Image File Worklisk Today s Worklist DICOM Long Term Archiving Query Retrieve Delete Images Sent to DICOM AE Delete Old Local Worklist 74 Dimaxis Pro Classic User s Manual DICOM 7 3 1 Read DICOM Media Pro Version only A DICOM Media contains a special file DICOMDIR and one or more DICOM image files See the DICOM Standard for details If the option Show Image Parameters Window is not selected in the Read DICOM Media window the parameters dialog for new images will not be shown x Media directory E temp Number of new images IY Show Image Parameters Window Log File UF Cancel 7 3 2 Import DICOM Image File It is also possible to import one DI
17. 113 for Magnify 2x information on these commands Image Parameters Show image parameters 8 10 1 Upper Toolbar The Upper Toolbar function will show hide the upper toolbar 8 10 2 Right Toolbar The Right Toolbar function will show hide the right toolbar 104 Dimaxis Pro Classic User s Manual PULLDOWN MENUS 8 10 3 Measurement Toolbar Select the Measurement Toolbar command from the View pulldown menu to view the measurement and the drawing tools You can alternatively click the Measurement Toolbar button located on the upper toolbar The measurement toolbar will appear in the upper right corner of the display To move the toolbar click the frame of the toolbar drag the toolbar to the desired location and release the mouse button Frame of the toolbar Measurement toolbar button Calibrate Measure Length Measure Angle Show line profile Show Histogram Annotation text Draw a line Draw a horizontal line from point Draw a vertical line from point Draw an arrow Draw a rectangle Draw an ellipse Draw a spline Show Hide annotations NOTE The performed measurement disappears automatically when you select another function unless Create Annotation has been selected in the Distance Measurement dialog User s Manual Dimaxis Pro Classic 105 PULLDOWN MENUS Calibrate NOTE If the pixel size and magnification parameters of the image exist no calibration is needed Before you can measure the distance b
18. Acquiring an Image Using the TWAIN Interface ccccccceeccseeeceeceeeceeeeseeeeeeeseeeeseeees 59 5 6 Image Plate CR Scanner Pro version only cccceccccceeeeeeeeeeececeeeceueeeeaeeeeseueeesaueeesseeeessaees 61 5 621 COmbpix SCaniner USB riage seese aa den ee a a heeeu Maret dante Basatieadeas 61 56 2 VISLADCAM SeccPaceuwstcnessiieacacietndenteotdinaeccdeapondegiebatendeniuenudenes a wadyenadatesnieeeneaalaebees 62 User s Manual Dimaxis Pro Classic TOC 1 TABLE OF CONTENTS 6 PRINTING THE IMAGES cessera a aA 67 6 1 Printing Single Images sisasicrntinractietesnetatealaace roti acriidspasalelieiedttiadragRndbiedamlinannddeGaketinndsndes 67 6 2 Printing Multiple Images on Same Page n nnnnnnnnnnnnnnenrnsrrnnsnrrnrrrrnrrrrrsrrrnrnrrsrrrrnsrrrsrrressnrrnn 68 GS PUNINDA Ray WAG CS ei R a tees 68 OA PANNO INtacanmIiNnagES niee a 68 69 PInNTAILPrO Version Only anenee a N e e 69 7 DICCON criara A OnE 70 71 DICOM Print Pro Version Only mra a i eee 70 7 2 DICOM Storage Pro Version Ony necrsocesrnn a ca rtestinins deeenacideesl ankles dam 72 7 3 DICOM Pulldown Menu no Images Open Pro Version only cceceeeeeseeeceeeeeseeeeeeeeeseeeees 74 7 3 Read DICOM Media Pro Version Only ranana 75 73 2 Import DICOM Image File erinrar e aaa aa 75 Taa Modality Worklist Pro Version ony oucas r ara a i 75 7 3 4 Today s Worklist Pro Version only ccccccccceseceeeeeeeeeeeeeseeeeeseese
19. CARRS Sombie TET l r Next Image foreign ec 7a 140314 a Sensor Type Tooth number of the leftmost tooth Offset to the middle of the leftmost tooth on the image 56 Dimaxis Pro Classic When using a study template the Intraoral Exposure window shows the previous image during the exposure procedure so that the user sees if the image has to be taken a second time It is possible to change the following parameters of the previous image sensor orientation and offset to the middle of the leftmost tooth patient s rightmost on the image The offset is utilized in the Image Navigator refer to section 4 4 Image Navigator on page 38 NOTE If you have continued with an old partially filled study the parameters of the image taken in the previous exposure procedure cannot be changed in this window After the required image s have been taken click Done If you used a study template the Study window appears Click the desired image and OK to open an image If you want to open more than one image press the Shift key when clicking the images For information on the Study window see section 4 2 Selecting Image on page 18 User s Manual IMAGE ACQUISITION NOTE You can stop the exposure procedure before all images have been taken and complete the study later If you took a single intraoral exposu
20. Icons Pe ENE LANIER 5635 PCL amp Scale Factors 7 Panoramic 100 Intraoral 100 ic 100 4 7 100 Cephalometric aj lntracarn f Margins Centimeters 1 inch 2 54 cm Defaults Top 0 00 Bottom 0 00 Left 0 00 Fight 0 00 Background color Fit to page fe white C Crop to fit Compact f Black f Shrink to fit Detailed Patient info Format Footer Test NOTE Settings for printer apply to the local workstation only If the Compact option is selected the patient information is in short format when printing the image see below 06 06 2002 EIk ire 0 0805 OO000 dult Patient 190527023234 7 Jk Jb Test Clinic If the Detailed option is selected you can write the Footer Text The footer text can for example include the name of the clinic The Detailed option displays the information with headings Patients name Patient ID etc User s Manual Dimaxis Pro Classic 141 SETTINGS Additionally it is possible to print the image with a diagnose when the option Detailed is selected see section Diagnose Window on page 119 for more information Patient s name Fdult Patient Patient ID o00001 Birth date 19520223 Image taken on O5 06 2002 09 99 41 Exposure Values GOky Ome 0 0805 Teeth Ji J6 Doctor Test Clinic 9 2 2 User In the User window you are able to determine the default panoramic and intraoral user and the default doctor Local And User Sp
21. Template _____________ Edit template Delete Template mm Delete selected template Hide Linhide Template Hide Unhide a study template To create a new template select the New Template from the Study pulldown menu The New Study Template window appears Enter the name of the new study and click Create The Study Template Editor window shown on page 167 appears New Study Template 2 a a xX Description rea To copy an existing template select Copy Template The Select Study Template to be Copied window appears Select the desired template and click OK Select Study Template to be Copied 2 panoramic Adult full mouh series Adult full mouth seres Adult full mouth seres wert Check out Paediatric 10 image series Paediatric 6 image series Pan User s Manual Dimaxis Pro Classic 165 STUDY TEMPLATES Optional only in US The New Study Template window appears Enter the name of the new study and click Create New Study Template Adult full mouth zeres narrow Descriptions Cancel If you did not change the template name the message window shown below appears Planmeca Dimaxis To edit an existing template select Edit Template from the Study pulldown menu The Select a Study Template window appears Select the desired template and click OK Select a Study Template 2 panoramic Adult Adult full mouth series cE 2134s ult Full mouth senes wert Adult full mouth
22. a 05 06 2002 Reselect 15 01 2003 E 14 01 2003 14 01 2003 Photos 7 y Panoramics 8 Cephs 4 Intraorals 47 7 p Cc Periapicals B a eB C Bitewings o i nes R 8 as Close Intraoral images Intracam images Panoramic images Cephalometric images It is recommended to use the default background colour violet in the Image Navigator window The background colour is selected in the Global Settings Window window refer to section 9 1 3 Window on page 132 Select the images to be shown in the Image Navigator window from the list located in the upper right corner of the window From All Dates shows all the intraoral images of the patient and the images of a full mouth set are shown when you select the date Select the images to be shown from the list located on the right of the window Photos shows the Intracam images Panoramics shows the panoramic images Cephs shows the cephalometric images and ntraorals shows the intraoral images 38 Dimaxis Pro Classic User s Manual User s Manual IMAGE FINDING AND VIEWING Select Periapicals Bitewings or Both from the list located in the lower right corner of the window depending if you want to see images of the upper and lower jaws the bitewings or both of them Select the desired teeth by clicking the teeth numbers in the Image Navigator window on the right of the window The selected teeth are marked with green colour and the ima
23. a new scale factor or adjust the value by clicking the arrow buttons To return to the default scale factors click the Defaults button Note that the size of the panoramic and cephalometric images is adjusted only when they are printed as part of a study In this window you can also set the margins in centimeters for the images This setting affects the printing of the single image the study and the Print All function To see the size of the image to be printed open the image and select the Print Preview command from the Image pulldown menu Note that if you print several images from a study at the same time they will be fitted to one page regardless of the scale factors you have selected here In the Printer window you can also configure the background colour White Black for the printed images The black background can only be recommended when using a film printer If the image is larger than the print area you can either select the Crop to fit option or the Shrink to fit option in this window to reduce the image size This setting affects the printing of the single image the study and the Print All function not the DICOM printing 140 Dimaxis Pro Classic User s Manual SETTINGS Additionally you can define the format of the patient information here see below and next page Local And User Specific Settings Export TAIM Subtract System Printer User Intraoral Intracam Setup CH Scanner Directories
24. acquisition order If you want to replace these numbers with Send order numbers select Use Send Order Numbers as Image Numbers Note that this selection is disabled if you have not changed the send order refer to section 11 1 7 Changing DICOM Send Order on page 173 If you want to send only the images that have not yet been sent to DICOM application select Send Previously Unsent Images Only After the images have been successfully sent the message window shown below appears Planmeca Dimaxis x Sent images 3 Timeouts 0 Errors 0 If sending of the images failed check that the receiving DICOM application is up and running and that the network is working properly Retry sending If it still does not succeed open the Log file by clicking the Log File button print the file and fax or send it to your local support Log file button 24 Dimaxis Pro Classic User s Manual IMAGE FINDING AND VIEWING fj merge log Notepad E a x File Edit Format Help Mew Ctrl h 9 93 MCs To MergecomM 3 Advanced Tool Kit version 2 5 0 PERI Ei T6 MergecoMm 3 Adwanced Tool kit for wingi winNT save ChHS fptel x86 using visual c C008 91204 Save S 9 95 MCS Th MERGE_INI 9 95 mcs T Merqecoms 9 95 MCS T6 MERGECOM_3_PROFILE Page Setup Print Ctrl P MERGECOM_3_SERVICES erqecontig merqecom srw 9 95 MC3 T MERGECOM_3_APPLICATIONS DICOM Print Pro Versi
25. and click OK Image Parameters g x Image Notes User Tooth Range Doctor ooo OS Image Type E p D ate Panoramic Cephalometric Intraoral C Still Video 15 01 2003 Rotate Fisel size um Magnification Voltage kv 2 a E Sig Current m k m mm mm Exp Time fz Width piselz Height pels Bits Per Pixel Image Format Modality D P i Mi DI M P T i 90 Dimaxis Pro Classic User s Manual PULLDOWN MENUS Export All Images Select the Export all images command from the Image pulldown menu to export all images of the patient This command is visible only when no images are open If the default export directory has not been specified the message window shown below appears Refer to section 9 2 6 Directories on page 148 The images will be exported to a directory specified by the Patient ID under the default export directory Planmeca Dimaxis x Default export directory has nok been specified Please use the Settings Function to specify the directory X Ray Log Book The X Ray Log Book function enables you to take listings of the images taken during a certain period of time The default time period is one month but the start date and the end date can be changed in the X Ray Log Book window The listings of the images can be sorted either by patient or exposure date The program remembers the last selection made user
26. eae sat ea race teaddaebiaatanedadtee sate aaetensaes 6 FAT DICOM enari at ea a re sce a uaa nas nt eee eee ue ct eee eee 6 i Wee Aan 69 B ere ec er ee ce eee E ee a Re ee nc ee 6 gees Yea ad 0 6 9 eee ecommerce ieee manner mn rare eet ann rine mane antre tee meter torre ote or ener aire Cran tere eer rn ere inte 6 AA AID ARS POM g2 ecco sec ete se cccenso teste ntepensaceh a0 oecceaa pe eteeeas sae tersaneneneceasshae cues tueace ae eiaceeaes HeNeiasetes ce 6 tis TENG GUAM NN Sak a a a e ea aes 7 TAG FDWMAXISHEIC CNS yaa E a a E NE 7 2 GETTING STARTED oa cn Se 8 20 Logging Ieee ects oie cna a a Eaten eo cae es 8 22 GELIN PANEN essen e a E tm snaantauamtengenncan a E maaiw ions 8 2 2 1 Restoring Images from the Long Term Archive ccccceccseeeceeeceeecaeeeceeeceeeeeeeeseesaeeenes 12 3 TOOLBARS annsi a a E ead nadia an 13 3 1 Toolbar with no Patient Selected 0 0 eecccccccceececeeeeceeeeeceeeeceueeeseeeeseeeeseeeseuseseueessueesseeeeseeess 13 3 2 Toolbar with no Images Open for the Selected Patient ce cccccccccsseeceeeeeseeeeseeeeseneeseeeesees 13 3 3 Toolbars with Image s Open for the Selected Patient ccceccceeceseseeceeeeceeeeeseeeeseeeesaaeeees 14 23T UPPEr NOONAN eiie E cals et etae sien a a a a E 15 See ANC TOODI a N EE E E 16 4 IMAGE FINDING AND VIEWING c ccsccsesessssesesessesesessesssessesesesseseseseeseseseeseseeeees 17 Al Selecing PaleNisrnsreasn a a E 17 42 SCISCUNGMI
27. feeds ndat E tenses een ae E 134 O10 MINAOVAN anann ae ete rei ie ee 135 9 1 7 Study Optional only in the US eceecccesseeeeesseeeceeseeeeeseeseeseesseseeseuseesssseeesaaees 137 DANG SIS ETE tate aaa eaten EA EE A A IAAT A E hes 138 9 2 Local And User Specific Settings cccccccssccecsseeeeceeeeeceesececeeseessaueeeeeuseeseeseessageeesneneeesseeeess 140 O20 PINE aara e oa sas a E E 140 S PEAP aaa 0 koi inert AE EA ee E AE A A P AATE A A AE EE A A E N ET 142 I2 AKAOA arre a ee aa a a eee 143 O77 A INWACAIM SETUD saarn EA E A A ESA 144 929 CA Scanner Pro version Only escena a N a eee 147 F220 IRC CIOM CS ma A eats oe aie ce eaionis eee Sapa dee eaein Saad 148 92 7 ICONS NUP KO VEISIONOnIV siesati oe alerts tates x ieee eases eee 150 D2 O MEK DOU senarna ste koe aet Gent ease ade nacletcaedel eects haance denen ened a R 151 92 9 TWAIN rania a a a aa aaa Re 152 S PRE 94 E EEE E E AA T acter see ec TAN AT eee I A NE EE ee ne 153 SPA EE SION E E EE A A OE E E E A A A A E AE 154 9 3 DICOM Settings Pro Version only cccccssseeccccseeceeecseeececcaeseeceeaaaeeeeeesaueeeeseaseeeessaaeeeessaaes 155 D321 APPHICAUONS cena a a 155 D322 DEVICES csee a a ts atuda nga anu eamnmaceionne 158 93 5 GOMtaCl IMIORMANION ssl ose rece tee E wean a oases hee deen tase S 159 10 MOVING IMAGES TO LONG TERM ARCHIVE ccccseeeeeeeeeeeeeeseeeeseeeeseaeeees 160 11 STUDY TEMPLATES Optional only in US
28. function is in use Adjust Soft Tissue Filter Cephalometric Images Only If the automatic soft tissue filter operation produces unsatisfactory results click the Adjust Soft Tissue Filter button or select the Adjust Soft Tissue Filter command from the Process pulldown menu see section 8 13 Process Pulldown Menu on page 120 to manually adjust the position of the soft tissue filter edges The cursor will change to a soft tissue filter symbol and two green lines indicating the edge positions will appear on the image Position the soft tissue filter symbol on the edge you wish to move and drag it with your mouse to a new position The image will automatically be refiltered The intensity of the soft tissue filter for the cephalometric images can be adjusted The default value can be configured according to the instructions in section 9 1 5 Cephalostatic on page 134 and the filtering can also be adjusted for each image with the Adjust Soft Tissue Filter command Dragging the cursor up makes the filtered area lighter and dragging it down makes the image darker NOTE Soft tissue assessment was previously a mechanically integrated function in the cephalostat In the Dimax3 digital Ceph system it is a software feature User s Manual Dimaxis Pro Classic 111 PULLDOWN MENUS Flashlight Pro Version only The flashlight function enables the user to perform temporary image emphasizing processing operations The different operations c
29. gain reasonable contrast The Midtones value affects the gamma curve of the image By adjusting the gamma value you get an image that looks more like a conventional X ray image Acceptable Limits for Quality Indicator EQN Exposure Quality Normalized can be set with the range between Low and High see 5 IMAGE ACQUISITION on page 40 134 Dimaxis Pro Classic User s Manual SETTINGS If you want to use the Auto Filter you can select it in this window If either of the options Sharpen Median is selected the specific filter will be used automatically on the opened images only on the images that have not been saved with the Image gt Save function The default intensity of the soft tissue filter for the cephalometric images can be adjusted in this window Global Settings Patient Image Window Fanoramic Cephalostatic Intraoral Study System Resolution e Normal C Enhanced Auto Level Parameters non Logarithmic Cut Percentages Black 0 00 white 2 0 00 Midtones Gamma 0 35 Auto Level Parameters for Loganthmic Mapped Images Cut Fercentages Black 0 01 white 2 0 01 Midtones Gamma 1 00 Acceptable Limits for Quality Indicator Range 0 1000 Low 200 High 400 Auto Filter Sharpen W Median Soft Tissue Filter Scale 2 5 10 0 3 00 9 1 6 Intraoral User s Manual In the Intraoral window you can select the resolution mode for intraoral images Select High pixe
30. if the Create Annotation option is selected If Create Annotation is not selected the measurement line disappears when you perform a new measurement W Create Annotation User s Manual Dimaxis Pro Classic 107 PULLDOWN MENUS Show Line Profile In the Line Profile window the intensity profile between two selected points on the drawn line is shown Click the left mouse button at the start point release the button and click at the end point to show the line profile between the selected points The Line Profile window will appear and it remains on the screen until you close it or until you close the image Line Profile 259 Show Histogram A histogram is a graphic representation of the intensity distribution in the image or in the Region of Interest ROI The Histogram window will remain on the screen until you close it or until you close the image The numerical values at the bottom of the histogram dialog box display statistical information about the gray level values of the pixels Total Pixels represents the total number of pixels used to calculate the histogram Mean is the average brightness value Standard deviation Std Deviation represents how widely the values vary Median shows the middle value in the range of gray values To view information about a specific point on the histogram place the point there To view information about a range of values drag in the histogram to highlight the range 108 Dimaxis Pro Cl
31. is also possible to write comments in the Comments field New Patient o x Family Marne First Hame Birth Date Patient ID Doctor Gender C Male Female Patient is pregnant Comments Cancel NOTE The demo license does not allow you to add new patients Dimaxis checks that the patient ID does not contain illegal characters lt gt see the window below Using these characters prevents long term archiving and Export All function Planmeca Dimas AN Patient ID may nok contain the Following characters Vf lt gt If the patient was successfully inserted into the database the message window shown below appears Planmeca Dimaxis Pro The patient was successfully inserted into the database User s Manual Dimaxis Pro Classic 11 GETTING STARTED 2 2 1 Restoring Images from the Long Term Archive The information in this chapter relates to the long term archiving performed before the Dimaxis software version 4 0 0 For information on archiving in the Dimaxis 4 0 0 version refer to section 4 2 Selecting Image on page 18 If the images of the selected patient have been moved to the long term archive the message window shown below appears If the long term archive is on a removable media like a DVD insert the media marked with the archive ID number shown in the message window to the drive and click OK to restore the images of the selected patient Planme
32. manual carefully before using the system NOTE The digital X rays and Intracam camera have separate manuals which should be used in conjunction with this manual NOTE This manual is valid with the following software versions Planmeca Dimaxis Pro Classic 4 2 0 Planmeca Proline software PK 5 08 PG 5 08 or later 5 13 or later recommended ProMax software 1 05 or later 1 19 1 or later recommended Planmeca Intra software 1 20 or later 3 03 or later is needed to use the Intra control panel of Dimaxis NOTE Dimaxis Pro Classic is used in the Microsoft Windows XP Windows 2003 Server or Windows 2000 operating system It is important to learn the Windows basics before using the Dimaxis Pro Classic software Dimaxis Pro Classic imaging software fulfills the requirements of Directive 93 42 EEC Dimaxis Pro Classic is an image processing and archival software The program allows the user to view manipulate and archive images and it can also be used to take images with all the present and future Planmeca digital imaging devices Dimaxis Pro Classic supports all the basic functionality required to view manipulate and print images as well as full support of multiple users on a common image archive that can be located in a network server Special attention has been paid to keep the operation of the Dimaxis Pro Classic system as simple as possible However it is important to realize that no computer system can be operated continuously and succes
33. matching patients appear in the patients list To view all patients saved in the database use the sign as the search term NOTE If a partial name is entered Dimaxis will return all patients whose last name begins with that string In case you want to search patients by their first name replace the last name with the wild card Examples Angle Edward All patients with the last name Angle and the first name Edward J All patients whose last name starts with the letter J Joh All patients whose last name starts with Joh e g Johnes and Johansson Van Almsick All patients with the last name Van Almsick Anne All patients whose first name is Anne 19800517 All patients with 17 05 1980 as date of birth and 19800517 as ID The Quick PID patient identifier shortcut consists of the initial letter of the patient s last name followed by the last four digits of the patient ID social security number e g R1234 Refer to section 9 1 1 Patient on page 128 for further information If the specified patient cannot be found the message window shown below appears To return to the Select Patient window click OK Planmeca Dimaxis Mo patients Found Please check the selection criteria Dimaxis Pro Classic 9 GETTING STARTED All the patients that fulfil the given selection criteria are shown in the Browse Patients dialog window Select the requested patient from the list and click OK Browse Patients Patie
