Overly Detailed Instructions
Contents
1. About KDIS Patient File 6 4 3 0 Copynght 1993 2006 Kadak Trophy RYG is patented by Eastman Kodak Company OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 62 18 7 Dentrix 11 amp Dentrix Image 4 5 Once the patient is selected and the name appears in the blue title bar you will then have the ability to capture an image TO capture an image first you must get into the Imaging side of DENTRIX To do this please click on the icon which resembles an intraoral image A Dentrix Chart Pack Test 1932 File Options View Clinical Motes Prim Perm Procedures Multi Codes Dental Diagnostics Help See pel sert pus ER EET SE MERE Preventive Endodontics Prosth remov Implant Serv Oral Surgery Adjunct Sery Lett GEREIS id EJ SUS EEU ao Bu Fa ON eles OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 63 The imaging module will then launch and automatically ask if you would like to select a template Please select Cancel for if you are going to take a Pan image 2 Dentrix Image Digital X ray TEST PANORAMIC TEST PACK Als dels QR FEE B Le jeere vi ar Ria Bla DO New Exam TEST PACK Delete Edit Order Edit Teeth d start TE Documenti Microsof No Tooth Number s Assigned OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 64 After you have hit Canc2. One Plan One Pan ND User s Manual For 1000 DR Digital Conversion for the PC 1000 Imaging Software Software version 6 0 Panoramic Corporation 4321 Goshen Road Fort Wayne IN 46818 1242 800 654 2027 www pancorp com Document Information Document Version 1 7 Copyright c 2008 Oy Ajat Ltd Oy Ajat Ltd may at its sole discretion from time to time provide updates to this Manual or other supporting documentation or withdraw them at any time without prior notice This document is the user s guide for the software provided with the SCAN300FPx digital panoramic imaging system This manual provides a documentation of the software s features and main concepts Specific equipment usage and safety precautions are considered to be out of the scope of this document and such topics should be considered prior to usage Any and all reproduction transfer distribution or storage of the contents of this document in part or in whole and in any form without the prior written permission of Oy Ajat Ltd is prohibited Specifications of SCAN300FP SCAN300FP x SERIES COMMON FEATURES Single crystal CdTe CdZnTe CMOS linear sensor Pixel size 100um hundred micro meters Six tiles of approximately 25mmx6 4mm each Approximately maximum active area 150mmx6 4mm Approximately Useful active area 146mmx5 6mm Physical gap between adjacent tiles 2 lines 200um Maximum interpolated gap between last used pixels on each tile 4
3. Cope FE Fi Delete File Del Save Cts Save ga s Print CP 5 elect TWAIN Source Acquire Batch scanning Ctr Shitt 4 3583 x 1458 x24 BPP Not a file 30 Notafile 10 78 MB Not afile Figure 5 1 InfranView by Infran Skiljan OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 18 OY AJAT LTD 6 Software Overview 6 1 Menus Overview 6 1 1 File Open image file Open dataset Reopen Data repository Save Image As Save Dataset As Save image as TWAIN Close image Close dataset Exit Opens images saved as PNG TIFF or DAT Opens a saved dataset Lists the ten recent images for quick opening Allows reopening of automatically saved images or dataset Allows the saving of an acquired image The formats are Tagged Image TIF 8 bit Tagged Image TIF 16 bit Portable Network Graphics PNG 8 bit Portable Network Graphics PNG 16 bit DICOM DCM 8 bit DICOM DCM 16 bit Binary 32 bit and Text TXT Allows you to save the full acquired data The full dataset will be several hundred megabytes and can only be viewed in this software Returns an acquired image back to the software that called it TWAIN mode only Closes currently displayed image Finalizes dataset Closes the panoramic software Software User s Manual for Digital Panoramic Imaging 19 OY AJAT LTD 6 1 2 View Show mean frame signal level Show overview image Show temperature p