34. of the Exposure Level bar however too little radiation is displayed in the blue region The EQN Value field states the specific value The low and high values for all devices can be set in Global Settings see 9 1 Global Settings on page 128 Fill in the required information and accept the image by clicking OK Note that only approved images will be stored in the database Panoramic Exposure User z Doctor Gamma Cancel Comments Low Normal High NOTE Note that if you have used one of the special programs of the panoramic unit Double TMJ True profile TMJ Transversal slicing system you may be able to take more than one exposure in one image Between the exposures the Waiting for Ready and Waiting for Exposure messages will be shown The parameters of the exposure are shown in the Panoramic Image Parameters window that appears when you click the Parameters button in the Select Image window Parameters button User s Manual Dimaxis Pro Classic 49 IMAGE ACQUISITION The Image Parameters window can also be opened by selecting the Image Parameters command from the View pulldown menu that is visible when an image is open The dialogs are different depending on whether the image has been taken or imported see also next page Panoramic Image Parameters User Doctor Comments s Low Normal High Frogram i Program Main Mame Voltage k T Current m DAF map cmi Child Mode i Jaw
35. other User s Manual Dimaxis Pro Classic 125 PULLDOWN MENUS Tile 3C Divided The Tile 3C Divided function divides the screen into three parts two same size windows side by side and one bigger window below them Tile 6A Vertical The Tile 6A Vertical function displays six image windows in format 3x2 three windows side by side in two rows Tile 6B Horizontal The Tile 6B Horizontal function displays six image windows in format 2x3 two windows side by side in three rows NOTE The options which are ticked in the menu are remembered and used automatically For example if you have three images open and close one window the two remaining images will be displayed according to the option ticked for two open images 126 Dimaxis Pro Classic User s Manual SETTINGS 9 SETTINGS Choose the Global Settings Local Settings or DICOM Settings command from the Administration pulldown menu to check or change the Dimaxis settings The Administration pulldown menu is shown when there are no images open Select the settings to be checked changed from the tabbed panes at the top of the Global Settings Local And User Specific Settings and DICOM Settings window NOTE It is possible to prevent users from changing Dimaxis settings doing long term archiving and editing study templates This can be achieved by adding the following lines to the file Dimaxis ini 1 enabled O disabled PERMISSIONS Admin 1 Deletelmage 1 Glob
36. pricing for additional users 1 5 1 Disk Space Requirements User s Manual The following table gives approximate disk space requirements for different image formats Format Without compression With JPEG compression DIMAX normal resolution 4 1 MB 1 7 MB DIMAX enhanced 7 4 MB 3 MB resolution DIMAX2 3 normal 5 0 MB 0 8 MB resolution panoramic DIMAX2 3 normal 7 0 MB 0 95 MB resolution cephalometric DIMAX2 3 enhanced 8 9 MB 1 1 MB resolution panoramic DIMAX2 3 enhanced 12 5 MB 1 9 MB resolution cephalometric Dimaxis Pro Classic 3 INTRODUCTION Format Without compression With JPEG compression DIMAX2 3 high 20 MB 2 2 MB resolution panoramic Dixi AO 200 kB 50 kB Dixi A1 430 kB 100 kB Dixi A2 560 kB 140 kB Dixi2 3 BO normal 560 kB 180 kB resolution Dixi2 3 B1 normal 940 kB 310 kB resolution Dixi2 3 B2 normal 1 3 MB 430 kB resolution Dixi2 BO high resolution 2 2 MB 720 kB Dixi2 3 B1 high resolution 3 8 MB 1 2 MB Dixi2 3 B2 high resolution 5 2 MB 1 7 MB a The actual achievable values depend on the individual image b Because of the extensive disk space requirements and the additional X ray radiation needed to achieve the same low level of noise quantum mottle the user should care fully evaluate the advantages of using the enhanced high resolution mode IMPORTANT SAFETY NOTICE JPEG conversion is a so called lossy compression the use of which can lead to loss of image de
37. resolution mode DIX12 3 high 19 um 26 3 Ip mm 26 3 Ip mm resolution mode Secondly each pixel is represented by a numerical value in the computer memory Because of the numerical nonphysical nature of the image the brightness and contrast of the image can be altered and various image enhancement operations can be performed which are not normally possible with film images That is one of the main advantages of digital imaging but it is also necessary to understand this and keep it in mind when using manipulated images for diagnosis The numerical nature of the image also sets an upper limit to the detectability of contrast differences differences in radio translucency in digital images This contrast resolution is expressed in terms of number of bits used in capturing and storing the image or in number of gray levels that the system can record See the table below for values of Planmeca equipment Device Number of bits Gray levels DIMAX all modes 12 4096 Note that although most computer screens can display only 256 8 bit or less gray levels and although it has been shown that the human eye can barely differentiate contrast differences in the order of 1 32 1 64 5 6 bits the human eye automatically adapts to the lightning conditions and this fact together with proper use of the light box makes it possible to detect smaller variations in film contrast Thus it is necessary to capture and record images at higher contrast resolution tha
38. senes naro h2 ny EI Check out Paediatric 10 image series Paediatric 6 image senes Pan amp ceph Preschool paediatric Cancel 166 Dimaxis Pro Classic User s Manual STUDY TEMPLATES Optional only in US The Study Template Editor window appears Study Template Editor Paediatric 6 image series Default Intra Image Parameters Sensor Orientation Sensor Type Al F E 33 36 OF Cancel Description Exp Order Searles Send Order Parameters OF Cancel Modify the template according to the instructions given in this section and click OK to save and close the window when the template is complete User s Manual Dimaxis Pro Classic 167 STUDY TEMPLATES Optional only in US 11 1 1 Adding Image Placeholders Select the image type by clicking the icon on the left side of the window When you select an Intracam panoramic or cephalometric image a placeholder for the image will appear on the template Move the placeholder to the desired position before selecting a new image ___ Intraoral Intracam __ Panoramic ___ Cephalometric 3 Lat Ne When you select an intraoral image the Default Intra Image Parameters window appears Select the sensor orientation and sensor type Default Intra Image Parameters Sensor Orientation Sensor Type ie eae 9 jaz Peel CCELL ELLE s ee k Se 2 CCELLELLE 43 Bs PTT ttt ttt Ok Lancel Selec
39. size and scale of images on paper or film depend on many factors such as the image type the printer used and whether the image is being printed as part of a study or not For a detailed description see sections 6 3 Printing X Ray Images on page 68 and 6 4 Printing Intracam Images on page 68 NOTE Because of the varying image scaling it is the user s responsibility to ensure the scale of the printed images before making any measurements from the printed hard copy When making measurements on the printed image it is recommended that a known reference object is used to determine the scale e g a ball phantom or scale exposed on the image NOTE Depending on the printer image printing very often results in a loss of image resolution and detail because of the limited resolution of the printer To ensure that the image quality of the printed image is sufficient a test exposure of a phantom with both realistic objects i e teeth and resolution patterns should be made and the printed image should then be compared with the image on the screen Printing X Ray Images When images are printed the scaling is determined by the print scale setting of the X ray images For changing the setting see section 9 2 1 Printer on page 140 A scale of 100 means that the image will be printed so that the size of the printed image is equal to the real active sensor area A 200 scale will make the printed images twice that size and 50 will print
40. 109 for information on this command Drawing Toolbar see section 8 10 3 Measurement Toolbar on page 105 for information on these commands Region of Interest Dimaxis Pro Classic 117 PULLDOWN MENUS Region of Interest ROI Select the Region Of Interest ROI command from the Draw pulldown menu to modify a part of an image Alternatively you can click the Region of Interest button located on the right toolbar and then click the left mouse button at the start point of the region release the mouse button and click the left mouse button in the end point The region of interest is shown with blue white borders when the region is selected Then the actions performed will be effective only in this region You can draw several regions of interest to the image and they can be moved on the image sa Planmece Dimaxis Pro Test Clink Vidiniimiinon Sampo 18 7 1809 lax imme Capire Edt Wew DICOM fui basura Breet Winkie Haii LOJA 82QQ is 2 2ah E Region of Interest button fa a 3 Control Points for Subbnartion bs KS LA ai Borders Region of Interest Region OF interest ROI ai To delete the region of interest select it by clicking inside its borders and then press the DELETE key or Ctrl X The message window shown below appears Click Yes to delete the region of interest or cancel the action by clicking the No button al n Q
41. 3 07 i osure Values 70 kv 11 m 0 000 s est Clinic Page 1 pa Median OE E E E E a E For details about the scale size of the printed image on a page see sections 6 3 Printing X Ray Images on page 68 and 6 4 Printing Intracam Images on page 68 User s Manual Dimaxis Pro Classic 67 PRINTING THE IMAGES 6 2 6 3 6 4 Printing Multiple Images on Same Page To be able to print multiple images on the same page the images to be printed must be in a single study To print all the images in a study open the study and click the Print button To print only some of the images first select the images to be printed and then click the Print button Refer to section 4 2 1 Select Image Study Optional only in US on page 20 for more information about printing images from a study Multiple images are printed on the same page in a rectangular grid format For each image the study template defines in which grid cell the image will be printed in The size of the grid number of rows and columns is defined by the smallest grid size that can be used to print the images in the selected format row column positions Note that if the print positions for all of the images to be printed are not specified the images will be printed in the order in which they were exposed To set the printing positions see section 11 1 8 Changing Image Placeholder Parameters on page 173 Scale Quality and Printed Area of Printed Images The
42. Administration Pulldown Menu The Administration pulldown menu is visible when no images are open Working with settings is described in section 9 SETTINGS on page 127 Administration view Help Database Login Database Setup Database Statistics Database Backup Status Database Disk Usage Global Settings Local Settings DICOM Settings Move to Long Term Archive User s Manual Log in to the database Change the database options Dimaxis settings see chapter 9 SETTINGS on page 127 In Dimaxis Pro version only Move image s to long term archive see chapter 10 MOVING IMAGES TO LONG TERM ARCHIVE on page 160 Dimaxis Pro Classic 93 PULLDOWN MENUS Database Login The Database Login command on the Administration pulldown menu is active when you are not connected to the Solid database Use this command to connect to the database Database Setup Select the Database Setup command from the Administration pulldown menu to change the database startup and shutdown commands z Startup Command C solid SOLFE EXE Browse Shutdown Command admin command shutdown UserID Cancel These fields should be left empty unless Dimaxis is used in a standalone computer and Solid has not been registered as a service When you click User ID the message window shown below appears Planmeca Dimaxis x o d Fi The database must be running before
43. Box Show the View box Toolbar The Toolbar function will show hide the upper toolbar Status bar The Status bar function will show hide the status bar located at the bottom of the screen View Box The View Box function turns the screen white This option enables you to view film X rays 8 7 Help Pulldown Menu The Help pulldown menu is visible all the time Help Manual fin POF format Select the About Dimaxis command from the Help About Dimaxis pulldown menu to check the Dimaxis version number if you have to contact the technical support Manual in PDF format The Manual in PDF format command on the Help pulldown menu opens the Dimaxis users manual The manual is in PDF format Acrobat Reader must be installed to be able to open the manual If Acrobat Reader has not been installed in this computer the message window shown below appears Planmeca Dimaxis x A Acrobat Reader has not been installed in this computer 96 Dimaxis Pro Classic User s Manual PULLDOWN MENUS 8 8 Image Pulldown Menu Image s Open This Image pulldown menu is visible when an image is open Image Capture Edit view DICOM Select Select by Tooth Range Image Navigator Original Reload Delete Move to 4nother Patient Subtrack Import Export Export Original Export ROT Decision Support Eeit Save Close Send by Email Print Ctrl P Frink Previ
44. COM Pulldown Menu Image s Open Pro Version only This DICOM pulldown menu is visible when an image is open DICOM Craw Measure Process DICOM Storage DICOM Print DICOM Print All Send images to remote DICOM application Print images with a DICOM printer Print all opened images with a DICOM printer DICOM Media Storage Create DICOM medias Read DICOM Media DICOM see section 7 3 DICOM Pulldown Import DICOM Image File Menu no Images Open Pro Version only on page 74 for information on these commands 7 4 1 DICOM Storage Pro Version only This function is the same as the DICOM Storage button refer to section 7 2 DICOM Storage Pro Version only on page 72 7 4 2 DICOM Print Pro Version only This function is the same as the DICOM Print button refer to section 7 DICOM on page 70 User s Manual Dimaxis Pro Classic 8l DICOM 7 4 3 DICOM Print All Pro Version only The DICOM Print All command functions in almost exactly the same way as the Print All command see section 6 5 Print All Pro Version only on page 69 The Print All function has an exact print preview whereas the DICOM Print All function provides only a rough approximation 7 4 4 DICOM Media Storage Select the DICOM Media Storage command from the DICOM pulldown menu to create DICOM medias Fill in the necessary information DICOM Media Storage x Media Directory E TEMP Browse Study
45. COM image file withouth a DICOMDIR file The standard presumes a DICOMDIR but some other programs do not produce it 7 3 3 Modality Worklist Pro Version only A Worklist is the structure to present information related to a particular set of tasks It specifies par ticular details for each task The information may support the selection of the task to be performed first and may support the performance of that task See the DICOM Standard for details It is also possible to use the Worklist function though the DICOM support has not been installed into the workstation In that case the worklist entries will be retrieved from the Dimaxis database In this case the DICOM Gateway must be running in another computer in the network DICOM Modality Worklist Family Name Patient ID Start Date from 27 3 2007 Remote DICOM Worklist AE wes Accession Start Date to 27 3 2007 Find by Scheduled AE Modality A Gender x Patient ID Name Gender Birth Date Modality Date Time Description Accession Number List size 0 Log File Get List Cancel User s Manual Dimaxis Pro Classic 75 DICOM If it was not possible to get the worklist the message window shown below appears Check that the management software is up and running and that the network is working properly Retry If this still does not succeed open the Log file by clicking the Log File button print the file and fax it or send it to your local
46. Export Study View as an Image By clicking the Exp View button a window shown below appears If no images have been selected all the images in the study will be exported The Exp View command exports a whole view into one single file Exp View Export View button Export Study View as an Image Mw Create patient and image information file Encoding Format ANSI E ANSI UNICODE Directory CAD ocuments and Settingsschneththy Documents Browse File name blubb2 Format TIF Cancel User s Manual Dimaxis Pro Classic 31 IMAGE FINDING AND VIEWING Comment You can modify the comment of the study which is shown in the Study window Click the Comment button and the Notes for the Study window appears Comment button Fill in the comment text and accession number and click OK Notes for the Study E x Comment DICOM Specific Information Accession Number Study Instance UID Cancel 32 Dimaxis Pro Classic User s Manual IMAGE FINDING AND VIEWING 4 2 5 Select lmage Panoramic In the Panoramic window the panoramic images of the selected patient are shown Click the desired image once to select it The image is deselected when you click another image Several images can be selected by holding down the Ctrl or Shift key and then clicking the images The selected images are indicated with a grey border Click OK to open the selected image s You can also open an im
47. ID Study Description Senes Number Seres Description Accession Number Log File Cancel 82 Dimaxis Pro Classic User s Manual PULLDOWN MENUS 8 PULLDOWN MENUS NOTE You can activate all the different functions of the program from the pulldown menus The buttons on the toolbars are available only for the central functions of the program NOTE The pulldown menus are different according to whether images are open or not NOTE If there are three dots after a command in the pulldown menu or in the opened dialog window it means that by clicking the command there will be more options to choose from If the command in the pulldown menu or in the dialog window is not followed by three dots there will be no more options 8 1 Patient Pulldown Menu The Patient pulldown menu is visible when there are no images open New patient see chapter 2 2 aes Selecting Patient on page 8 New Select a patient see chapter 4 1 Reet ee Selecting Patient on page 17 Statistics Deselect a patient _ Patient statistics Modify Modify patient information Change Patient ID Change the patient number Delete Patient Delete the patient 000001 Adult Patient 000002 Child Patient OOO004 Test Patient 1 000003 Planmeca ProMax Tomography QOOOUG Test Patient 3 00011 Tomo Patient 12345 aye L 000012 Patient Child OO0 6010 Patient Mr 10 ao Ax AX c Select List of the most recently used
48. MAGES sassen a a adeuaumanlecnsaiiates scares kadessamctsnies 18 4 2 1 Select Image Study Optional only in US ec cceeccceecseeeeeeseeeeeeeeseeeeeeseeeeseeeeseeeeeenas 20 422 Adding E NEW STUdi n E E aE 20 Ae an Deleng a Study ia a e a a a a a E 21 A 2A Opening a SUV iena aa a a a tenes ansaedsenmeand ete usadwedeasteeaas 22 42 5 Select Image PanoramiC sssri i i ii 33 4 2 6 Select Image Cephalometric an dsiescasrecve scans uiecia Diesaseseetedeatassededacadosnctansschacatwedaagaatweneaaexenes 34 427 SelECUIMAGEHMUNAOM AD sig3 sc2sccconsetacidireilonigenced a Maced bent edndes a a a aaa 35 A258 SElECE IMAGESHMUACAI xc seceads ue ceceivanusisnaas a e a aa 36 ASS Selecting DY Tooth Range ac sosteunictadxtcdestexnitecaandiantiusiencatiesaeds Contec banca thal dnaintnunatrbickedaameuntetanentodte tains 37 AA Mage Navigator storie aratyatiautns a ecovitiavodeatersd cae n Ceca r r e 38 5 IMAGE ACQUISITION 0 0 cece ccecceceseeeeeneecenseecenseesaneeeceneeeceneeeoansesoeneesoesessonsessonss 40 5 1 Taking a Cephalometric Exposure cccccccccceececeeeeceeeeceeeeesueeeeceeeeseeeeseueeseueessueesseeeesaeeeseneenes 40 5 2 Taking a Panoramic ExpoOSure cuna inna tees 46 5 3 Taking an Intraoral EXPOSUIEC eene a a E aaa E aa aE eE 52 54 Capturing Antracam i lMageS qassis eh ee ou cetera N eis 57 55 VVATINIICI ACG sen dscansateeearesneaee cuncraceteeancecenseds edencueracnnsansensesetesa ccesuesesaeaneee eee tessesaeeneeee 59 5 5 1
49. Patient The buttons for patient selection and image viewing and exposing are located on the toolbar at the top The same functions can also be chosen from the pulldown menus Ey Planmeca Dimaxis Pro Test Clinic V in m inen Sampo 18 7 1889 Patient Image Capture DICOM Study Administration View Help User s Manual Dimaxis Pro Classic 13 TOOLBARS 3 3 Toolbars with Image s Open for the Selected Patient The buttons for patient selection image viewing exposing and printing as well as image processing are located on the toolbars at the top and on the right side of the open image see next page The same functions can also be chosen from the pulldown menus see 8 PULLDOWN MENUS on page 83 Some of the buttons can be chosen not to be shown on the toolbars Refer to section 9 2 7 Icons Pro Version only on page 150 for further information E Pila teta Di xis Pro Test Clinic Planmeca i 23 2 2005 fE EJ i i i EEES HRES I image Capture Edt Wew DOOM Deme Measure Process Window Help HLOGDNEUMREES SaR 4 0 2005 10 aT be ali k ind Bi oe al ai JBEREZS S m A a HLR a l Po Heip press Fi T Medan Shapen 14 Dimaxis Pro Classic User s Manual 3 3 1 Upper Toolbar Select Patient DICOM Modality Worklist Select Image Select by Tooth Range Cephalometric Exposure Image Navigator Panoramic Exposure Intraoral Exposure Intracam TWAIN Acquire Image Plate CR Scanner
50. RM ARCHIVE NOTE You can also find the Temporary folder by giving the following command in the Windows Explorer address bar temp In the image selection window previews of moved images are displayed and a note In Long Term Archive is shown above the preview However studies which have been moved to the LTA can still be opened The images of an open Study are also displayed as previews with the appropriate note see the figure below NOTE Images which have been moved to the long term archive with Dimaxis version 4 1 6 or older are displayed as a grey rectangle Select Image Study Panoramic Cephalometric Intraoral Intracam 23 3 2007 12 45 07 5 6 2004 9 51 25 In Long Term Archive 2 i dala 21 3 2007 16 52 49 ln Long Term Archive H2 lez s a i aT i 1 d 5 6 2004 14 42 00 In Long Term Archive 1 Parameters 164 Dimaxis Pro Classic User s Manual STUDY TEMPLATES Optional only in US 11 STUDY TEMPLATES OPTIONAL ONLY IN US 11 1 Creating Editing Study Templates NOTE Itis possible to prevent users from editing study templates See page 127 for details New templates can be created and the existing ones can be modified with the study template editor The Study pulldown menu is visible when there are no images open This menu can also be opened before selecting a patient Stee Administration view Create a new template Copy an existing template Hew Template Copy Template Edit
51. Size Laver Position mm Segm Mask x Device Mame Sensor Seral Number width pixela Height pixels Image Format TIF Resolutions Hormal 12346 Normal Exposure Date 27 3 2007 Modify EQN Value D Program Sub Mame Exposure Time z 15 900 Total Exposure Time sk 15 900 Jaw Shape Normal Magnification Segm Mask y 123 Device SW Version Bits Per Figel User s Manual 50 Dimaxis Pro Classic IMAGE ACQUISITION Image Parameters xX Image Motes User Tooth ance Doctor Comments Exp D ate 14 01 2005 Rotate Fisel size um Magnification Voltage k Current m a 1 Exp Time fg Width pirels Height prels Bits Per Piset Image Format Modality a IEAEE Cancel User s Manual Dimaxis Pro Classic 51 IMAGE ACQUISITION 5 3 Taking an Intraoral Exposure Select the patient as described in section 2 2 Selecting Patient on page 8 Click the ntraoral Exposure button located on the upper toolbar Intraoral Exposure You can determine if you want to use studies in intraoral exposures Refer to 9 1 7 Study Optional only in the US on page 137 The Select a Study window appears Optional in US You can either open a new study or continue with a partially filled study Select the desired study and click OK Select a Study a Eo x Select a study template or an exi
52. T with gamma Store Favs with 8 Bits Per Pixel 1 Bum Patient Info and Annotations into Image File SOF Class for A ays C Secondary Capture Image Storage f Digital Ray Image Storage For Presentation C Digital amp Ray Image Storage For Processing Storage Commitment E p Cancel NOTE The DICOM Storage Setup settings are global Nevertheless they depend on the selected Storage AE Click the respective Setup button in the Applications window to check or change the settings for the DICOM printer application The DICOM Printer Setup window will appear Refer to 7 DICOM on page 70 for information on this window and its contents User s Manual Dimaxis Pro Classic 157 SETTINGS Click the lowest Setup button in the Applications window to check or change the settings for the DICOM modality worklist The message window shown below appears DICOM Modality Worklist Setup x Worklist AE E ERGE WORK_SCP M Copy the worklist items to Dimasis database Maximum List Size f TT Default Modality ea 9 3 2 Devices In the Devices window you can fill in the station name model and serial number panoramic cephalostatic and intraoral DICOM Settings q x Applications Devices Contact Information Station Name Model Serial H Panoramic Cephalostatic fe r Intraoral o oo NOTE Settings for Devices apply to the local workstation only 158 Dimaxis Pro Classic User s Manual
53. TWAIN source The source has not been selected or there is no TWAIN compatible device available 60 Dimaxis Pro Classic User s Manual IMAGE ACQUISITION 5 6 Image Plate CR Scanner Pro version only Dimaxis can capture images using CombiX and VistaScan imaging plate scanners NOTE Refer to the scanner user s manual for more information about scanning images NOTE This function must be licensed separately 5 6 1 CombiX Scanner USB Select the patient as described in section 2 2 Selecting Patient on page 8 Click the Image Plate CR Scanner button on the upper toolbar or select the Image Plate CR Scanner command from the Capture pulldown menu to scan an image The window shown below appears Prepare the scanner according to the instructions given in the scanner user s manual If necessary select the image plate holder type from the Holders list Click the Scan button to start scanning The image will appear in the window If you want to interrupt scanning click the Abort button To erase the image traces from the imaging plates click the Erase button Use the Setup button to check or change the settings for the scanner refer to scanner users manual NOTE Do not change the image format specific settings Image Plate CR Scanner Scanner Ready Scanner setup Holders T standard 4030 Intra Ural Panoramic 3001 20mm Fanoramic 3001 50mm T4eStandard 40 30 4Bite wince AsO ccl
54. The object to be deleted is a region of interest ROT IF you delete it the image must be regenerated It is not possible to undo the deleting Do you still wank bo delete the object 118 Dimaxis Pro Classic User s Manual PULLDOWN MENUS 8 12 Measure Pulldown Menu The Measure pulldown menu is visible when an image is open Measure Process Windo Diagnose Open the diagnose window Calibrate Measure Length Measure Angle Measurement Toolbar see section 8 10 3 Measurement Toolbar on page 105 for infor Shaw Line Profile mation on these commands Show Histogram Diagnose Window Select the Diagnose command from the Measure pulldown menu to type the diagnose text in the text box that appears You can alternatively click the Diagnose button located on the upper toolbar Click OK to save the text Diagnose button Diagnose E Xx Wike the diagnose and click OF when ready wf Cancel The Diagnose button remains selected on the upper toolbar if an image has been saved with a dia gnose The diagnose will be printed with the image when printing single images if you have selected Detailed option in the Local And User Specific Settings Printer window see section 9 2 1 Printer on page 140 User s Manual Dimaxis Pro Classic 119 PULLDOWN MENUS 8 13 Process Pulldown Menu The Process pulldown menu is visible when an image is open Adjust L
55. The same device can be used for backing up the archive too see the note below Some of the patient s images can be in the long term archive LTA while other images are in the active database New images can also be taken even if some of the images are in the LTA Images can be restored at a future date Prior to Dimaxis 4 0 0 all the images had to be either in the LTA or in the active database IMPORTANT SAFETY NOTICE Note that the image archive contains valuable and confidential patient data Losing this data may compromise patient safety as images may have to be retaken which will expose the patient to unnecessary radiation dose To minimize the risk of losing any data the archive system keeps a log book into which all image data is copied when it is saved into the archive This double storage ensures that in case of archive failure software or hardware the archive can be reconstructed with minimum loss of valuable patient data In addition to that regular backing up of the image archive must be organized by competent personnel For maximum security so called RAID systems are preferred for the archive For backing up the archive refer to the Solid Flow Engine manuals 1 7 Study Templates Optional only in US A study is a collection of related images from one patient It is always based on a study template In addition to defining the position of images within the study the template also contains information about how to acquire t
56. a value you get an image that looks more like a conventional X ray image Acceptable Limits for Quality Indicator EQN Exposure Quality Normalized can be set with the range between Low and High see 5 IMAGE ACQUISITION on page 40 lf you want to use the Auto Filter you can select it in this window If either of the options Sharpen Median is selected the specific filter will be used automatically on the opened images only on the images that have not been saved with the Image gt Save function The Exposure selection enables you to determine if you want to allow rejecting the images during the exposure The Overview selection enables you to determine if you want to open the Overview window when opening the image Dimaxis Pro Classic 133 SETTINGS Select the option Zoom To Fit 100 or 50 to determine the initial magnification Global Settings Patient Image Window Panoramic Cephalostatic Intraoral Study System Resolution Bits Per Fisel C Normal Enhanced C High f 12 16 C B Auto Level Parameters non Logarithm Cut Percentages Black 2 0 01 White 3 0 01 Midtones Gamma 0 25 Auto Level Parameters for Logarithmic Mapped Images Cut Percentages Black 1 0 0 White 31 0 01 Midtones Gamma 1 00 Acceptable Limits for Quality Indicator A ange 0 1000 Low 300 High 500 Auto Filter Sharpen Median Exposure W Rejecting images is allowed Overview Open the overview
57. ach You can detach an image from the study by clicking the Detach button in the Study window Note that the image will not be removed from the database If you want to remove the image from the database open the image and select the Delete command from the Image pulldown menu Detach Detach button If you want to detach the image from the study click Yes By clicking No you will return to the Study window Planmeca Dimaxis e x The image will WOT be removed Fram the database Do you want to detach the image From the study Yes Mo DICOM Storage Pro Version only You can send the images of the study to a DICOM application by clicking the D Storage button D Storage DICOM Storage button User s Manual Dimaxis Pro Classic 23 IMAGE FINDING AND VIEWING The Send Study to DICOM AE window appears Send Study To DICOM AE Remote DICOM Application MERGE_STORE_SCP Select i Continue On Error M Use Send Order Numbers as Image Numbers Send Selected Images Only W Send Previous Unsent Images Only E Images Sent o Total a Log File Cancel While sending the images of the study network specific errors may occur If you want to retry sending images after such an error select Continue On Error If you want to send only some of the study images select the images before opening this dialog and select Send Selected Images Only The images stored in the Dimaxis database are numbered in
58. age by double clicking it The parameters of the selected image are shown in the window that appears when you click the Parameters button Select Image E x Study Panoramic Cephalometric Intraoral Intracam 05711 2004 13 37 34 15701 2003 12 40 15 15701 2003 13 40 53 15701 2003 12 37 56 14701 2003 15 00 23 A i A i i a mn sinus rotational Tomo 4 cre manual 14 01 420035 15 59 41 mal F amp o d TMJ lat PA d TMJ lat Parameters User s Manual Dimaxis Pro Classic 33 IMAGE FINDING AND VIEWING 4 2 6 Select Image Cephalometric In the Cephalometric window the cephalometric images of the selected patient are shown Click the desired image once to select it The image is deselected when you click another image Several images can be selected by holding down the Ctrl or Shift key and then clicking the images The selected images are indicated with a grey border Click OK to open the selected image s You can also open an image by double clicking it The parameters of the selected image are shown in the window that appears when you click the Parameters button Select Image X Study Panoramic Cephalometric Intraoral Intracam 14 07 2003 15 55 33 14 01 2003 15 54 10 14 07 2003 15 54 38 14 01 72003 15 54 57 F T Hew Parameters 34 Dimaxis Pro Classic User s Manual IMAGE FINDING AND VIEWING 4 2 7 Select Image Intraoral In the Intraoral window the intraoral images o
59. al Settings Tabbed Patient Image windows Panoramic Cephalostatic Intraoral Study System panes Name Formatting Capitalize First Letter f Capitalize ALL f Dont Format Sort Order f Patient ID 0 Name C Birth Date Administration View Help 7 Name Display Order Database Login fi f Family name First name O First name Family name Database Setup p Minimum Patient ID Length 1 z Database Statistics Automatic numbering for new patients Country W Patient ID Social Security Number Check format Database Backup Status Show Patient ID in the title bar 2 W Automatic wild card usage in selection Database Disk Usage weden Search using Quick PID Iw Birth date is mandatory Ii Birth date in MMOD format Local Settings ae I Birth date formatting based on regional settings Global Settings DICOM Settings Wi Move to Long Term Archive User s Manual Dimaxis Pro Classic 127 SETTINGS 9 1 9 1 1 Global Settings Patient In the Patient window you can change the name formatting sort order name display order minimum patient ID length and patient numbering properties See next page The Minimum Patient ID length can be changed by clicking the arrow buttons If the user enters a number shorter than the minimum length zeroes will be added to the left of the number If you have selected the option Automatic numbering for new patients and you leave the Patient ID box empty
60. an be seen in the Flashlight Setup window see next page OF Planmeca Dimaxis Pro Test Clinic Adult Patient 19520223 Image Capture Edit Yiew DICOM Draw Measure Process Window Help HEURTE aa EF 14 01 2003 15 58 59 60k 10mA 10 0005 For Help press F1 Se Le ST Sas cane Cee a S aan 112 Dimaxis Pro Classic User s Manual PULLDOWN MENUS Flashlight Setup Pro Version only In this window you can choose the command for the flashlight Here you can also define the form of the window circular or rectangular Command Gamma 0 50 _ Contrast Brightness J au A y 30 C Inver Equalize C Sharpen C Emboss W Circular window Cancel If you select Sharpen the message window shown below appears Planmeca Dimaxis E xj Warning sharpening can be quite time consuming 8 10 5 Viewing Toolbar Select the Viewing Toolbar command from the View pulldown menu to view the viewing tools You can alternatively click the Viewing Toolbar button located on the upper toolbar Viewing Toolbar button Full Screen Mode Show the Overview Image Magnify 2x User s Manual Dimaxis Pro Classic 113 PULLDOWN MENUS Full Screen Mode Click the Full Screen Mode button to enter the full screen mode Zoom the image in out with the keyboard plus and minus keys and move up and down with the arrow keys and the page up down keys Retu
61. anual Dimaxis Pro Classic 79 DICOM If you click Study in the DICOM Query Retrieve window the Study Selection window appears With this selection you can retrieve images belonging to a specific study SHOSTAKOVICH D Birth date f 3440404 ID 444 444444 Date Time Accession Number 4 4 1994 12 00 dddddad Delete Images Sent to DICOM AE When an image is sent to a DICOM application the date when the image was sent will be recorded in the database It is possible to delete the sent images from the local Dimaxis database Select the Delete Images Sent to DICOM AE command from the DICOM pulldown menu Enter the desired date in the dialog box that appears and click Delete Delete Images Successfully Sent to DICOMAE ed Mask for deleting sent images Month and Day fields are optional Year Month Day ooz is E Delete Coe 80 Dimaxis Pro Classic User s Manual DICOM If no images are found the message window shown below appears To return to the Delete Images Successfully Sent to DICOM AE window click OK Planmeca Dimanis a x AN No sent images to be deleted found Delete Old Local Worklist The old entries from the local copy of the Worklist stored in the Dimaxis database are not automatically deleted They can be deleted by clicking Yes in the message window shown below Planmeca Dimaxis E E x r L72 Delete the old entries Fram the local worklist Yes flo 7 4 DI
62. assic User s Manual PULLDOWN MENUS The values at the lower right of the dialog box change to display the gray level Gray Level of the point from O to 255 the total number of pixels at that level Count and the percentage of pixels at or below that level Percentile U 255 Total Pirels 25001568 Gray Level ne Meare 113 38 Count 14626 Std Deviation 6 75 Percentile 40 82 Median 100 Fercentage 0 58 Drawing the Figures Click the button of the desired tool and then click the left mouse button at the start point of the object release the mouse button and click the left mouse button at the end point The tool is automatically deselected when it has been used if another tool or command is selected or if you press the ESC key Annotation Text Click the annotation text button and the desired text position in the image The Annotation Text dialog box appears Enter the annotation text and click OK You can change the text later by double clicking the text in the image Annotation Text B x Type the text and click OF when ready Annotation Text button Cancel Show Hide Annotations Click the Show Hide Annotations button to show or hide the annotations made on the image Show Hide Annotations button User s Manual Dimaxis Pro Classic 109 PULLDOWN MENUS 8 10 4 Image Processing Toolbar Select the Image Processing Toolbar command from the View pulldown menu to view the filter too
63. c Exposure on page 46 and 5 3 Taking an Intraoral Exposure on page 52 Cephalometric Exposure User Doctor Test Clinic Cancel Comments Waiting tor Ready User s Manual Dimaxis Pro Classic 41 IMAGE ACQUISITION When the cephalostat is in the ready position the following message appears You can now take the exposure a z x a wH Cephalometric Exposure x aes ai User Bum Doctor Gamma Cancel Comments E EQN Value Exp Level Low Hormal High If you want to interrupt the exposure process after the Cephalometric Exposure window has appeared on the screen press the ESC key The message window shown below appears If you do not want to interrupt the process click No Planmeca Dimaxis In section 9 1 4 Panoramic on page 133 it is possible to determine that it is not possible to reject images during the exposure In that case the Cancel button in the Cephalometric Exposure window is not visible 42 Dimaxis Pro Classic User s Manual IMAGE ACQUISITION When you click Yes you can close the Cephalometric Exposure window by clicking the Cancel button The message window shown below appears Click Yes to close the Cephalometric Exposure window or return to the window by clicking No Planmeca Dimaxis AN Do vou REALLY want to DISCARD the image After the exposure has been taken the image is shown in the Cephalometric Exposure window Below the inf
64. ca Dimanxis The images of the selected patient are in long term archive archive ID 3 Please insert the archive media and click OF to restore the images or click Cancel Cancel After the patient has been selected it is possible to select an existing image for viewing see section 4 2 Selecting Image on page 18 To take a new exposure refer to sections 5 1 Taking a Cephalometric Exposure on page 40 5 2 Taking a Panoramic Exposure on page 46 and 5 3 Taking an Intraoral Exposure on page 52 To capture an Intracam image see section 5 4 Capturing Intracam Images on page 57 Select Image l xX Study Fanoramic Cephalometric Intraoral Intracam 05 11 2004 13 37 34 15 01 72003 12 40 14 14401 2003 15 58 59 Ele 1570172003 13 40 53 15701 2003 12 37 56 1470172003 15 00 23 s i i i i f ss aa sinus rotational Tomo 4 crs manual 14 01 42003 15 59 41 d TMJ lat PA d TM lat 1 Parameters 12 Dimaxis Pro Classic User s Manual TOOLBARS 3 TOOLBARS NOTE The toolbar contents vary depending on whether patient is selected and images are opened or not 3 1 Toolbar with no Patient Selected The button for patient selection is located on the toolbar at the top The same function can also be chosen from the Patient pulldown menu Planmeca Dimaxis Pro Patient Image Capture DICOM Study Administration View Help 3 2 Toolbar with no Images Open for the Selected
65. cation shuts down the database executes the command solfe x textblocks and shows the test report in a dialog The check should be performed regularly If the Clear the log file feature is enabled the file is saved under a different name and the report of this check will not be shown again There should not be users with Dimaxis open when running this program ff TestSolid sdebug log x Thu Apr 21 16 36 18 2005 Checking database blocks Report of database block types Count Type BU free Block for debug purposes 4 free list block 3 change list from checkpoint 0 bad block list 9 live checkpoint list U transaction list 2 checkpoint record U snapshot record 2 database header record U blob allocation list block U blob data block 45 6 tree node filled 69 64 U blob 1st block U transaction statement list 3 sequence counter list 0 replication transaction list free cache page for debug purposes 1634 BLOB G2 page UMME storage page OMME page directory 0 BAD BLOCK 100 04 2504 Total Database blocks has been tested succestully Database ts ok oe coo fom ocooHooooooOoOoooOR oo Oo FO OS BE oe Oo OS BE OE OG OS 08 Oo OE BE oe 08 Clear the log file 186 Dimaxis Pro Classic User s Manual User s Manual Dimaxis Pro Classic 187 APPENDIX F PmLTArchiveSrv GATEWAY PmLTArchiveSrv is used as an additional possibility to archive images and patient information in a long term archive Ad
66. click the images on the left of the window to open them Close the Image Navigator window by clicking again the Image Navigator button on the upper toolbar by selecting the Image Navigator command again from the Image pulldown menu or by clicking the Close button in the bottom right of the Image Navigator window Dimaxis Pro Classic 39 IMAGE ACQUISITION 5 IMAGE ACQUISITION 5 1 Taking a Cephalometric Exposure Select the patient as described in section 2 2 Selecting Patient on page 8 Click the Cephalometric Exposure button or in the Select Image window select the Cephalometric tab Cephalometric Exposure In the Select Image window click the New button Select Image X Study Panoramic Cephalometric Intracral Intracam 14 01 72003 15 55 33 14407 2003 15 54 10 14 01 2003 15 54 38 14407 2003 15 52 57 i oT New Parameters cance _ The Cephalometric Exposure window with the message Waiting for Ready appears see the next page Prepare the patient for the exposure drive the cephalostat to the ready position and select the exposure parameters Refer to the Dimax3 user s manual 40 Dimaxis Pro Classic User s Manual IMAGE ACQUISITION In the Cephalometric Exposure window you can select the User from the user selection list see below The user selection list can be used also in the Panoramic Exposure and Intraoral Exposure windows refer to sections 5 2 Taking a Panorami
67. cseeeeeeeeceeeeeeeeeseneeeeneeseneeenessenessanees 184 APPENDIX E TESTER SOFTWARE FOR SOLID cccccceecceeeeeeeeeeeeeeeeeeeeeeeneesaees 186 APPENDIX F PmLTArchiveSrv GATEWAY cccsseeeseseeeeeseeeeeeeeeeeseseeeeeseaeeeeees 188 User s Manual Dimaxis Pro Classic TOC 3 TABLE OF CONTENTS The manufacturer assembler and importer are responsible for the safety reliability and performance of the unit only if installation calibration modification and repairs are carried out by qualified authorized personnel electrical installations are carried out according to the appropriate requirements such as IEC364 equipment is used according to the operating instructions Planmeca pursues a policy of continual product development Al though every effort is made to produce up to date product docu mentation this publication should not be regarded as an infallible guide to current specifications We reserve the right to make chan ges without prior notice COPYRIGHT PLANMECA 2007 04 PUBLICATION PART NUMBER 10006120 Revision 9 TOC 4 Dimaxis Pro Classic User s Manual INTRODUCTION l INTRODUCTION CE This manual describes how to use the Planmeca Dimaxis Pro and Dimaxis Classic imaging software which is developed to be used with the Planmeca digital imaging devices and the Intracam intraoral video camera Some of the functions are available only in the Dimaxis Pro version Please read this
68. d back from the DICOM archive to the Dimaxis database by using the Query Retrieve function For details about the Move to Long Term Archive function see section 10 MOVING IMAGES TO LONG TERM ARCHIVE on page 160 and for details about the Query Retrieve function see section 7 3 6 Query Retrieve Pro Version only on page 78 Some of the patient s images can be in the long term archive LTA while other images are in the active database New images can also be taken even if some of the images are in the LTA Images can be restored one at a time Prior to Dimaxis 4 0 0 all the images had to be either in the LTA or in the active database DICOM Long Term Archiving x Destination Remote DICOM AE MERGE_STORE_SCF A i Move all the images taken before the given date Year Month Day ce for for Move only the images of the current patient Sent Patients Megabytes ee Log File OK Cancel Dimaxis Pro Classic 77 DICOM 7 3 6 Query Retrieve Pro Version only Select the Query Retrieve command from the DICOM pulldown menu The Query Retrieve function enables you to retrieve images from a DICOM server Select the Remote DICOM AE if it is not specified Click the Query button If the Remote DICOM AE has not been specified use DICOM settings Applications see 9 3 1 Applications on page 155 to specify the default Q R application Select the Deselect command from the Patient pulldown m
69. d from the Capture pulldown menu Capture DICOM Study Administ Cephalometric Exposure Panoramic Exposure Intraoral Exposure Intracam Image Plate CR Scanner TWAIN Seleck Source TWAIN Setup TWAIN Acquire The Select Source window appears Select the device you are using and click the Select button The sources appearing on the list depend on the TWAIN compatible devices installed in the PC Select Source x SOUrces Kodak DCSTwain Version 5 7 0 9 Select Cancel il NOTE This window is also used to switch devices if more than one TWAIN device is installed in the system User s Manual Dimaxis Pro Classic 59 IMAGE ACQUISITION To acquire an image either click the TWAIN Acquire button on the upper toolbar or select the TWAIN Acquire command from the Capture pulldown menu Refer to the scanner camera users manual for information on how to proceed with the device you are using Capture DICOM Study Administ Cephalometric Exposure Panoramic Exposure Intraoral Exposure Intracam Image Plate CR Scanner TWAIN Acquire TWIN Select Source TWAIN Setup me TWAIN Acquire Use the TWAIN Setup command on the Capture pulldown menu to check or change the settings for the scanner camera It the TWAIN source can not be opened the source has not been selected or there is no TWAIN compatible device available x Could not open the
70. delete an image placeholder with the Delete button on the left side of the window after you have activated the placeholder with a mouseclick Note that you can delete only one placeholder at a time Note also that you cannot delete a placeholder from a template that is currently used in a study Delete 11 1 3 Aligning Images To align the images on the template with one another select the desired images Several images can be selected by holding down the Ctrl key and then clicking the left mouse button or by clicking the right mouse button Click the Align button and the Align Images window appears il Align The images can be aligned either along a horizontal line tops bottoms top bottom centers or along a vertical line left sides right sides left right centers Align Images E ad a ae Cancel 11 1 4 Changing the Description To change the description name of the template click the Description button The Update Study Template Description window appears Description Description button Enter the template description and click OK Update Study Template Description Description Adult full mouth series Cancel 170 Dimaxis Pro Classic User s Manual STUDY TEMPLATES Optional only in US 11 1 5 Selecting Exposure Order To select the exposure order of intraoral images click the Exp Order button and then click the image placeholders in desired exposure order The exposure ord
71. dragging downwards increases it The number below the slider displays the brightness value Values can range from 50 to 50 Click the Contrast button located on the right toolbar to make simple adjustments to the tonal range of the image Drag the slider to adjust the contrast of the image Dragging upwards decreases the level and dragging downwards increases it The number below the slider displays the contrast value Values can range from 50 to 50 Brightness button T Contrast button Reset Contrast Brightness Select the Reset Contrast Brightness command from the Process pulldown menu to set the contrast and brightness back to zero Optimize Contrast The Optimize Contrast command can be used only with an unmodified image use the Undo command if necessary After selecting the Optimize Contrast command from the Process pulldown menu click the area to be optimized This option optimizes the image for the diagnose needed e g for the root canal Description The purpose of this function is to optimize the contrast of a complete image The function makes the Dixi digital radiographs filmlike When a conventional dental film is viewed on a light box the human visual system perceives equal steps in object thickness as approximately equal steps in light intensity The Optimize Contrast function uses two algorithms to recalculate the image data The first algorithm is a so called gamma correction giving the result that equal steps
72. dy Template window appears Select a template and click OK Select a Study Template 2 panoramic Adult Adult full mouth series Adult full mouth seres wert Adult full mouth senes naro h2 ny EI Check out Paediatric 10 image senes Paediatric 6 image series Fan amp ceph Preschool paediatric Cancel 20 Dimaxis Pro Classic User s Manual IMAGE FINDING AND VIEWING The Notes for the Study window appears Fill in a comment and accession number and click OK or return to the Select Image Study window without adding a study by clicking Cancel The Accession Number field is only relevant if the study is to be sent to a DICOM application The Study Instance UID Unique Identifier for the Study only has a value if the current patient has been selected from a DICOM Modality Worklist Notes for the Study E x Comment DICOM Specific Information Accession Number Study Instance UID Cancel 4 2 3 Deleting a Study To delete a study select a study and click the Delete Study button The message window shown below appears Click Yes to delete the study or return to the Select Image window by clicking No If the study you try to delete contains images the message window shown below appears Click OK Remove the images from the study as described in section4 2 4 Opening a Study on page 22 and then delete the study Planmeca Dimaxis eS x x Can t delete a study that conta
73. e Resolution Prograrrr Sensor Serial Humber Device Hame Device Si Version width pixels Bits Per Piel Height pixels Image Format Cancel 44 Dimaxis Pro Classic User s Manual IMAGE ACQUISITION Image Parameters Image Notes User Doctor Comments f Cephalometric Intraoral C Shll video Image Type Exp Date C Pamario Ceshaenatic C viaoa Seo 1470172003 Rotate mm Fisel size um Magnification 7 a A Volkage EM Current m l aa Exp Time z Width pisela Height pirelz Bits Per Piet Image Format Modality ae User s Manual Dimaxis Pro Classic 45 IMAGE ACQUISITION 5 2 Taking a Panoramic Exposure Select the patient as described in section 2 2 Selecting Patient on page 8 Click the Panoramic Exposure button or in the Select Image window select the Panoramic tab E Panoramic Exposure In the Select Image window click the New button Select Image x Study Panoramic Cephalometric Intraoral Intracam 05 11 2004 13 37 34 15701 2003 12 40 19 14701 2003 15 58 59 14701 2003 15 00 23 EEE Te pa a sinus rotational Tome 4 crs manual 1570172003 12 41 46 14407 2003 15 55 41 d Thid lat F d Thid lat E Parameters OF Cancel 46 Dimaxis Pro Classic User s Manual IMAGE ACQUISITION The Panoramic Exposure window with the messa
74. e images are in User s Manual Dimaxis Pro Classic 161 MOVING IMAGES TO LONG TERM ARCHIVE the LTA Images can be restored at a future date Prior to Dimaxis 4 0 0 all the images had to be either in the LTA or in the active database Move Images to Long Term Archive x Move all the images taken before the given date Year Month Day or for fot Move only the images of the current patient Moved Patients Megabytes ee Archive ID Canos NOTE You have to make a backup of the Solid database after you have moved the images to the long term archive If the archive media is write protected or not in position the message window shown below appears Planmeca Dimauis x Failed to create the archive IO The archive may be write protected If no patients are found or if the current patient does not have any images the message window shown below appears Click OK to return to the Move Images to Long Term Archive window Planmeca Dimaxis Planmeca Dimaxis A Found no images taken before and at the given date A The patient doesn t have any images 162 Dimaxis Pro Classic User s Manual User s Manual MOVING IMAGES TO LONG TERM ARCHIVE If the program finds patients who fulfill the criteria the message window shown below appears Continue by clicking Yes or cancel the action by clicking No x Humber of the concerned patients 1 ee Required disk space For the images 68 MB Archi
75. e video signal type and colour television broadcasting standard Video Source Click the Display button and the Video Display window appears In this window you can adjust the colour settings etc of the image Note that all video cards do not have this dialog box ideo Display tt E p E E p E E p E E p 146 Dimaxis Pro Classic User s Manual SETTINGS Normally there is only one video capturing device available If there is more than one device the desired one can be selected from the Device selection 9 2 5 CRScanner Pro version only In the CR Scanner window you can select the scanner type Local And User Specific Settings Export TAM Subtract System Printer User Intraoral Intracam Setup CR Scanner Directories Icons Scanner Type f Combis 2000 USB C VistaS can NOTE Settings for Scanner apply to the local workstation only User s Manual Dimaxis Pro Classic 147 SETTINGS 9 2 6 Directories The export import and long term archive root directories are defined in the Directories window Note that the long term archive root directory must be specified before you can move images to the long term archive Refer to section 10 MOVING IMAGES TO LONG TERM ARCHIVE on page 160 for further information New images will be saved to the temporary directory before they are stored into the database Local And User Specific Settings Export TWAIN Subtract System Printer User
76. ecific Settings Export TAIM Subtract System Printer User Intraoral Intracam Setup CH Scanner Directories Icons Default Panoramic User Default Intraoral User Default Doctor 142 Dimaxis Pro Classic User s Manual SETTINGS 9 2 3 Intraoral If the Always Ready for Exposure feature is enabled in the Intraoral window the Dixi images can be taken without clicking the exposure icon in Dimaxis In this case as always the images can only be taken if the Ready LED is on in the Dixi control box The images will not automatically be part of the studies if Always Ready for Exposure is used If the Use Intra Control Panel feature is enabled the Intra control panel will appear in the Intraoral Exposure window In the Cone Type field you can select the appropriate cone for the Intra Local And User Specific Settings Export TAIM Subtract System Frinter User Intraoral Intracam Setup CH Scanner Directories Icons Always Ready for Exposure i Use Intra Control Panel Cone Type f Short 20cm Long Round 30cm Rectangular BO 2cm Rectangular B1 2cm 0 Rectangular B2 2cm 0 Rectangular 35cm User s Manual Dimaxis Pro Classic 143 SETTINGS 9 2 4 Intracam Setup In the Intracam Setup window you can select the communication port 1 or 2 into which the foot control for freezing and saving Intracam images is connected Select 9 if no foot control is available Yo
77. ed Dimaxis will shut down after a certain time period which can be modified in the right side of the System window This means that Dimaxis which is activated via PmBridge for example by practice management software shuts down after the adjusted time period and prevents redundant activity of Dimaxis on the computer The countdown of the timeout begins with the start up via PmBridge but resets for the activation of the following processes in Dimaxis elmage selection eEvery kind of exposure ePatient selection eT WAIN scanning eDirect scanning eDICOM storage eDICOM printing 138 Dimaxis Pro Classic User s Manual SETTINGS This means that for example the selection of a new patient resets the time and the countdown of the timeout restarts again Global Settings Patient Image Window Fanoramic Cephalostatic Intraoral Study System Dimas Allow timeout for PmEridge session Time out mir NOTE The adjustable Time out value is only approximate and not an exact value User s Manual Dimaxis Pro Classic 139 SETTINGS 9 2 9 2 1 Local And User Specific Settings Printer In the Printer window you can select the default printer for Dimaxis Note that the Dimaxis default printer can be other than the Windows default printer NOTE In the Microsoft Windows ME operating system the printer has to be defined explicitly to enable printing The print size of the images can be adjusted with the Scale Factors Enter
78. ee x Mode INTRA hoch 20LP ym 25um Scanner ready Close 64 Dimaxis Pro Classic User s Manual IMAGE ACQUISITION In the Image Parameters window you can give a comment and determine the Tooth Range and the image parameters Image Parameters Image Motes User Tooth Range Doctor Exp D ate 05706 2002 Rotate Pinel size um Magnification Voltage k A Current mA Exp Time width pixela Height pixels Bits Per Pixel Image Format Modality T Cancel User s Manual Dimaxis Pro Classic 65 IMAGE ACQUISITION The scanned image is shown in Dimaxis ial Plan meca Diane Bro Test Clinic Win mm sampa if 100 ASN EOE Ul PO QQR Ese 208 Sa peg a TJAARD For Help press FI ow Modan Rekngin 50 66 Dimaxis Pro Classic User s Manual PRINTING THE IMAGES 6 PRINTING THE IMAGES 6 1 Printing Single Images Open the image and click the Print button select the Print command from the Image pulldown menu or select Ctrl P Print button Note that you can see the print preview of the image by selecting the Print Preview command from the Image pulldown menu F Planmeca Dimaxis Pro Test Clinic Adult Patient 19680101 H Next Page Prey Pane Two Page Zoom In Zoom Gut Close Patient s name Adu Patient ID 000001 Birth date 19680101 Doctor Dr D Entist Image taken on 26 3 2002 12 2
79. eeaeeeeeseeeesaueessaeeeeesaaes 76 7 3 5 DICOM Long Term Archiving Pro Version only ccsescccceeeeeeeeeeeeseseeeeseeeeesaueeesaseeesaaes 77 7 3 6 Query Retrieve Pro Version only cccccseeecccceeeceeeeseeeeeeeeeeeeceeeeseeeeeeeeeeesseaeeeeeeessanseeeeeees 78 7 4 DICOM Pulldown Menu Image s Open Pro Version Only cccecceeeeeeeeeceeeeeeeeeeeseeesseeeees 81 7 4 1 DICOM Storage Pro Version only c cccccccccsseeececceeeceeecseeeeeeseaeeeeessaeeeeeseuaeseeeesseeeeeseas 81 74 2 DICOM Print Pro Version ONIY sierica A a ees 81 7 4 3 DICOM Print All Pro Version only cccccccccecccceeecceeeceseecseeeeseeeessueessaeesseesseeesseeeeseaees 82 7 44 DICOM Media SlOrage srecnsts cnan aa aa a e a ae 82 8 PULLDOWN MENUS sccccssssscsesesessssesessssescscsessesesescseesestscsessesescscseseensescsenseseess 83 D i AUNT E gt UMC OW INN o E A E accident aeigaliaditad 83 32 Image Pulldown Menu no Images Open cic cen nano ee 88 O23 Capture PUMCOW I GID sissies fies eee tatu a a tutes 93 SA SWAY PUldOw MeN iaicr sa necicste ee Sie hese A A 93 8 5 Administration Pulldown Menu sexzccce arte ccscre te ccatesgnadacesy teedaaten tat aceensbesdacdeancauacensstueeceapeteaseemsnaues 93 8 6 VIEW PUNGOWITIMIGIIU corcra nia e E aendanntunded a eae teghauanduandivaswoebsieianss 96 Sef Felip PUldown Men sretan n a r rN 96 8 8 Image Pulldown Menu Image s Open cccccccccceecceceeeeeceeseeeeeeeee
80. ened images only on the images that have not been saved with the Image gt Save function Select the option Zoom To Fit 100 or 50 to determine the initial magnification Global Settings Patient Image Window Panoramic Cephalostatic Intraoral Study System Resolution Bits Per Fisel f Normal C High f 12 16 Cc 8 Adjustment Tooth Identification System C fone f Auto Levels FDI 150 C ADA Auto Level Parameters non Logarithm Cut Fercentages Black 2 0 00 white 2 0 00 Midtones Gamma 0 50 Auto Level Parameters for Logarithmic Mapped Images Cut Percentages Black 2 0 01 white 0 00 Midtones Gamma 1 00 Acceptable Limits for Quality Indicator Range 0 1000 Lowy 500 High 650 Auto Filter Sharpen W Median Tooth Number required for new images Initial Magnification Zoom To Fit f 100 BO If the option Tooth Number required for new images is selected you can not exit the Intraoral Exposure window without giving the tooth numbers and the message window shown below appears Planmeca Dimaxis 136 Dimaxis Pro Classic User s Manual SETTINGS 9 1 7 Study Optional only in the US In the Study window you can determine if you want to use studies in intraoral exposures If this option is disabled clicking the ntraoral Exposure button on the upper toolbar or choosing Intraoral Exposure command from the Capture pulldown menu does not open the Select a Study window
81. enu before starting the query or empty the Patient ID field if you want a list of several patients IVT x Family Hame Patient ID ooon Remote DICOM AE MERGE_OR_SCF i M Show Image Parameters Window Patient ID Name Birth Date Image Status List size U Log File Query Betieve Study 78 Dimaxis Pro Classic User s Manual DICOM Choose a patient in the DICOM Query Retrieve window Choose next Retrieve or Study depending whether you want to retrieve images at a patient level Retrieve or images that belong to a certain study Study CTT x joooon Patient ID MERGE_QR_SCP T M Show Image Parameters Window Family Marne Remote DICOM AE Patient ID Name Birth Date Image Status 9399 99 9959 WAGNER A 19990909 Available ateteit eter stele RAN S 19850808 Available Pierre BARTOK EB 197 r r r Available BBE 66 6BBE VIVALDI A 15660606 Available AA A A AA RESPIGHI 0 19550505 Available 444 44 d4dd SHOSTAEOVICH D 159440404 Available 433 343 3533 BARTOK B 19330303 Available foe eee MOZART WA 19220202 Available 111 11 111 1 BACH J5 19110101 Available UO0 00 0000 BEETHOVEN L 19110101 Available List size 0 Log File Query Retrieve Study If the query fails the message window shown below appears The remote DICOM Application program is either not running or there is a configuration error Planmeca Dimaxis 3 Failed to make the query User s M
82. er s Manual SETTINGS 9 2 8 Export In the Export window you can define if you want to make 8 bit export files Internally Dimaxis uses 16 bit images unless the Bits Per Pixel setting for panoramic or intraoral images has been changed to 8 bits Many other systems can only read 8 bit images In this window you can also define if you want to create a patient and image information file image parameters etc See also chapter Import on page 89 Burn patient info and annotations into the export file enables you to get the patient information and annotations under the exported image the same way when printing an image Text Encoding enables you to choose the text standard used for your exported data Local And User Specific Settings Printer User Intraoral Intracam Setup CH Scanner Directories Icons Export TWAIN Subtract System Create bit export files Text Encoding i Create patient and image information file fe ANSI Bum patient info and annotations into the export file C UNICODE User s Manual Dimaxis Pro Classic 151 SETTINGS 9 2 9 TWAIN In the TWAIN window it is possible to specify whether the file transfer mechanism is used when acquiring images from a TWAIN source In Dimaxis versions 3 2 4 to 3 3 2 the file transfer mechanism is used if it is available to be able to capture images with 16 bit The problem with that is that even if some TWAIN data sources claim that th
83. er number is shown at the upper left corner of the placeholder Exp Order Exposure Order button 11 1 6 Selecting DICOM Image Series By default images from different modalities belong to different series Click the Series button and the Series Selection window appears Series Series button Series Selection Ceph 2 Intraoral 3 Intracam Mew Modify Delete Cancel To assign image placeholders to a DICOM image series select the desired series from the list and click OK You can also add new series to the list delete existing series and modify series descriptions The following message window appears Click OK and click the desired image placeholders The series number is shown at the upper right corner of the placeholder If you wish to re assign the placeholder back to its default series first select the default series for the placeholder from the list i e select Panoramic for a panoramic placeholder and then click the placeholder Planmeca Dimaxis E x Click all the image placeholders to which you wank to give the Series Number 0 Click the background to leave Series Numbering Mode User s Manual Dimaxis Pro Classic 171 STUDY TEMPLATES Optional only in US To add a new series click the New button The New Series window appears Fill in the series number and description and click OK Note that numbers 0 9 are reserved for the default series and cannot be used New Series E X S
84. eres Number Senet Description Cancel To modify a series description select the desired series and click the Modify button The Modify Series Description window appears Change the description and click OK Modify Series Description m Ey Senes Mumber fi Series Description Lower jane Cancel If you try to modify series numbers 0 9 the message window shown below appears Click OK Planmeca Dimanis xi AN Series less than 10 are reserved and cannot be modified If you have modified the template and want to cancel the modifications the message window shown below appears PlanmecaDimaxis ed The template has been modified wal Do you really wank to discard the changes ce e 172 Dimaxis Pro Classic User s Manual STUDY TEMPLATES Optional only in US To delete a series select the desired series and click the Delete button The message window shown below appears Click Yes to delete the series or return to the Series Selection window by clicking No x j Do you really want to delete the series eT If you try to delete the series numbers 0 9 the message window shown below appears Click OK Planmeca Dimanxis o x AN Series less than 10 are reserved and cannot be deleted 11 1 7 Changing DICOM Send Order By default the images will be sent to DICOM AE in the acquisition order To change the send order click the Send Order button and then click the i
85. etup window will appear Here you can define how or in which form the image pixel data will be sent The option Send Original Raw Image means that an unprocesessed image will be sent Send Processed Image means that a processed image will be sent Original Image Window Center and Width means that the parameters for linear contrast enhancement will be sent separately from the image data Original Image LUT with gamma means that a Lookup Table for nonlinear contrast enhancement will be sent Gamma correction will be applied to the LUT You can also specify the storage SOP Class service object pair class If the option Secondary Capture Image Storage is selected the images will be sent as Secondary Capture Objects Most DICOM PACS and Workstation products support only this option If 156 Dimaxis Pro Classic User s Manual SETTINGS either of the Digital X Ray Image Storage options is selected the images will be sent as Dental Image Objects as defined in Supplement 32 of the DICOM Standard The Storage Commitment selection enables you to decide whether to use storage commitment The storage commitment service class defines an application level class of service which facilitates this commitment to storage See the DICOM Standard for details DICOM Storage Setup Storage AE MEDIA STORAGE Gray Level Mapping Send Original Aaw Image f Send Processed Image C Original Image Window Center and Width m Orginal Image LU
86. etween selected points you have to define a reference distance Click the CAL button and measure the known length by clicking the start point releasing the mouse button and clicking the end point The Reference Distance window appears Enter the distance e g in centimeters into the Distance in field in the Reference Distance window and click OK Note that you can use any units you want After calibration all the distances of the current image will be given in the selected units Reference Distance x Distance in pixels 797 Distance in i al It is possible to make a rough distance measurement before calibrating the image for distance measurements In this case there will be a warning before the first measurement see below Planmeca Dimanxis x Warning the image has not been calibrated For distance measurements The measurements may be inaccurate Dimaxis remembers the calibration after closing the image so calibration does not have to be repeated each time the image is opened x AN Warning using calibration that has been sawed with the image earlier The measurements may be inaccurate Measure Length NOTE You should define the reference distance before using the measure length function see section Calibrate on page 106 The horizontal measurements from panoramic images may be inaccurate Therefore Dimaxis gives a warning message if the measurement line differs more than 6 degrees from vertical
87. evels Process Window Help Adjust Levels Adjust Contrasti Brightness Reset Contrast Brightness Optimize Gomtrast Optimize for Diagnose Mirror Horizontal Mirror Rotate 90 Degr Clockwise Rotate 90 Degr Counterclockwise Median Filter Remove noise Softening Filter Sharpening Filter Adjustable Sharpening Filter Emboss Find Edges Equalize Soft Tissue Filter Enabled Adjust Soft Tissue Filter Pseudo Colors Invert Flashlight Flashlight Setup Show Adjust Levels window Rotating Toolbar see section _ 8 10 6 Rotating Toolbar on page 115 for information on these commands Image Processing Toolbar see section 8 10 4 Image Process ing Toolbar on page 110 for information on these com mands Invert the image Flashlight see section 8 10 4 Image Processing Toolbar on page 110 for information on these commands When a new image is taken the Adjust Levels function is automatically performed on the image unless otherwise specified see chapter 9 SETTINGS on page 127 If this adjustment is not satisfactory you can do the adjustment manually by selecting the Adjust Levels command from the Process pulldown menu or alternatively by clicking the Adjust Levels button located on the right toolbar Low black high white image tones to be cut in the ends of the histogram in order to gain reasonable contrast The Midtones value affects the gamma curve of the image B
88. ew Print All Frink Setup Exit Original Select image Select intraoral images by tooth range Open Image Navigator Load the original image Reload the selected image Delete the selected image Move the image to another patient Subtraction Import an image from another system Export the image to selected directory Export the original image to selected directory Export Region of Interest to selected directory Receive diagnostic information of the images Start another image processing program for Intracam images Save the modified image Close the image Send images by email Print the image Show print preview Print all opened images Change the printer and printing options refer to your Windows manual Exit Dimaxis If you have opened a modified image or modified the image the Original command will revert to the original version of the same image Reload The Reload function is similar to the Original function but Reload will revert to the last saved version of the image User s Manual Dimaxis Pro Classic 97 PULLDOWN MENUS Delete When you select the command Delete from the Image pulldown menu the message window shown below appears To remove the selected image from the database click Yes or cancel the action by clicking No To prevent wrong images from being accidentally deleted the Delete command is enabled only if there is only one image open Before the image is deleted it wil
89. ey support the file transfer they do not necessarily support it Local And User Specific Settings Printer User Intraoral Intracam Setup CH Scanner Directories Icons Export TWAIN Subtract System Use file transter if available 152 Dimaxis Pro Classic User s Manual SETTINGS 9 2 10 Subtract In the Subtract window there is a user specific setting for deciding if the user wants Dimaxis to optimize the given control points before applying subtraction The optimization usually improves the result of subtraction but if the contrast near the control point is not high enough the algorithm may not be able to do the optimization It takes quite a long time to calculate the optimization Local And User Specific Settings Printer User Intraoral Intracam Setup CH Scanner Directories Icons Export TWAIN Subtract System Optimize Control Points User s Manual Dimaxis Pro Classic 153 SETTINGS 9 2 11 System To avoid running multiple Dimaxis sessions on one computer tick the Allow only one session option to run in the System window This option prevents the accidental opening of two sessions more than one license assumed Local And User Specific Settings Printer User Intraoral Intracam Setup CH Scanner Directories Icons Export TWAIN Subtract System imasiz Allow only one session to run If another Dimaxis session is opened simultaneously a Splash Message appea
90. f the selected patient are shown Click the desired image once to select it The image is deselected when you click another image Several images can be selected by holding down the Ctrl or Shift key and then clicking the images The selected images are indicated with a grey border Click OK to open the selected image s You can also open an image by double clicking it The parameters of the selected image are shown in the window that appears when you click the Parameters button Select Image X Study Fanoramic Cephalometric Intraoral Intracam 16 01 2003 10 03 21 050672002 09 54 45 05706 2002 09 53 21 0570672002 09 51 38 0570672002 09 45 53 meee LA a gt 16 01 2003 10 03 00 0570672002 09 53 55 0570672002 09 53 04 0570672002 09 51 25 0570672002 09 48 37 057 0672002 09 59 05 05 06 2002 09 53 41 0570672002 09 52 47 0570672002 09 49 02 F a ab 5 Ae 4 p Mew Parameters User s Manual Dimaxis Pro Classic 35 IMAGE FINDING AND VIEWING 4 2 8 Select Image Intracam In the Intracam window the Intracam images of the selected patient are shown Click the desired image once to select it The image is deselected when you click another image Several images can be selected by holding down the Ctrl or Shift key and then clicking the images The selected images are indicated with a grey border Click OK to open the selected image s You can also open an image by double clicking it Select Image E x
91. ftware When performing intensity measurements it should be noted that after certain image processing operations the relative intensities of the objects may be affected by their neighboring objects which may affect the reliability of e g bone density measurements Dimaxis Pro Classic 5 INTRODUCTION with the help of a calibration step wedge The only image processing operations guaranteed NOT TO CHANGE the relative intensities so that measurements are independent of the measurement position are the brightness contrast and level adjustment operations No guarantee can be given between the intensity measurements of two different images 1 10 Annotation Images can be annotated with markers and text These annotations appear as an overlay on the image and can thus be turned on and off at will they do not affect the actual image In addition to the annotations Dimaxis provides the user with the possibility to type in and store a short commentary diagnosis with each image 1 11 DICOM DICOM Digital Imaging and Communications in Medicine support in Dimaxis has been implemented using MergeCom 3 toolkit by Merge Technologies Inc A separate licence must be purchased to enable DICOM The DICOM Storage Service Class SCU the DICOM Print SCU the DICOM Modality Worklist SCU the DICOM Query Retrieve SCU the DICOM Storage Commitment and the DICOM Media Storage have been implemented into Dimaxis software For details about the DICOM compatibili
92. g Toolbar Select the Rotating Toolbar command from the View pulldown menu to view the rotating tools You can alternatively click the Rotating Toolbar button located on the upper toolbar The mirror vertical tool turns the image 180 round the vertical axis and the mirror horizontal turns it 180 round the horizontal axis The rotating tools rotate the image 90 round its centre either clockwise or counterclockwise Rotating Toolbar button Vertical Mirror Horizontal Mirror Rotate Clockwise Rotate Counterclockwise User s Manual Dimaxis Pro Classic 115 PULLDOWN MENUS NOTE Rotation functions are relevant only for imported or scanned images NOTE Orientation for exposed intraoral images should be defined in the Intraoral Exposure or Intraoral Image Parameters window Rotation functions are disabled if the orientation of the image has already been defined NOTE Rotation or orientation can be defined for unmodified images only 8 10 7 Zoom In Mode This function is the same as the Zoom In button The Zoom In button is located on the upper toolbar Select this command and then click the area of the image you want to zoom in You can repeat the zooming by clicking the image again Hold down the ALT key and then click the image to reduce it You can also zoom out by clicking the right mouse button 8 10 8 Zooming In The Zoom In function magnifies the image in the same way as the key of the keyboard 8 10 9 Zoom Ou
93. ge kY Exposure Time Resolution Prograrn Sensor Serial Number Device Mame Device 5w Version Width pels Height pixels Normal High 60 Current m 25 0 DAP mGy cme Mormal Ceph Bits Per Figel Image Format Cancel 26 Dimaxis Pro Classic User s Manual IMAGE FINDING AND VIEWING When a panoramic image is selected the image parameters are shown in the Panoramic Image Parameters window that appears when you click the Parameters button In this window you can enter the user name and a comment You can also change the exposure date if the computer date setting was not correct when the image was exposed Panoramic Image Parameters User Doctor Comments an Low Frogram Voltage k DAF mG cme Child Mode Layer Position rnm Device Name Sensor Serial Humber Width pixels Image Format User s Manual Normal High Program Main Name Current m Jaw Size Mormal Segm Mask x 12345 Height pixels Resolution Normal OF Exposure Date EQN Value 0 Frogram Sub Name Exposure Time a 15 000 Jaw Shape Normal Seam Mask p 123 4 11 2004 Total Exposure Time sk 15 000 Magnification Device Sif Version Bits Per Pixel Cancel Dimaxis Pro Classic 27 IMAGE FINDING AND VIEWING When an intraoral image is selected the image parameters are shown in the Intraoral Image Paramete
94. ge Waiting for Ready appears Prepare the patient for the exposure select the exposure parameters and drive the X ray unit to the ready position Refer to the panoramic X ray unit s user s manual Panoramic Exposure Wai ting for Ready User s Manual Dimaxis Pro Classic 47 IMAGE ACQUISITION When the panoramic unit is in the ready position the following message appears You can now take the exposure Panoramic Exposure Doctor Cancel Comments Exp Level If you want to interrupt the exposure process after the Panoramic Exposure window has appeared on the screen press the ESC key The message window shown below appears If you do not want to interrupt the process click No Planmeca Dimaxis When you click Yes you can close the Panoramic Exposure window by clicking the Cancel button The message window shown below appears Click Yes to close the Panoramic Exposure window or return to the window by clicking No Planmeca Dimaxis AN Do you REALLY want to DISCARD the image 48 Dimaxis Pro Classic User s Manual IMAGE ACQUISITION After the exposure has been taken the image is shown in the Panoramic Exposure window Below the information lines the Exposure Level can be seen in the colored bar This graphical exposure quality indicator EQN Exposure Quality Normalized provides an indication about the irradiance of the exposure Too much radiation will be shown in the orange or red region
95. ge s of the selected teeth are shown on the left of the window The number above or below the tooth number indicates the number of the images containing that tooth The images of the upper jaw are shown above the teeth numbers and the images of the lower jaw below the numbers For a new image selection click the Reselect button on the right of the window Hide the left pane by clicking x If you do not select any image type on the right side of the window Photos Panoramics Cephs or Intraorals the left pane stays hidden as well Click the image you want to zoom in and then click the Zoom in button al If you click the Zoom in button before clicking the image you want to zoom the message window shown below appears Click OK and select the image for zooming first Planmeca Dimaxis a x AN Please select imagets For zooming First Click the image s you want to zoom in and then click the Full screen zoom button B you click the Full screen zoom button before clicking the image s you want to zoom the message window shown above appears Click OK and select the image s for zooming first Close the full screen zoom window by clicking Close Click the image s you want to open and then click the Open selected image s button If you click the Open the selected image s button before clicking the image s you want to zoom the message window shown above appears Click OK and select the image s for opening first Double
96. h Range window opens e mage Navigator The Image Navigator window opens Dimaxis Pro Classic 129 SETTINGS If you choose the option Image Navigator you have to give the tooth numbers and define the alignment If you select the option Images can only be deleted for specified time hours after exposure you have the possibility to define the length of the time period in hours during which the images can be deleted e g 24 or 48 hours If you choose the option Open images in Zoom mode the images are in the zoom mode when they are opened The setting Give warning after the number of images in the database exceeds enables you to specify a threshold value for the number of images in the database Dimaxis will give a warning when the number of images in the database gets near the specified value The default limit is 20000 If the value O is given in the field Dimaxis does not give a warning about the number of images With the last setting Interval days between showing Monitor Test Image Dimaxis can be configured to show a Monitor Test Image at the startup after every given number of days have passed see next page The value 0 means that the test image is never shown automatically Global Settings Patient Image window Panoramic Cephalostatic Intraoral Study System Image formats m the database PanoramiceCephalometric Intraoral Intracam TIFF Uncompressed TIFF Uncompressed BMF Uncompressed Default I
97. he exposure the message Saving the image appears in the lower right corner of the window indicating that the image is automatically stored in the database Intraoral Exposure Image Hotes ig Parameters Uzer Bums r Sensor Type eee PLANMECA Doctor Gamma gt Sensor Orientation ee l Comments N lt Exp Level EON Value O qj c Normal High Cone Type Sa won ETE Below the information lines the Exposure Level can be seen in the colored bar This graphical exposure quality indicator EQN Exposure Quality Normalized provides an indication about the irradiance of the exposure If there is too much radiation it will be shown in the orange or red region of the Exposure Level bar If there is too little radiation it is displayed in the blue region The EQN Value field states the specific value The low and high values for all devices can be set in the 9 1 Global Settings on page 128 User s Manual Dimaxis Pro Classic 55 IMAGE ACQUISITION Image Motes User Doctor Comments When using a study template the Waiting for Exposure message appears again and the next exposure can be taken Image Parameters Sensor Type he PLANMECA Sensor Orientation e 2 i Normal High Cone Type Spo NARRAAA
98. he images the exposure order the print position of images the orientation of the intraoral sensor in the patients mouth which teeth are to be imaged on the particular image This feature makes it possible to acquire e g a full mouth series with the minimum interaction between the computer and the user once a proper template has been selected provided that the user follows the template all images of the series can be exposed without touching the keyboard mouse and yet the proper orientation and image content are recorded with each image U S Patent No 5 179 579 1 8 Processing Note that some of the image processing operations radically alter the appearance and thus possibly the diagnostic value of the image However it is always possible to restore the image to its original state or undo the modifications one by one 1 9 Measuring User s Manual The measurement tools allow both geometric and relative intensity i e radiotranslucency or brightness contrast measurements to be made When performing geometric measurements it should be noted that image processing operations even just adjusting the brightness contrast can alter the apparent geometry of the objects in the image Also because of the normal distortions most notably varying magnification associated with normal projection X ray imaging the measurements must be based on known reference objects in the image For this purpose a calibration tool is provided in the Dimaxis so
99. he previous sessions Undo button Redo Select this command or click the Redo button on the right toolbar to redo the operations you undid in reverse order by repeatedly clicking the Redo button The redo function is no longer available if you perform any image processing functions or after saving the image as m m eee ae Redo button Cut Select this command or Ctrl X to cut remove a selected ROI or annotation User s Manual Dimaxis Pro Classic 103 PULLDOWN MENUS Copy The Copy Ctrl C command can be used to add existing images to the study In the Dimaxis version 3 3 0 also the image data will be copied to the clipboard so the images can easily be pasted into other software e g Word If a region of interest has been selected from the image only the contents of the ROI will be placed to the clipboard 8 10 View Pulldown Menu The View pulldown menu is visible when an image is open View DICOM Draw Measure F v Upper Toolbar Show hide upper toolbar Right Toolbar Show hide right toolbar Measurement Toolbar Image Processing Toolbar Viewing Toolbar Rotating Toolbar w Status Bar Show hide the status bar View Box Show the View Box zoom In Mode Same as Zoom In Zoom In Same as key Zoom Cue Mode Same as Zoom Out Zoom Cut Same as key zoom 100 Magnification 1 1 Full Screen Mode Esc Back Viewing tools see section 8 10 5 Overview Viewing Toolbar on page
100. ic tiling of the image windows the program will divide the screen into equal sections when more than one image is open With the Place latest image to left on the screen option it can be controlled in which order the images are displayed on the screen This is particularly important for the bitewing images In the window you can change the background colour of the X rays and the Intracam images To specify a custom colour choose Custom Click Define Custom Colors from the Color window to define a custom colour It is recommended to use the default background colour violet in the Image Navigator window Refer to section 4 4 Image Navigator on page 38 Global Settings Patient Image Window Panoramic Cephalostatic Intraoral Study System Main Window Dimasis Always On Top Remember window position after exit VIEW iM Tile the image windows automatically Place latest image to left on the screen Background Color for A aps Default Windows Default Custom Background Color for Photos Default windows Default Custom Toolbar Remember Image Processing toolbar state 132 Dimaxis Pro Classic User s Manual SETTINGS 9 1 4 Panoramic User s Manual In the Panoramic window you can select the resolution mode for panoramic images Select the option Enhanced pixel size 0 099 mm or High pixel size 0 066 mm to increase the resolution of the images to be exposed Note that the size of the image is m
101. in object thickness will be displayed on the computer monitor as equal steps in brightness Since the response of the human visual system to the light intensities is non linear the second algorithm takes this response into account The final result is that equal steps in object thickness will be perceived as equal steps in brightness The last statement is fully true only for a homogeneous object Regarding a true object with different tissues having a different attenuation of X rays the result will be a kind of weighted averaging Thus the real result is that equal steps in object thickness will be perceived as approximately equal steps in brightness NOTE The Optimize Contrast function works only with 16 bit images Application Select the Optimize Contrast command from the Process pulldown menu Then move the cursor to a reference point on the image and click the left mouse key The image will be instantly recalculated 122 Dimaxis Pro Classic User s Manual PULLDOWN MENUS NOTE The selection of the reference point is important for optimal result The reference point should be selected within the brightest area of a radiograph but NOT in a filling Normally the ideal reference point should be taken in the sound enamel of the brightest tooth In certain instances some other area of a radiograph may however be brighter than the enamel e g the compact bone In that case the reference point should be taken in that area Optimize f
102. indow pulldown menu is visible when an image is open The Tile commands are used to position the current set of open windows in the selected format on the screen TED Open a new window with the ee Help selected image a e Arrange image windows as cascade Cascade EEN Tile image windows horizontally Tile Horizontally Tile i ind ical eens SCT iil image windows vertically Tile two image windows vertically Tile two image windows horizontally Tile three image windows vertically Tile three image windows horizontally Screen divided into three parts Tile six image windows vertically Tile six image windows horizontally 1 27 3 2007 14 24 06 60ky 4ma 15 9005 Se The active image New Window The New Window function opens a new window with the selected image Cascade The Cascade function arranges two or more image windows in a form of a cascade Tile Horizontally The Tile Horizontally function places image windows one above the other Tile Vertically The Tile Vertically function places image windows side by side Tile 2A Vertical The Tile 2A Vertical function places two image windows side by side Tile 2B Horizontal The Tile 2B Horizontal function arranges two image windows one above the other Tile 3A Vertical The Tile 3A Vertical function places three image windows side by side Tile 3B Horizontal The Tile 3B Horizontal function arranges three image windows one above the
103. ing application requires them Click OK Send Image to DICOM AE ee xi Remote DICOM Application MERGE_STORE_SCP Select Study ID Setup Study Description Seres Number Seres Description Accession Humber E Log File Cancel 72 Dimaxis Pro Classic User s Manual DICOM If sending the image failed the message window shown below appears Check that the receiving DICOM application is up and running and that the network is working properly Retry sending If this still does not succeed open the Log file by clicking the Log File button in the Send Image to DICOM AE window print the file and fax or send it to your local support Planmeca Dimaxis eo x Failed to open an association with the remote DITOM application The application is not running or there is a network or configuration problem After the image has been successfully sent the message window shown below appears Planmeca Dimaxis Image successtully sentto remote DCOM AE You can select the target DICOM application by clicking the Select button The Select Remote DICOM AE window appears Select the application and click OK Select Remote DICOM AE q x MERGE_STORE_SCU MERGE_MEDIA_FSU MERGE_QR_SLP MERGE_GR_SCU MERGE_PRINT_SCP PRIN T_ SCP MERGE_WORK_SCP User s Manual Dimaxis Pro Classic 73 DICOM The DICOM Storage Setup window appears when you click the Setup button For more information refer to section 9 3
104. ins images Please open the study and remove detach the images First User s Manual Dimaxis Pro Classic 21 IMAGE FINDING AND VIEWING 4 2 4 Opening a Study To open a study select the desired study and click OK in the Select Image Study window or open the study by double clicking the desired study The Study window appears Click an image to select it Several images can be selected by holding down the Ctrl or Shift key and then clicking the left mouse button or by just right clicking The exposure parameters of the selected image are shown at the top of the Study window If no images have been selected in the Study window and you click one of the buttons at the bottom of the window most of the functions will be applied to all images Hady 4 DWN and Pan 77 L77007 13 77 Stud Vota BY Tigoth Fange Ode Tra Tet r g cli ue aaogas Detach OvGeeage DvP Pusamatece Selecta Open Paste Proview Prin Ceon Erp View Commune Exposing an Image You can expose an image by clicking one of the Expose Image buttons Note that the next available selected type of image in the study will be exposed if you have not selected an image before clicking the button H e Oh 22 Dimaxis Pro Classic User s Manual IMAGE FINDING AND VIEWING Image Plate CR Scanner To scan an image refer to section 5 6 Image Plate CR Scanner Pro version only on page 61 Image Plate CR Scanner button Det
105. is a x Long term archive root directory has not been specified Please use the Settings Function to specify the directory 160 Dimaxis Pro Classic User s Manual MOVING IMAGES TO LONG TERM ARCHIVE To specify the long term archive root directory first select the Local Settings command from the Administration pulldown menu and then choose the Directories window Click the Browse button to locate the long term archive root directory Local And User Specific Settings Ed Export TaM Subtract System Printer User Intraoral Intracam Setup CH Scanner Directories cone Default Export Directory Browse Default Import Directory Browse Long Term Archive Root Ctemps Browse for Folder Temporary Directory Co bemp s Long Term Archive Root Directory romexis_demo_cache i C romexis demo images Hy romexis_images Hy solid temp E WINDOWS 3 vpn O Zenworks H Backup De 44 DYD RAWY Drive Es S Sys on Nove G Sa Set nn Blaine tele fi Enter the requested date in the window that appears and click OK All images that were taken before and at the given date will be moved to the long term archive Alternatively you can choose to move only the images of the current patient by selecting that option and clicking OK Some of the patient s images can be in the long term archive LTA while other images are in the active database New images can also be taken even if some of th
106. it can be configured Do you wank ko continues Yes Mo If you click Yes the ODBC Open Database Connectivity window appears In that window you can select the correct data source 94 Dimaxis Pro Classic User s Manual PULLDOWN MENUS Database Statistics Select the Database Statistics command from the Administration pulldown menu to see the database statistics Database Statistics Total number of images Total amount of image data MB Number of images in the active database Amount of image data in the active database MB Number of images in the long term archive Amount of image data in the long term archive ME Database Backup Status The Database Backup Status command works only when using Solid database other databases may have more sophisticated tools for this kind of tasks The database backup status should be checked regularly Database Disk Usage The Database Disk Usage command works only when using Solid database Solid 4 1 or later other databases may have more sophisticated tools for this kind of tasks For example in SQL Server it is possible to configure the DBMS to send an email to the system administrator if free disk space is lower than a given threshold The database disk usage should be checked regularly User s Manual Dimaxis Pro Classic 95 PULLDOWN MENUS 8 6 View Pulldown Menu View Help Toolbar Show hide upper toolbar lt Status Bar Show hide the status bar View
107. l be copied to the Temp folder together with the image and patient information file image name e g _DEL_00001_50 TIF Move to Another Patient NOTE This command cannot be selected if the image has been manipulated or if you have more than one image open The Move to Another Patient command enables you to move an image from one patient to another If you for some reason forgot to change the patient in Dimaxis when you exposed a new image you can select this command to move the image to the right patient The Select Patient window appears Select or add the patient to whom you want to move the image and click OK Select Patient E X Type the name of the patient the birth date of the patient or the patient ID and click the OF button to select the patient or click the New button to add a new patent Cancel Mew 98 Dimaxis Pro Classic User s Manual PULLDOWN MENUS Select the patient from the list that appears and click OK Browse Patients E i x Patient ID ene Mame Birth Date Doctor Adult Patient 010168 Dr Jones Child Patient 201294 Dr Ericson Root Canal 1170888 Dr Filer Bite Wing 130866 Dr Winger Trane ersal Slicing 140955 Dr Implant Scann Ed 310369 Dr Scanner Navigator Demo 260670 Dr Wagner BAR TOE B 19330303 WAGNER R 19990909 Cancel You will be asked to confirm the action by clicking Yes To cancel the action click No CT Move the image From patient Adult Pa
108. l size 0 019 mm to increase the resolution of the images to be exposed Note that the size of the image will be four times larger and the handling of the image is slower than in the normal mode pixel size 0 038 mm The Bits Per Pixel selection enables you to determine if you want to take 8 bit images Note that the best possible dynamic contrast range is reached by using 12 bits per pixel but the images will be twice the size of 8 bit images When a new intraoral image is taken the Adjust Levels Auto Levels operation can be automatically performed on the image See section Adjust Levels on page 120 The adjustment can be undone after the image has been opened by clicking the Undo button or selecting the Undo Levels command from the Edit pulldown menu The Tooth Identification System FDI ISO or ADA used in the Tooth Range and Image Navigator windows is selected in this window Dimaxis Pro Classic 135 SETTINGS The Auto Level Parameters which are used in the adjust level operation on intraoral images are adjusted in this window Refer to previous page for more information on these settings Acceptable Limits for Quality Indicator EQN Exposure Quality Normalized can be set with the range between Low and High see 5 IMAGE ACQUISITION on page 40 If you want to use the Auto Filter you can select it in this window If either of the options Sharpen Median is selected the specific filter will be used automatically on the op
109. lay You can have several copies of the same image open at the same time with different modifications If a region of interest is selected on the opened image only the selected region will be printed If all the images have been taken during the same day the exposure date will be printed on the footer text The preview is always shown before printing see below The images can be dragged repositioned using the mouse in the preview display You can select the output format of the printed images Symmetric grid Images per row or Images per column f necessary select the Number of copies and print the images by clicking OK Print All Opened Images Output Format User s Manual C Symmetric Grid f Images Per Row mages Per Column Printer Copies SAPMTREE Sn tuotekehitys Select Number of copies 1 L of Images Per aaa i 2 j j j 011719597 Patient s name Navigator Demo Patient ID 00006 Birth date 67 57 1970 Doctor Dr Wagner Test Clinic Cancel Dimaxis Pro Classic 69 DICOM 7 DICOM 7 1 DICOM Print Pro Version only You can print the opened image with a DICOM compatible printer by clicking the DICOM Print button on the upper toolbar or selecting the DICOM Print command from the DICOM pulldown menu DICOM Print button The DICOM Print window appears Select the number of copies and print the image by clicking OK Session Label identifies
110. lect the Change the Patient ID from the Patient pulldown menu to change the patient ID This function is needed if the patient was originally stored in the database with a wrong Patient ID Change Patient ID Family Hame Adult First Name Patient Birth Date i 9680101 Patient ID Cancel Delete Patient When you select the Delete Patient command from the Patient menu the message window shown below appears To accept the removal click Yes or cancel the action by clicking No DELETE PATIENT Adult Patient 19520223 a hy y J Do you really wank to delete the patient e If you click Yes the message window shown below appears Planmeca Dimaxis X Patient deleted User s Manual Dimaxis Pro Classic 87 PULLDOWN MENUS NOTE If the patient has any images in the image archive these images will be deleted as well In this case the message window shown below appears To accept the action click Yes or cancel the action by clicking No DELETE PATIENT Adult Patient 20050223 x 2 The patient has images in the archive The images will be deleted as well iF you select to delete the patient E Do you still want to delete the patient List of the Most Recently Used Patients Dimaxis remembers each user s ten most recently selected patients Exit Select the Exit command from the Patient pulldown menu to quit Dimaxis 8 2 Image Pulldown Menu no Images Open This Image pulldown menu is visible whe
111. ls You can alternatively click the mage Processing Toolbar button located on the right toolbar The image processing toolbar will appear in the upper right corner of the display To move the toolbar click the frame of the toolbar drag the toolbar to the desired location and release the mouse button gt Frame of the toolbar Image Processing 7 7 toolbar butt hoe O BA s E pean ere ei 2 ned lel Al Remove noise Median Filter Soften the image to remove noise Softening Filter Sharpen the image Sharpening Filter Pro version only Adjustable Sharpening Filter Pro version only Emboss 3D effect Gradient Image edge operator Optimize Contrast Optimize for Diagnose Enable Disable Soft Tissue Filter cephalometric images only Manual Adjustment of Soft Tissue Filter Edges cephalometric images only Flashlight Pro version only Flashlight Setup Pro version only Filters can be used to improve the image quality and to emphasize the desired properties However using the filters may cause some image information to be lost and thus affect the diagnostic value of the image The original image can be reloaded from the database If the image processing toolbar was open when you closed the last image the image processing toolbar is automatically opened when you open the next image Sharpening Filter Pro Version only With the sharpening filter it is possible to sharpen the image by emphasizing high frequencies Ho
112. mage Selection Method C None 0 Tooth Range f Standard f Image Navigator mages can only be deleted for specified time hours after exposure Open images in Zoom mode Give warming after the number of images in the database exceeds 20000 Interval days between showing Monitor Test Image 130 Dimaxis Pro Classic User s Manual User s Manual SETTINGS e 102441024 The test image is specified by the Society of Motion Picture and Television Engineers www smpte org and follows the SMPTE Recommended Practise RP 133 1991 Specifications for Medical Diagnostic Imaging Test Pattern for Television Monitors and Hard Copy Recording Cameras This image should be used for monitor setting and quality checks Before every working day The 5 gray field inside the 0 field and the 95 gray field inside the 100 field should be visible If not adjust the brightness and contrast of the monitor Every month The line raster in the corners and in the center must be visible the vertical and horizontal lines must form undistorted squares and the homogenous gray background must not be coloured Dimaxis Pro Classic 131 SETTINGS 9 1 3 Window If the Dimaxis Always On Top option is selected in the window Dimaxis will always be the topmost window If the Remember window position after exit option is selected the Dimaxis window position and size are retained when you reopen the program If you select the automat
113. mage can be frozen with the Freeze button and saved with the Save button Unfreeze the image with the Resume button The saved images are shown in thumbnail size on the right side of the big window NOTE The images will be saved to the database only if you have selected the option Save the still images permanently to the database at the top of the window Otherwise the Intracam images will be saved only temporarily and they will be removed when you close the image window Intracam Image Capture x M Save the still images permanently to the database Freeze Save NOTE The images can also be frozen and saved with the Planmeca Compact dental units foot control Refer to the Intracam intraoral video camera user s manual 58 Dimaxis Pro Classic User s Manual IMAGE ACQUISITION 5 5 TWAIN Interface TWAIN is a cross platform interface for acquiring images captured by scanners digital cameras or frame grabbers The manufacturer of the TWAIN device must provide a Source Manager and TWAIN Data source for your device to work with Dimaxis Dimaxis supports the current TWAIN_32 standard Refer to your device manufacturers documentation for information on the availability of TWAIN_32 source modules 5 5 1 Acquiring an Image Using the TWAIN Interface Select the patient as described in section 2 2 Selecting Patient on page 8 If you are using the TWAIN device for the first time select the TWAIN Select Source comman
114. mage placeholders in desired order The DICOM send order number with text DICOM is shown below the placeholder Send Order Send Order button 11 1 8 Changing Image Placeholder Parameters To change the image placeholder parameters select an image placeholder and click the Parameters button or double click an image placeholder Parameters button The intraoral image parameters are shown in the Default Intra Image Parameters window In this window you can change the tooth range the sensor orientation and the sensor type You can also select the image print position from the grid in the window The print position determines the image position in relation to the other images when printing more than one image on one page The position of the current image is indicated with a black square and the selected positions of the other images with grey squares The print User s Manual Dimaxis Pro Classic 173 STUDY TEMPLATES Optional only in US position is also indicated with row column numbers at the lower right corner of the placeholder Study Template Editor Adult full mouth series l X Default Intra Image Parameters Sensor Orientation Sensor Type Print Position eee s feo eee Pasa C a 9 Tooth Range HE PTT TT TT s PCCP Ar Ss zz PTT TET Ta Cancel Description Exp Order Seres Send Order Parameters OF Cancel Print position 2 3 NOTE The selected print order is used only if the
115. me Formatting Capitalize First Letter C Capitalize ALL C Dont Format Sort Order f Patient ID C Name C Birth Date Name Display Order f Family name First name C First name Family name zl Minimum Patient IO Length Tj sl AA tel fat Automatic numbering for new patients Country Patient ID Social Securty Number Check format ae Show Patent ID in the title bar Automatic wild card usage in selection Search using Quick PID Birth date is mandatary Birth date inv MMOD format Birth date formatting based on regional settings cn a Planmeca Dimaxis AN Country must be selected to enable social security number checking 9 1 2 Image User s Manual In the Image window you can select different image formats for panoramic cephalometric intraoral and Intracam images The Tagged Image File Format TIFF is a bitmap image format The Joint Photographic Experts Group JPEG format uses a compression scheme that effectively reduces the file size by identifying and discarding extra data not essential to the display of the image BMP is the standard Windows bitmap image format See also IMPORTANT NOTE in section 1 5 Archiving on page 3 You can also choose the Default Image Selection Method This selection determines which window will be opened after you have selected the patient The options are None No image selection window opens eStandard The Select Image window opens eTooth Range The Toot
116. me image click Yes Cancel the action by clicking No Planmeca Dimaxis XI el 7 Do you wank to ignore modifications and load the original image Ves Mo NOTE Only one modified version can be saved in the archive When you save a new modified version it will always replace the existing modified version Close The Close function will close the image 102 Dimaxis Pro Classic User s Manual PULLDOWN MENUS Send by Email Select the Send by Email command from the Image pulldown menu to send images directly by email Dimaxis automatically opens the email dialog of the default email client application Print Select the Print command from the Image pulldown menu or select Ctrl P to print images Print Preview The Print Preview function will show the print preview 8 9 Edit Pulldown Menu The Edit pulldown menu is visible when an image is open Edit view DICOM Draw Undo Levels Undo image processing operations Reda Redo image processing operations ut Etrit Cut remove a selected ROI or annotation Copy Ctrl C Insert existing images to a study by opening the image and selecting Copy selecting the image placeholder and clicking the Paste button Faste eri Undo Select this command or click the Undo button on the right toolbar to undo the image processing operations you performed in reverse order by repeatedly clicking the Undo button You can also undo image processing operations made in t
117. ministrators can use the PmLTArchiveSrv exe by running it in the Windows command prompt It can be utilized as a service process or as a stand alone LTA one shot process The database can thereby be selected via the system environment variable or the DSN in the Dimaxis ini file More detailed information for administrators can be found in the Dimaxis CD under folder Support 188 Dimaxis Pro Classic User s Manual User s Manual Dimaxis Pro Classic 189 190 Dimaxis Pro Classic User s Manual
118. n Open Open the selected image s by clicking the Open button in the Study window If no images have been selected all the images in the study will be opened Open Open button Paste You can insert existing images to a study by opening the image and selecting Copy or Ctrl C from the Edit pulldown menu selecting the image placeholder and clicking Paste or Ctrl V Edit view DICOM Draw Undo Levels Redo ut Cobre Copy Chrl e tbr Preview You can get a print preview of the selected images of the study by clicking the Preview button Preview Preview button Print The print positions of the images are selected when creating modifying study templates see section 11 1 1 Adding Image Placeholders on page 168 The predetermined print position is indicated with row column numbers at the lower right corner of the image Note that the selected print order is used only if the print position has been specified for all the images to be printed User s Manual Dimaxis Pro Classic 29 IMAGE FINDING AND VIEWING The images of a study will be printed in exposure order if the print positions of the images have not been determined If all the images have been taken during the same day the exposure date will be printed on the footer text If the license text is exactly the same string as the name of the doctor the license text will not be printed If the license text is printed it is printed above the user configured footer te
119. n 256 grey levels 8 bits More contrast latitude also allows more variations in exposure factors kV mA IMPORTANT SAFETY NOTICE Image processing can significantly alter the visibility of both large and small structures i e bone loss and caries which may result in either too many false positive or false negative findings if care is not taken 1 2 Securing the Image Data The Dimaxis software uses Solid Flow Engine database management software for storing the image information Solid Flow Engine database provides a backup function that makes a backup from the active database When and how often this backup is made is configured from the PM Remote Control program This backup function makes the backup every time to the same specified location and replaces overwrites the old backup That is why the end user is responsible to make further safety copies from Solid Flow Engine database backup directory to ensure the safety of the data We recommend the end user to keep at least daily weekly and monthly backups stored in a safe place in order to have enough security for the data Note that Planmeca is in no way responsible for the end users data security or for any malfunction in the computer system that leads to data loss 2 Dimaxis Pro Classic User s Manual INTRODUCTION 1 3 Acquisition The system is designed to automate the acquisition of images with minimum intervention from the user Provided that the user has selected the co
120. n be in the LTA while other images are in the active database Earlier all the images had to be either in the LTA or in the active database New images can also be taken even if some of the images are in the LTA Select Image Study Panoramic Cephalometric Intraoral Intracam 23 3 2007 12 45 07 5 6 2004 9 51 25 In Long Term Archive 1 21 3 2007 16 52 49 In Long Term Archive 1 5 6 2004 14 42 00 In Long Term Archive 1 Parameters Cancel The images can be restored provided that this computer has access to the long term archive By selecting the requested image and pressing OK or double clicking the image a dialog box opens If the image should be restored press Yes E 71 3 2007 16 52 49 If more than one image should be restored select the images by holding down Ctrl and pressing the OK button User s Manual Dimaxis Pro Classic 19 IMAGE FINDING AND VIEWING 4 2 1 Select Image Study Optional only in US In the Study window the used studies of the selected patient are listed You can open or delete an existing study or add a new study Select Image i X study Panoramic Cephalometric Intraoral Intracam Date Time Study Type Status Comment 06042005 Adult full mouth series Adult full mouth series Adult full mouth series Check out Adult full mouth series New Study Delete Study 4 2 2 Adding a New Study To add a new study click the New Study button The Select a Stu
121. n no images are open Image Capture DICOM Stuc Select image Select intraoral images by tooth range Open the Image Navigator window Select Select by Tooth Range Image Navigator Import Import an image from another system Export All Images s Ray Log Book 88 Dimaxis Pro Classic User s Manual Import User s Manual PULLDOWN MENUS You can import TIFF JPEG and BMP files To import an image from another system select the Import command from the Image pulldown menu The window shown below appears Select the image and file type and click Open See also chapter 9 2 8 Export on page 151 Look in 30 PlanSchneck do Database related istaCam Intracam German Translation O Manual_Update ID Orex CR Scanner Programm Downloads B Test protocol File name PlanS chneck Ink Files of type PEG BMP tiF jpg brp Cancel Dimaxis Pro Classic 89 PULLDOWN MENUS The Image Parameters window appears If the orientation of the images taken somewhere else is not correct they can be rotated to the correct orientation already when importing images by using the Rotate function in the Image Parameters window The Magnification field in the image parameters window is used when importing or scanning images If the magnification value is given measurements can be performed without calibrating the image Add the pixel size as well Then add the desired parameter values
122. nt ID Planmeca Demo Images Monitor Test Lauterbach Heiner Van Almaick Franziska Schumacher Ralf Kahn Olliver Wit Katharina Klum Heidi Schrempt Dethey Hannawald Sven Schumacher Michael Cypres Anne Vainamainen Sampo Birth Date 23 2 2005 6 10 2004 12 9 1982 12 6 1965 18 6 1976 0 5 1973 26 4 1984 17 5 1980 18 6 1965 17 5 1983 30 4 1975 23 4 1976 18 7 1859 Doctor Dr Sacadientes Cancel To add new patient information into the system click the New button in the Select Patient window or select the New command from the Patient pulldown menu The New Patient window will appear Enter the requested information in the boxes and click OK If the automatic patient numbering is selected and you leave the patient ID field empty Dimaxis will automatically give the next free patient ID to the new patient Storing the patient s date of birth checking the social security number and the automatic patient numbering selection are described in section 9 1 1 Patient on page 128 Select the option Patient is pregnant if the patient was pregnant during exposure This information is saved for each image and it is displayed in exposure dialogs and in the X Ray Log Book In the New Patient window there is a selection list for Doctor so the user does not have to type the name of the doctor each time The selection list will contain previously saved names 10 Dimaxis Pro Classic User s Manual GETTING STARTED It
123. old Worklist entries from local database Use configured Application Entity Titles m Worklist Ouen Interval between checking for new VWorklist entries Minutes Whorklist Query by Modality IG intraoral Es Panoramic Ge Cephalostatic Image Prefetching Prefetch mages Based on Worklist and Guern Retieve Interval between checking for images to be prefetched Minutes feo Email W Send Email if an error occurs Mail Server IF or Name Address maicompany com Recipient Mail Address Rieq adminstrator company com Recipient Name Required Adminstrator Database Solid C SOL Server C Other Cancel 182 Dimaxis Pro Classic User s Manual User s Manual Dimaxis Pro Classic 183 APPENDIX D NAME CONVERTER The NameConverter exe is a new helper application for converting the patients names to the same format the first letter capitalized or all in upper case letters It the patient data is received from several sources for example different practice management systems there can be names formatted in different ways in the database x Convert the patients names in the Dimaxis database Capitalize Change to upper case Cancel 184 Dimaxis Pro Classic User s Manual User s Manual Dimaxis Pro Classic 185 APPENDIX E TESTER SOFTWARE FOR SOLID The TestSolid exe is a new helper application for checking the health of the Solid database The appli
124. on only You can print the images of the study with a DICOM compatible printer by clicking the D Print button D Print DICOM Print button The DICOM Print Study window appears If you want to print only some of the study images select the images before opening this dialog and select Print Selected Images Only Session Label identifies the film session This field can be left blank if the print jobs are not mon itored by some other system Select the Number of Copies and print the images by clicking OK Refer to section 7 DICOM on page 70 for more information about DICOM print DICOM Print Study DICOM Printer AE MERGE_PRINT_SCP Number of Copies ie Setup Print Selected Images Only Session Labet E Images Printed o Total o Log File Status OK Cancel User s Manual Dimaxis Pro Classic 25 IMAGE FINDING AND VIEWING Parameters When a cephalometric image is selected the image parameters are shown in the Cephalometric Image Parameters window that appears when you click the Parameters button Parameters button In this window you can enter the user name and a comment You can also change the exposure date if the computer date setting was not correct when the image was exposed Cephalometric Image Parameters User Doctor Comments Dr Sacadientes F li ons Day Month Teal Exposure Date 14 1 2003 Modify E 1 2000 m Concel_ Ph Low Volta
125. or Diagnose User s Manual Description This function uses the same algorithms as the Optimize Contrast function with one additional recalculation of the image data that shifts the average brightness in a region of interest to the mean of the brightness range of the computer monitor This is performed because the perception is optimum in the middle of the brightness range When this function is used a selected region of interest will be optimized for diagnostic tasks NOTE It is important to know that other areas than the region of interest may be destroyed with respect to the diagnostic image quality This is so because no radiograph can be optimized simultaneously in all regions and over all brightnesses For multiple diagnostic tasks recalculate the radiograph with respect to the different regions of interest NOTE The Optimize for Diagnose function works only with 16 bit images Application Select the Optimize for Diagnose command from the Process pulldown menu Then move the cursor to a reference point on the image and click the left mouse key The image will be instantly recalculated The reference point should be selected in a region of interest For a caries diagnosis select the reference point in the sound enamel outside any suspected lesion For any type of diagnosis of bone structures periapical or periodontal select the reference point in the sound bone in a region of interest but outside any suspected lesion To e
126. ormation lines the Exposure Level can be seen in the colored bar This graphical exposure quality indicator EQN Exposure Quality Normalized provides an indication about the irradiance of the exposure If there is too much radiation it will be shown in the orange or red region of the Exposure Level bar If there is too little radiation it is displayed in the blue region The EQN Value field states the specific value The low and high values for all devices can be set in 9 1 Global Settings on page 128 Fill in the required information and accept the image by clicking OK Note that only approved images will be stored in the database Cephalometric Exposure User Doctor Cancel Comments Exp Level EQN Value Low Normal High User s Manual Dimaxis Pro Classic 43 IMAGE ACQUISITION The parameters of the exposure are shown in the Cephalometric Image Parameters window that appears when you click the Parameters button in the Select Image window Parameters button The Image Parameters window can also be opened by selecting the Image Parameters command from the View pulldown menu that is visible when an image is open The dialogs are different depending on whether the image has been taken or imported see also next page Cephalometric Image Parameters User Doctor Comment Exposure Date 2ra 200r c ove M EON Vale Ah Low Normal High Voltage kM B0 Current m Exposure Time s DAF mlay cm
127. print position has been specified for all the images to be printed If you select a panoramic cephalometric or Intracam placeholder and click the Parameters button the Print Position window appears You can select the image print position from the grid in the window Print Position Cancel NOTE The selected print order is used only if the print position has been specified for all the images to be printed 174 Dimaxis Pro Classic User s Manual STUDY TEMPLATES Optional only in US 11 2 Hide Unhide a Study Template To hide or unhide an existing study template select Hide Unhide Template from the Study pull down menu The Hide Unhide a Study Template window appears Hide Unhide a Study Template 14 Image Fee 16 Image Fx 20 Image Foes size 1 amp 2 4 Bes 4 Bw and Pan Case history Child exam Mined me ee Fe eI ay Ge re Me a 0 0 0 0 0 0 0 0 Visible Status f Visible C Hidden Cancel Select the template you want to hide and choose Hidden in the Visible Status box The template will no longer be visible and available in the ntraoral Exposure selection Existing studies which use a hidden template are hidden as well and are no longer visible in the Image Selection 11 3 Deleting a Study Template To delete a study template select Delete Template from the Study pulldown menu The Select Study Template to be Deleted window appears Select Study Template to be Deleted
128. raoral and Intracam images of the patient can be selected by using the Image Navigator The tooth identification system is selected in the Global Settings Intraoral window refer to section 9 1 6 Intraoral on page 135 In the FDI ISO system teeth are designated by a two digit code The first digit indicates the quadrant and the second digit indicates the tooth In the ADA system teeth are designated by consecutive numbers Click the Image Navigator button located on the upper toolbar or select the Image Navigator command from the Image pulldown menu and the Image Navigator window appears The image positions of the intraoral images on the right of the window are adjusted either in the Intraoral Exposure window or in the Intraoral Image Parameters window with the offset to the leftmost tooth arrows in the lower left corner of the window With the offset arrows you can indicate the position that is in line with the number of the leftmost tooth in the Image Navigator window This function enables you to get a better overview of the available images Hide the left side of the window Image Navigator Zoom the selected image button Zoom the selected image s in full screen Open the selected image s From All Dates 08 04 2005 30 11 2004 AN 26 11 2004 A 05 11 2004 09 08 2004 04 06 2004 03 06 2004 16 15 14 1312 Ht 594 OR OR OOF OR 17 01 2003 470172002 470172003 23 24 25 2b af 28 16 01 2003 14 01 2003 14 01 2003 48 47 46 45 44 4342
129. re without using a study template you can view the parameters of the exposure by clicking the Parameters button in the Select Image window The Intraoral Image Parameters window can also be opened by selecting the Image Parameters command from the View pulldown menu that is visible when an image iS Open 5 4 Capturing Intracam Images User s Manual Select the patient as described in section 2 2 Selecting Patient on page 8 The Intracam Image Capture window will be opened automatically when you activate the Intracam camera and the window will be closed when you put the camera back into its place The function utilizes the serial port interface of the Planmeca Compact for transmitting camera information If there is any modal window open in the Dimaxis software e g Select Image window it is not possible to activate the function automatically Activate the Intracam camera and click the ntracam button located on the upper toolbar or select the Intracam command from the Capture pulldown menu HERS Intracam If the driver for the video card is not properly installed the message window shown below appears Click OK Install the driver for the video card again Planmeca Dimanxis Eeo x x Failed to initialize the video window Is the driver For the video card properly installed Dimaxis Pro Classic 57 IMAGE ACQUISITION The Intracam Image Capture window appears The Intracam image is shown in the big window The i
130. rn to the normal mode by pressing the ESC key or clicking the Normal View button on the lower edge of the screen Overview Window In the Overview window the entire image is shown and the enlarged part is marked with a green rectangle The enlarged part can be moved by dragging the green box The Overview window is not shown on the display if the whole image fits on the screen 26 3 2002 12 23 07 70 k 11 mA 0 000 s A d Sat r Close the Overview dialog either by clicking again the Overview button on the upper toolbar or selecting again the Overview command from the View pulldown menu In section 9 1 4 Panoramic on page 133 you can determine if you want to open the Overview window when opening a panoramic cephalometric image 114 Dimaxis Pro Classic User s Manual PULLDOWN MENUS Magnify 2x The Magnify 2x tool will open a separate magnifier see below The part of the image that is under the cursor is shown enlarged To move the magnifier simply drag the mouse in any direction Close the Magnify 2x tool either by clicking again the Magnify 2x button on the upper toolbar or selecting again the Magnify 2x command from the View pulldown menu Po Pisnmece Dimawls Pro Test Clinic Wiinidmiinon Sampo 10 7 1009 a ER Yew DOOM Dey Pests Proce Window Heip LOCgSTRARERAAQamss29R55 PP 27 9 WOT 14 11 50 GOK dimi 15 2s Viewing toolbar Magnify 2x tool Fur Help press Fl 54 Hion 8 10 6 Rotatin
131. rrect patient in the Dimaxis software the acquisition taking an exposure and archiving of the image is almost exactly the same as with conventional film based imaging systems except that archiving is fully automated and no film processing is necessary The used exposure technique is automatically stored with the image 1 4 Settings Dimaxis provides various settings for the user to choose from A range of parameters and other options can be set to permit control over the main procedures The default settings have been chosen for a typical Dimaxis environment If required they can easily be changed by selecting the Global Settings Local Settings or DICOM Settings command from the Administration pulldown menu For the settings available refer to chapter 9 SETTINGS on page 127 In earlier Dimaxis versions all the settings were stored on a local workstation Since Dimaxis version 2 4 1 the settings are stored in the database Most of the settings are common to all the workstations and all users Refer to chapter 9 SETTINGS on page 127 for more information 1 5 Archiving The archiving of images in Dimaxis is organized under patient names The image data exposure technique and basic patient data is stored in a database Multiple users can store and retrieve different images to and from the database simultaneously The basic price of the system includes a user license that allows only one user at a time contact your dealer for the
132. rs to remind you about the session already running Splash Message Actyates existing Dimaxig session Only one session is allowed to run 154 Dimaxis Pro Classic User s Manual SETTINGS 9 3 DICOM Settings Pro Version only 9 3 1 Applications DICOM Digital Imaging and Communications in Medicine is a standard for the communication of medical images and associated information In the Applications window you can select the default destination storage application for images to be sent by clicking the upper Select button You can select the default DICOM printer by clicking the corresponding Select button You can select the default worklist by clicking the respective Select button You can select the default Q R by clicking the lowest Select button In all cases the Select Remote DICOM AE window appears From the Dimaxis version 4 0 0 on the DICOM applications can be configured directly from Dimaxis The information is saved into the Dimaxis database Earlier this had to be done by editing a separate configuration file For more information refer to the Dimaxis Pro Classic s Installation manual DICOM Settings xX Applications Devices Contact Information Default Storage AE MERGE_STORE_SCP Select Setup Media Storage Setup Default Printer AE PRINT_SCP Select Setup Default Worklist AE MERGE_WORK_SCP Select Setup Use Worklist for patient selection Default G F AE
133. rs window that appears when you click the Parameters button In this window you can enter the user name and a comment change the tooth range change the sensor orientation fill in exposure parameters change the exposure date if the computer date setting was not correct and specify the offset to the middle of the leftmost tooth patient s rightmost on the image with the offset arrows in the lower left corner of the window The offset is utilized in the Image Navigator function refer to section 4 4 Image Navigator on page 38 4 4 Image Navigator on page 38 Intraoral Image Parameters mImage Mass rege Parameters User oo Doctor Dr Sacadientes Comments cE Falen Was pregnant gunng 28posure SS oM Cc Low Normal High 4R45 Exp Date 5 6 2004 Sensor Orientation Cc Voltage kV Current m Exp Time sh DAF mGy cme Fisel size um Width pixels Height pixels Bits Per Fixel Image Format Sensor Type Serial Humber Short 20cm Sensor and Device Name Device SW Version OF Cancel Tooth Range BAA Eaa 14 12 2 a 45 F 46 45 44 45 42 H Blt a2 Cancel a3 28 Dimaxis Pro Classic User s Manual IMAGE FINDING AND VIEWING Select All You can process several images at the same time by clicking the Select All button in the Study window Select All Select All butto
134. saceeseueeeseeeeeeseueeeseeeeessness 97 8 9 Edit PUNGOWNM IWGIU meieariniera inn a A 103 8 10 View PUIGOWN MENU 2entcseccsct cet oy e a 104 910 UDP GA 00 21 Tera S S 104 9 10 2 BION TOODA cesa E a 104 8 10 3 Meas rement Toolbar ica io ee a ed a 105 8 10 4 Image Processing Toolbar senenn E scueset en othec stare 110 910 0 Viewing ToolDar tse teehee ta tie th a a a a a canal ete elas 113 9 10 60 Ota TOODA sessa 115 TOT ZOOM IA MOdE anri a ent ease geen tua 116 810 8 ZOOMING IM oean a E acetates 116 9 10 9 ZOOM OUr M OGG raris NA 116 8 1010 ZOOMI G OUL irera EN 116 BO AZO OM T00 nna Be a a a a a 116 S10 12 IMAGE Parameters Sacer titers ch n a A E A 116 8 11 DRAW Pulldown Menu tes eterna rh elt ete ol eee eae tel ae ee erie ene nia 8 hte sie aed eak 117 8 12 Measure PUIIGOWM MENU sssusa neni eka eee A 119 8 13 Process PUIIOWN Menu ccccccceccccsseccseseeseueeecseeenseeeceueessuecseueeseecesseceseueenegeestseeseneeseneeneass 120 B14 WVINGOW PUIGOWN MENU sgscceseuteg tessusedeceyeltovt eae a Deteadle eee coset endl eee 125 9 SEINO S orrian aaaea E 127 91 Global Seinge sssipasiean N a a AN 128 FTE TPAUGING aranse E a E 128 SEE 0 eE Re eee eet A ENE enn ee AE AEA A E EN eee a EA A ET 129 IS WINGO oi a a a o a e an a eel 132 TOC 2 Dimaxis Pro Classic User s Manual TABLE OF CONTENTS O21 Ae Fanor cavetateeccectuscrernreteas eed neg eel eee ects ncaa eee 133 Olio WGC MAIO Stall eseina tease e
135. se has not been installed Dimaxis runs in demo mode See the Dimaxis Installation manual for details If the license does not include certain functions such as DICOM subtraction or Imaging Plate CR scanner those icons are not displayed in the toolbar User s Manual Dimaxis Pro Classic 7 GETTING STARTED 2 GETTING STARTED 2 1 Logging In To start Dimaxis double click the Dimaxis icon or select Dimaxis from the Start Program menu Dimaxis Pro 4 2 0 Dimaxis icon Enter the username and the password to login to the database and click OK Image Archive Login x Database shmem solid Username dimaxis Password NOTE The password is dixi if it has not been changed by the system administrator 2 2 Selecting Patient You can either select an existing patient or add a new patient to the system Select Patient e xj Type the name of the patient the birth date of the patient or the patient ID and click the OK button to select the patient or click the New button to add a new patient Cancel Mew 8 Dimaxis Pro Classic User s Manual User s Manual GETTING STARTED Patients can be searched by ID name date of birth or Quick PID see below for an explanation To search a patient by ID enter the patient ID to the text field and click OK To search patients by their name enter the patient s name in Last Name First Name format into the search field and hit the Enter key or click OK to make
136. sfully without competent software and hardware support Especially in mission critical applications like the archival of patient images adequate care must be taken prior to deployment of the system that the continuous operation of the system is ensured This includes but is not limited to ensuring that hardware and software support is available phone help and user training has been organized and that the backing up of patient data has been arranged It is recommended that a competent system integrator service is engaged for this purpose 1 1 Brief Introduction to Digital Imaging User s Manual Digital imaging differs from film based imaging in two respects First of all digital images are made of small dots called pixels much like photos in a newspaper The size of each pixel sets an absolute upper limit to what can be imaged See the table below for the pixel sizes and corresponding theoretical maximum resolutions Note that because of the magnification inherent in all projection X ray techniques the theoretical resolution at the object level is slightly higher Dimaxis Pro Classic 1 INTRODUCTION Device Pixel size Sensor resolution Image resolution DIMAX2 3 normal 132 um 3 8 p mm 4 5 lp mm 5 5 resolution mode DIMAX2 3 enhanced 99 um 5 0 Ip mm 6 0 Ip mm 7 3 resolution mode DIMAX2 3 high 66 um 7 6 p mm 9 0 Ip mm 11 0 resolution mode pan Transversal slicing mode DIX12 3 normal 38 um 13 2 Ip mm 13 2 Ip mm
137. specifically X Ray Log Book x Sort Order Patient Exposure Date Start date 11703 2005 End date 11704 2005 Listing file oP Cancel User s Manual Dimaxis Pro Classic 91 PULLDOWN MENUS Change the start date or and the end date if needed by clicking the arrows in the date boxes Alternatively you can enter the date on the start date end date text field x Ra Log Book l x Sort Order Patient Exposure Date 17 03 2005 11 04 2005 Start date End date March 2005 Mon Tue Wed Thu Fri 4 2 3 4 5 7 8 9 10 12 13 i4 15 16 17 18 19 20 B el 22 25 24 25 26 2 eo 29 oO A When you click OK in the X Ray Log Book window the XRayLogBook doc Notepad window with the text file appears The text file can be printed by selecting the Print command from the File pulldown menu The name of the one who took the X ray is shown on the list All the X rays under the name have been taken by this person P XRayLogBook doc Notepad File Edit Format View Help xX RAY LOG BOOK 11 04 2005 L3 22 Test Clinic C1103 72005 11 04 720059 Mame Adult Patient ID g00001 Birth date 19520223 Doctor Test clinic 110472005 O8 44 27 Intraoral B ky SrA O 1005 31 11042005 0 44 18 Intraoral B ky SrA Oo Loos 11 704 72005 O8 44 10 Intraoral kw EmA Oo 100s Image taken by paiwiri 11042005 08 41 53 Intraoral B ky SrA O 1005 33 11042005 08 37 45 In
138. sting study for the intraoral images to be exposured and click OF or click Mo Template to make the exposure without using template Date Time Study Type Status Comment 148 2000 1457 Pan amp ceph TE aale llall en 30 11 1998 910 Adult full mouth series 1414 201098 HA a fo3 18 Adult full mouth series Adult full mouth series wert Check out MEW Faediatric 10 image series ME Paediatric 6 image series NEW Pan amp ceph NEw Preschool paediatric MEW Mo Template NOTE To take an intraoral exposure without using a study template click the No Template button in the Select a Study window 52 Dimaxis Pro Classic User s Manual Select Image IMAGE ACQUISITION You can also take a single intraoral exposure without using a study template by selecting the ntraoral tab in the Select Image window and clicking the New button It is possible to take a single intraoral exposure without using a study template also by inactivating the option Use studies in intraoral exposures in the Global Settings window see 9 1 7 Study Optional only in the US on page 137 Study Panoramic Cephalometric Intraoral Intracam 1670172003 10 03 21 05706 2002 09 54 46 05706 2002 09 53 21 05706 2002 09 51 38 05706 2002 09 46 53 UPPI yy 1670172003 10 03 00 05 06 2002 09 53 55 057 0672002 09 51 25 0570672002 03 48 37 0570672002 03 55 05 057062002 09 53 41 00672002 03 52 47 05706 2002 09 49 02 p New Parameters
139. support Planmeca Dimaxis Failed to open an association with the remote DICOM application The application is not running or there is a network or configuration problem Requesting a worklist from the management system can take quite a long time Therefore when the worklist is retrieved for the first time in a day a copy of the worklist is saved in the Dimaxis database After that the local worklist is used Click Refresh to update the list from the server 7 3 4 Today s Worklist Pro Version only Select the Today s Worklist command from the DICOM pulldown menu to see the Worklist with the patients scheduled for today If there is only one entry on the database this patient is selected automatically DICOM Modality Worktist Ed Family Name Patient ID Start Date from 27 3 2007 Remote DICOM Worklist AE ee Accession Start Date to 27 3 2007 l Find by Scheduled AE MAS Modality Gender Patient ID Mame Gender Birth Date Modality Date Description Accession Number List size 0 Log File Hetes Get List Detail Ok Cancel 76 Dimaxis Pro Classic User s Manual DICOM 7 3 5 DICOM Long Term Archiving Pro Version only User s Manual This function is similar to the Move to Long Term Archive function but instead of moving the images to a removable media or to a local disc the images are moved into the DICOM archiving system The images can be retrieve
140. t Mode This function is the same as the Zoom Out button The Zoom Out button is located on the upper toolbar Select this command and then click the area of the image you want to zoom out You can repeat the zooming by clicking the image again Hold down the ALT key and then click the image to enlarge it You can also zoom in by clicking the right mouse button Zoom Out button 8 10 10 Zooming Out The Zoom Out function reduces the image in the same way as the key on the keyboard 8 10 11 Zoom 100 The Zoom 100 function will show the image in a size where one pixel in the image corresponds to one pixel on the screen i e the magnification is 1 1 Note that the 1 1 100 view is based on the screen and image resolutions and not on the actual image dimension 8 10 12 Image Parameters The Image Parameters function will show the parameters of the open image The same Image Parameters window can also be opened from the Select Image window by clicking the Parameters button 116 Dimaxis Pro Classic User s Manual 8 11 Draw Pulldown Menu User s Manual PULLDOWN MENUS The Draw pulldown menu is visible when an image is open Geel Measure Process Window Show Annotations Line Vertical Line From Point Horizontal Line From Point Arrow Rectangle Circle Ellipse Spline Text Region OF Interest ROT Control Points For Subtraction Show Annotations see section Show Hide Annotations on page
141. t the image print position from the grid in the Default Intra Image Parameters window The print position determines the image position in relation to the other images when printing more than one image on one page Refer to section 11 1 8 Changing Image 168 Dimaxis Pro Classic User s Manual STUDY TEMPLATES Optional only in US Placeholder Parameters on page 173 for more information about selecting the print position Study Template Editor Adult full mouth series X Ph e i 14 175 176 lee 10 J g alala l Ae afl m 24 uE z Default Intra Image Parameters xj Sensor Orientation Senzor Type Print Position LULL s Jeo E RRR pest s Q Tooth Range HEREEREHE TTT s icles elie hz LTT TT tt tT Cancel Description E p Order Seres Send Order Parameters OF Cancel Print position 2 3 Click the Tooth Range button and select the teeth to be exposed in the window that appears Return to the Default Intra Image Parameters window by clicking OK Tooth Range lt SANNA NAAA RARE E ate ee Cancel Click OK in the Default Intra Image Parameters window and the placeholder for the image will appear in the template Move the placeholder to the desired position before selecting a new image User s Manual Dimaxis Pro Classic 169 STUDY TEMPLATES Optional only in US 11 1 2 Deleting Image Placeholders You can
142. t you cannot change the image format Export ROI This command will export the Region of Interest ROI to the selected directory Decision Support A separate licence must be purchased to enable decision support The Decision Support command activates a separate function which enables you to receive diagnostic information of the images Alternatively you can click the Decision support button located on the upper toolbar The decision support is meant only for intraoral and panoramic User s Manual Dimaxis Pro Classic 101 PULLDOWN MENUS images and for such panoramic images only where the region of interest has been chosen Decision support button If the Decision Support has not been installed the message window below appears xi Module C Program Files Decision Support R4yds xray ese not Found Decision support has nok been installed Edit This command will start another image processing program e g Adobe Photoshop which enables you to manipulate colour images Alternatively you can click the Edit button located on the upper toolbar Save The Save function will save the modifications made to the image The original image will also remain in the archive and it can be opened with the Original command If you have made modifications to the image and you select the Original command from the Image pulldown menu the message window shown below appears If you want to open the original version of the sa
143. tail and it cannot be guaranteed that the diagnostic value of the compressed image is equivalent to the original image While several studies see e g ADMFR CMI97 Advances in Maxillofacial Imaging The loss of image quality in panoramic radiography using image compression C G H Sanderink et al indicate that the loss of data may be insignificant Planmeca cannot guarantee that it is safe to use compressed image data for diagnostic purposes 1 6 Long Term Archiving As more and more images are taken and archived the archive will gradually fill up to its maximum capacity after which no more images can be stored However most of the images in any dental practice have a life cycle where after the initial period of frequent usage the image is hardly ever referred to patient leaves etc Therefore most of the images in any large archive are not actually used and represent a waste of space But because they represent valuable diagnostic data they cannot be removed in case they are needed later Besides in many states there are laws relating to the storage of images For this purpose the Dimaxis software provides the possibility to remove images that have not been referred to for a certain period of time to a secondary storage e g to a removable disk For this purpose it is recommended that the system is equipped with a 4 Dimaxis Pro Classic User s Manual INTRODUCTION DVD drive as this has a large capacity and low cost storage capacity
144. tation for software developers can be found in the Dimaxis CD under folder Support 178 Dimaxis Pro Classic User s Manual User s Manual Dimaxis Pro Classic 179 APPENDIX B VDDS The VDDS Bridge allows seamless integration to most German practice management softwares The VDDS Bridge interface application is available on the Planmeca Dimaxis Pro installation CDs See the Dimaxis Pro Classic s Installation manual for details 180 Dimaxis Pro Classic User s Manual User s Manual Dimaxis Pro Classic 181 APPENDIX C PLANMECA DICOM GATEWAY Pro ver sion only The Planmeca DICOM Gateway is a program that automates some DICOM functions The Dimaxis installation program installs the program by default as a service A log file PmDcmGw_log txt is created in the Dimaxis program folder when the service is started The gateway can be configured using the DICOM Gateway Configure program to send the new images automatically to the DICOM archive or to copy Worklists to the Dimaxis database 2 Planmeca DICOM Gateway Configuration x Storage M Store new images automatically to DICOM Archive Interval between checking for new images Minutes Delay betore storing new images Minutes Delete Stored Sent Images P Delete sent images from local database Delay betore deleting images trom local database D ays Modality Workhist Cache Modality Worklist to local database Delete
145. the Modify button the message window shown below appears To accept the modification click Yes or cancel the action by clicking No Modify Patient xX Family Hame Adult First Hame Patient Birth Date fi 9520223 Patient ID nnnm x Doctor 2 Do you really wank to modify the patient Gender P Male Comments Modify Cancel User s Manual Dimaxis Pro Classic 85 PULLDOWN MENUS If you click Yes the message window shown below appears Modify Patient E xj Family Hame Adult First Hame Patient Birth Date fi 9520223 Patient ID oonan a x Patient successfully modified Gender Pigs Female Comments Modify Cancel If you have modified the information of the selected patient in the Modify Patient window and you click the Cancel button to cancel the modification the message window shown below appears To ignore the changes click Yes or accept the changes by clicking No Modify Patient E xj Family Name Adult First Hame Patient Birth Date fi 9520223 Patient ID HA Doctor q j Do you want to ignore the changes Gender Male Comments Modify Cancel NOTE If you want to delete an image but not all the information of the patient select the Delete command from the Image pulldown menu see section 8 8 Image Pulldown Menu Image s Open on page 97 86 Dimaxis Pro Classic User s Manual PULLDOWN MENUS Change the Patient ID Se
146. the film session This field can be left blank if the print jobs are not monitored by some other system DICOM Printer AE PRINT_SCF Select Number of Copies Setup Session Label Log File Status Cancel You can select the default DICOM printer by clicking the Select button The Select Remote DICOM AE window appears Select the printer application and click OK Select Remote DICOM AE i xj MERGE _STORE_SCP MERGE_STORE_SCU MERGE_MEDIA_FSU MERGE_QR_SLP MERGE_QR_SCU MERGE PRINT SCP MERGE WORK_SCP 70 Dimaxis Pro Classic User s Manual DICOM The DICOM Printer Setup window appears when you click the Setup button In this window you can define the DICOM Standard specific parameters in the Film Session and Film Box groups Film Orientation portrait landscape is a commonly changed field By specifying the image sizes you can affect the scaling of the printed images In the Print Level group you can select the print level You can choose either Film Session or Film Box depending on the DICOM printer you are using see the printers DICOM Conformance Statement for more information In the Other Properties group you can select or deselect support for print jobs or define that only 8 bit images will be printed In this case the images will be mapped to 8 bits before they are sent to the printer NOTE See the printer s DICOM Conformance Statement for information about the printer s capabilities
147. the images at half that size Note that if the image does not fit the usable print area it will be scaled down to make it fit This means that with a scale factor of 100 images are printed in the actual size Thus if the projection of the image s magnification which is usually negligible is known it is possible to make direct measurements on the printed image assuming that the printer page size is large enough to allow printing in this size Printing Intracam Images When intraoral video images are printed the scaling is determined by the print scale setting of intraoral video images For changing the setting see section 9 2 1 Printer on page 140 A scale of 100 means that the image will be scaled so that an average of three images will fit side by side on a printed A4 size page A 200 scale will make the printed images twice that size and 50 will print the images at half that size Note that if the image does not fit the usable print area it will be scaled down to make it fit The actual image scale depends on the image grabber used and is in any case not of much 68 Dimaxis Pro Classic User s Manual PRINTING THE IMAGES importance because the magnification of intraoral video images depends on the distance from the camera to the tooth and thus varies widely from image to image 6 5 Print All Pro Version only Select the Print All command from the Image pulldown menu to print all opened images the way they are shown on the disp
148. tient to 4 Test Patient 2 D Subtract optional User s Manual The subtraction is a scientifically proven method to assess small differences on serially taken radiographs before later The digital subtraction DS is a widely used method in the medical field It requires superimposition of two radiographs to detect the change Dimaxis does this based on user defined control points The control points should be chosen so that the area of interest is enclosed by the points The selection of reference points or landmarks is crucial it has implications for method accuracy The subtraction can be used for detecting small lesions evaluation of periodontal changes and many other conditions There is a user specific setting see 9 2 10 Subtract on page 153 for deciding if the user wants Dimaxis to optimize the given control points before applying subtraction The optimization usually improves the result of subtraction but if the contrast near the control point is not high enough the algorithm may not be able to do the optimization And it takes quite a long time to calculate the optimization The Subtraction function usage is controlled with the DLC file NOTE To correct differences in projection angles anatomically identical control points are necessary for proper geometric alignment Dimaxis Pro Classic 99 PULLDOWN MENUS How to Use the Dimaxis Subtraction Tool 1 Open both radiographs to be evaluated in Dimaxis
149. traoral B ky SrA 0 10s 34 1104 72005 O8 37 36 Intraoral k EmA Oo 100s Os O04 20005 12 54 06 Intraoral aky mA O 1005 12 Os Oe 20005 12 53 57 Intraoral Hoky SrtA oO Loos 8 O04 2005 12 53 48 Intraoral B ky SrA Oo 100s 08 704 2005 12 53 39 Intraoral B ky EmA 0 1005 Humber of Patients 1 Number of Intraoral Images Total Number of Images Lo 92 Dimaxis Pro Classic 1 User s Manual PULLDOWN MENUS 8 3 Capture Pulldown Menu The Capture pulldown menu is visible all the time DICOM Study Adminis Cephalometric Exposure a Panoramic Exposure Intraoral Exposure Intracam Image Plate CR Scanner TWAIN Select Source TSIN Setup TWAIN acquire 8 4 Study Pulldown Menu Expose a cephalometric image Expose a panoramic image Expose an intraoral image Capture an Intracam image TWAIN interface see section 5 6 Image Plate CR Scanner Pro ver sion only on page 61 for informa tion on these commands The Study pulldown menu is visible when no images are open This menu can also be opened before selecting a patient Administration view Study Mew Template Copy Template Edit Template Delete Template Hide Unhide Template Create a new template Copy an existing template Edit template Delete selected template Hide Unhide template Working with templates is described in section 11 STUDY TEMPLATES Optional only in US on page 165 8 5
150. ty refer to Planmeca s DICOM Conformance Statement 1 12 VDDS The VDDS Bridge allows integration to most German practice management softwares The VDDS Bridge interface application is available on the Planmeca Dimaxis Pro installation CDs 1 13 Printing Dimaxis supports printing to any standard Windows compatible printer Refer to chapter 9 2 1 Printer on page 140 for information on printing from the Microsoft Windows ME operating system Additionally it is possible to print to a DICOM compatible printer However a separate DICOM licence is required for this For details about the DICOM compatibility refer to Planmeca s DICOM Conformance Statement 1 14 Date Format Dimaxis uses the regional display format for dates that has been defined via Control Panel 6 Dimaxis Pro Classic User s Manual INTRODUCTION 1 15 Disclaimer IMPORTANT SAFETY NOTICE Note that Planmeca Is in no way responsible for the end user s data security or for any malfunction in the computer system that leads to data loss Since image processing and digital subtraction radiography can significantly alter the visibility of both large and small structures i e bone loss and caries which may result in either too many false positive or false negative findings Planmeca is in no way responsible for the software use actions or diagnoses made by the end user 1 16 Dimaxis License From 3 1 0 version on Dimaxis Pro requires a license If the licen
151. u can also select the external editing program Photoshop or other image processing program Enable Undistortion to level distortions of Intracam images automatically Local And User Specific Settings Export TWAIN Subtract System Printer User Intraoral Intracam Setup CR Scanner Directories cons Com Port 3 none id ideo Enable Undistortion External Editing Prograrn Browse NOTE Settings for Intracam apply to the local workstation only 144 Dimaxis Pro Classic User s Manual SETTINGS Click the Video button to adjust the Intracam image The Video Setup window appears Format Source Display Capture Device octycap dll If the video card or driver has not been installed or the driver is incorrectly configured the Video Setup window does not appear Instead the message window below is shown Planmeca Dimaxis x Failed to initialize the wideo window Is the driver For the wideo card properly installed NOTE The Video Setup windows depend on the video card The following Video Format Video Source and Video Display windows are only examples User s Manual Dimaxis Pro Classic 145 SETTINGS Click the Format button and the Video Format window appears In this window you can adjust the Intracam image dimensions and image format Video Format 15 bit RGB hd Click the Source button and the Video Source window appears In this window you can select th
152. uch larger and the handling of the image is slower than in the normal mode pixel size 0 132 mm The Bits Per Pixel selection enables you to determine if you want to take 8 bit images Note that the best possible dynamic contrast range is reached by using 12 bits per pixel but the images will be twice the size of 8 bit images The Auto Level Parameters for panoramic images are adjusted in this window There are two different types of parameters first for non logarithmic mapping of the images and second for logarithmic mapping To choose between the logarithmic or non logarithmic processing of the images open the DidapiConfig in the Dimaxis folder In the Image Preprocessing tab you can find the appropriate Logarithmic Mapping that you can tick or un tick in the panoramic settings refer to the Dimaxis Installation Manual APPENDIX F DIDAPI CONFIGURATION When a new image is taken the Adjust Levels operation is automatically performed on the image If this adjustment is not satisfactory you can undo it by clicking the Undo button and do the adjustment manually see section Adjust Levels on page 115 If for some reason the automatic adjust levels operation repeatedly produces nonsatisfactory results these parameters can be adjusted Black low white high percentage of the image tones to be cut in the ends of the histogram in order to gain reasonable contrast The Midtones value affects the gamma curve of the image By adjusting the gamm
153. usial 50870 beStandard 14 standard 40 30 ntra Oral e standard 4030 Intra Oral Panoramic 30081 20mm Fanoramic 3001 50mm User s Manual Dimaxis Pro Classic 61 IMAGE ACQUISITION 5 6 2 VistaScan Select the patient as described in section 2 2 Selecting Patient on page 8 Select the option VistaScan in the CR Scanner window in the Local And User Specific Settings window in the Dimaxis This selection has to be done only once Local And User Specific Settings Export TWAIN Subtract System Frinter User Intraoral Intracam Setup CH Scanner Directories corns Scanner Type C Combis 2000 USB f VistaScan 62 Dimaxis Pro Classic User s Manual IMAGE ACQUISITION The scanning preview window appears M Show Image Parameters Window Scanner ready Close In the scanning preview window you can select the image format from the pulldown menu see below vistascan x m Mode INTRA hoch 40LPy minm 25urm b ge IN TAA hoch 2ULP Aron 25un MIN TAA Standard 13 3 Lorm 37 Dum INTRA niedrig 10pm 50urn PANO hoch 6 LP mm Gurr PANO Standard 5LF mm 1 00urn PANO niedrig 4LPyran 1 25urn CEPH hoch 10 perm 50urn CEPH Standard 6 6rLF mm urn CEPH niedrig SLP tam 30ure INTRA mas 40LF mm 12 5urn Scanner ready Close User s Manual Dimaxis Pro Classic 63 IMAGE ACQUISITION After the image has been scanned the preview window shown below appears Vistas
154. valuate root fillings or identify root canal files select the reference point in the filling or file close to the apex For other diagnostic tasks employ the above principle when selecting the reference point Dimaxis Pro Classic 123 PULLDOWN MENUS Pseudocolors Select the Pseudo Colors command from the Process pulldown menu to change the colour palette from gray scale to coloured and to open the Pseudocolors window You can alternatively click the Pseudocolors button located on the right toolbar In this window you can select the colour type The option Black Object will display a colour palette based on the different colours a blackbody radiator emits as it is heated from black to red orange yellow and white The option Spectrum will display a colour palette based on the colours produced as white light passes through a prism from violet blue and green to yellow orange and red You can adjust the pseudocolors by dragging the sliders next to the windows Pseudocolors button as a oF rae Pseudocolors al al i Color Type f Black Object Spectrum Invert the Image Negative Image Select the Invert command from the Process pulldown menu to turn the dark parts of the image light and vice versa You can alternatively click the Invert button located on the right toolbar Y Invert as button 124 Dimaxis Pro Classic User s Manual PULLDOWN MENUS 8 14 Window Pulldown Menu The W
155. ve ID 1 Continue ce After the images have been moved the message window shown below will appear Click OK x Total number of moved images 72 Archive ID 1 IMPORTANT Mark the Archive ID into the label of the removable archive media NOTE IMPORTANT If you use removable media as the long term archive write the Archive ID number on the media label NOTE The removable media is not secure you must also do a backup from the removable media to ensure the safety of the data NOTE Administrators have an additional possibility of archiving via the PmLTArchiveSrv Gateway which also allows scheduled regular archiving For more information see APPENDIX F PmLTArchiveSrv GATEWAY on page 188 After moving images to the long term archive Dimaxis creates tif and log files in the Temporary folder of Windows C Documents and Settings USERNAME Local Settings Temp The Dimaxis_LTA log contains the current archiving information such as the patient names the number of moved images the archive folder etc Binaan Seles File Edit Format view Help Creating LTA data for Following patients 424344 Eee Anne Total number of moved images 3 archive ID 2 IMPORTANT Mark the archive ID into the label of the removable archive media archive folder Ciytemp LTaAy2oo7ds2 Fs Removing older images from DB OR ee archive date in DB LTA archiving finished Dimaxis Pro Classic 163 MOVING IMAGES TO LONG TE
156. w appears Refer to section 2 2 Selecting Patient on page 8 for a detailed description of the patient selection functions Select Patient n x Type the name of the patient the birth date of the patient or the patient ID and click the OF button to select the patient Select Patient button or click the New button to add a new patient Cancel New User s Manual Dimaxis Pro Classic 17 IMAGE FINDING AND VIEWING 4 2 Selecting Image Click the Select Image button located on the upper toolbar or select the Select command from the Image pulldown menu and the Select Image window appears Select the image type or study window from the tabbed panes at the top of the window It is possible to select images under the different tabbed panes and then by clicking OK to open all the selected images at the same time Select Image E x Study Panoramic Cephalometric Intraoral Intracam 05 11 2004 13 37 34 15 01 22003 12 40 19 Select Image button 157 0172003 12 37 56 weg i i i i Tomo 4 crs manual d THM lat I Parameters 18 Dimaxis Pro Classic User s Manual IMAGE FINDING AND VIEWING From Dimaxis version 4 0 0 on a single image can be in the long term archive LTA If this is the case an image preview with the note In Long Term Archive or a grey rectangle is displayed see 10 MOVING IMAGES TO LONG TERM ARCHIVE on page 160 Some of the patient s images ca
157. wever the image noise increases at the same time Adjustable Sharpening Filter Pro Version only It is possible to select a default sharpening filter or an adjustable sharpening filter Click the Adjustable Sharpening Filter button to open the Sharpening Filter window where you can define the filter radius and scale factor of the image The filter radius can vary between 1 9 the scale factor amount can be 115 300 Dragging the scale factor control to the right causes stronger filtering By clicking the Defaults button the Dimaxis default values for the filter will be restored 110 Dimaxis Pro Classic User s Manual PULLDOWN MENUS In the Sharpening Filter window you can also define if you want to save the adjusted values as user specific default values ro E La Filter radius 4 Adjustable Sharpening Scale factor 150 Filter button Save As Defaults Defaults Cancel Equalize The Equalize function redistributes the brightness values of the image pixels in an image so that they more evenly represent the entire range of brightness levels Soft Tissue Filter Enabled Cephalometric Images Only Click the Soft Tissue Filter Enabled button or select the Soft Tissue Filter Enabled command from the Process pulldown menu see section 8 13 Process Pulldown Menu on page 120 to enable disable the automatic soft tissue filter function for cephalometric images A tick in the menu indicates that the
158. window when opening an image Initial Magnification f oom To Fit C 100 t 50 9 1 5 Cephalostatic In the Cephalostatic window you can select the resolution mode for cephalometric images Select Enhanced pixel size 0 099 mm to increase the resolution of the images to be exposed Note that the size of the image is much larger and the handling of the image is slower than in the normal mode pixel size 0 132 mm The Auto Level Parameters for cephalometric images are adjusted in this window There are two different types of parameters first for a non logarithmic mapping of the images and second for a logarithmic mapping To choose between the logarithmic or non logarithmic processing of the images open the DidapiConfig in the Dimaxis folder In the Image Preprocessing tab you can find the appropriate Logarithmic Mapping that you can tick or un tick in the cephalostatic settings refer to the Dimaxis Installation Manual APPENDIX F DIDAPI CONFIGURATION When a new image is taken the Adjust Levels operation is automatically performed on the image If this adjustment is not satisfactory you can undo it by clicking the Undo button and do the adjustment manually see section Adjust Levels on page 120 If for some reason the automatic adjust levels operation repeatedly produces nonsatisfactory results these parameters can be adjusted Black low White high percentage of the image tones to be cut in the ends of the histogram in order to
159. xt the footer text is often the address of the clinic Refer to section 6 PRINTING THE IMAGES on page 67 for more information about printing the images Click the Print button in the Study window Print Print button The Print window appears If you want to print only some of the study images select the images before clicking the Print button and make sure that the print range is set to Selection Select the Number of copies and print the images by clicking OK Print Ei Printer Name Apple LaserwriterIINT O 3 Properties Status Default printer Ready Type Apple Laser riter Il NT YW here Prmeerver Comment Print to file Print range Copies fe All Humber of copies 1 z m Pages frorn O to 0 C Selection of ell oe Cancel Export By clicking the Export button a window shown below appears where you can define the export parameters If no images have been selected all the images in the study will be exported The Export command exports images as a single image into separate files Export Export button 30 Dimaxis Pro Classic User s Manual IMAGE FINDING AND VIEWING Export Study Save images with 8 Bits Per Pixel i Create patient and image information file Encoding Format ERED Bum patient info and annotations into the export file ANSI UNICODE Director CAD ocuments and Settings 4dministratorsMy Documents Prowse File name Format Cancel
160. y 120 Dimaxis Pro Classic User s Manual PULLDOWN MENUS adjusting the gamma value you get an image that looks more like a conventional X ray image Adjust Levels xX 0 Input 255 mE Adjust Levels button If the Adjust Levels function has already been applied to the image the message window shown below appears To undo the previous level adjustment s click Yes or click No to keep them Planmeca Dimaxis E x P The Levels command has already been applied to the image Do you want to UNDO the previous Levels commandis before proceeding Yes flo Adjust Contrast Brightness Select the Adjust Contrast Brightness command from the Process pulldown menu By doing this you can adjust the contrast and brightness of the image with the mouse Click the left mouse button and do not release it When you drag the mouse vertically you can adjust the contrast of the image When you drag the mouse horizontally you can adjust the brightness of the image The Contrast Brightness button on the right toolbar functions similarily to the pulldown command Adjust Contrast Brightness oe Contrast brightness button User s Manual Dimaxis Pro Classic 121 PULLDOWN MENUS You can alternatively click the Brightness button located on the right toolbar to make simple adjustments to the tonal range of the image see next page Drag the slider to adjust the brightness of the image Dragging upwards decreases the level and

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