4. FIGURE 7 4 TOOLS gt SETTINGS gt IMAGE sende 25 FIGURE 7 3 TOOLS gt SETTINGS gt FILES AND SAVING sir as esse ie ese Se Ge Ge Ge de Ve GE ee Seed ee SS Ge GE Ge Ge ee Gee Ge ee eie 26 FIGURE 7 6 TOOLS gt SETTINGS gt DICOM sansen SE He Ge EE eu Ge Ge SERS GE SE Ee ER ER GE ed GE ee 27 Mo 28 FIGURE 8 2 TEMPERATURE PLOT ooeaunovnnnevnnnvnnnnvnnnvnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnunnnennnnunnnennnnunnnsnnnnunnnuneneee 29 Ge ERE VESEN RENE EEE ENE EE GE ee 15 FIGURE 101 EXPOSURE ON AN OBIECT sakene Ee Ee ee eg beg Gee ee ee Dee rende 36 ate sd TIMIDA NN 38 FIGURE 13 1 HIDING amp SHOWING THE TOOLBAR i uresvrnvvrnnvnnnnnnnnvnnnvnnnnnnnnvnnnnnnnnvennvnnnnnnnnnennsnnnnnnnnsnnnunnnnsnnnsnennee 39 FIGURE 13 2 HIDDEN SLIDERS IN MAGNIFIED VIEW ees ees se ee see ee se ee see ee ee ee see ee ee ee see ee ee ee ee ee ee ee ee ee ee ee ee 39 FIGURE 14 1 HISTOGRAM ADJUSTMENT ee ee ee ese see ee se ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 40 FIGURE 14 2 IMAGE SSG EE EEE EEE EE N ee 41 FIGURE 14 3 NUMERIC VALUES FOR IMAGE CONTROLS ee ees se ee see ee ee ee see ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 41 FIGURE 14 4 IMAGE PROCESS OPTIONS sevrvvnnnvrnnnvnnnvnnnvnnnnvnnnnnnnvnnnnvnnnvnnnnnnnnnnnnnnnnunnnnnnnnunnnnennnsnnnnnnnsnnnnennnsnneenn 42 FIGURE 14 5 USER ASSIGNED IMAGE PROCESSING cccccssccccsscccsscccesscccsscccescceesceusscecscceessscssecceuecceuncesenecss 44 FIGURE DIT FOCUS IMAG
5. Select Update gt StartPC2 CamLink update Restart the computer when the update is finished m Coreco Board Update Log Update j Start PC2 CamlLink upd PC2 CamLink_1 Analyze 5 of 5 SN 52990118 Analyze NEE on Figure 3 6 Firmware update OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 12 3 3 Panoramic Equipment Selection Start the AJAT Panoramic Imaging Select Tools gt Settings Select the Manufacturer and model of the panoramic equipment to be used Click Ok Restart the Computer after making any selections OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 13 4 Sensor Alignment and Calibration Note Please refer to the documentation provided with the sensor for any specific sensor installation alignment or calibration procedures 4 1 Sensor Alignment Select Tools gt Maintenance gt Mechanical Alignment The alignment window provides a graphical representation of the X RAY beam and instructions to achieve optimal alignment Mechanical aligment tool The Instructions window provides Alignment Status information specific to the X rays detected No panoramic unit Instructions X ray settings Panoramic L P While the panoramic unit is 70 kV 6 m 1 sec and 26 a i mm Aluminum fiter producing radiation you will see rett an illuminated area representing DE the position of the actual beam Move the sensor as indicated detected by the sensor The numbers l
6. INDICATOR TRAFFIC LIGHT asie os nss See Ee oe eb ke se dee be oe Gede Ge Ge se ee oe be ge Dee ee be ee ob eo ed 28 ES TOORN so os Ee EE OS n EG GE Ge GE EO EE EG GE EE dea EE GE EE GE 28 TENE TEUR EEE EE EE Ee ae nteceed sateen 29 TN 30 NA EEE REE EE RE Ee 30 SEE ERR 30 NNN 30 SAd TONOM TOO EE EE ER EE N 31 EE EEE EO ER EN DN 32 JE ED 200 RENE ENE EG EE EE 32 TN 33 JE 2 RR EE ER A EE er eee 33 SE GREENE 33 CO 4 OE EE N ee 33 PANORAMIC UNIT PROGRAM de 34 TIN NNN 34 POWER UP AND SYSTEM CHECK sissies eds sd eds dek sie se sie ee sen od de ed se od de sed we ed de se ese dd ede de 35 Software User s Manual for Digital Panoramic Imaging 4 10 SETTING THE EXPOSURE LEVELS ccccccccccsccccccccccccccccccccccccccccsccccccccccccccccccccceees 36 11 TAKING A PANORAMIC IMAGE 1 ccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccscccccccccccccecs 37 12 TAKING A TMJ IMAGE 2 ccccccccccsccccccccccccccccccccccccccccccccccccccccccccccccsccccccccccccccscccccccccccccecs 38 13 USING THE IMAGE WORKSPA CE 1 cccceccccccccccccccccccccccccccccccccccccccccccccccccccccccccccscccesces 39 13 1 HIDINGTHE TOR 39 13 2 WORKING WITH MAGNIFIED IMAGES ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 39 14 HISTOGRAM ADJUSTMENT amp DIAGNOSTIC TOOLS cccccccccccccccccccscccccccccceces 40 T TNT 40 VI DN 42 14 3 DERN GER
7. be configured in the section This information should be provided and tested by an administrator DICOM file save folder selection allows a default file path to be set When using the DICOM Save tool this path will be used settings General Panoramic unit TWAIN Image Files and saving DICOM Advanced Shorage serve Options Address us Force signed format 16 bit only Image export type 8 bit gamma Caller AE AJATSCU f 76 bit non gamma Denera Address Institute Called AE ANY 5 CP Film size oN 10N Caller AE AJATSCU DICOM file save Folder iii S Figure 7 6 Tools gt Settings gt DICOM 7 7 Advanced CPU Performance optimization is generally automatically performed after the initial installation and does not need to run again OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 27 8 Interface Overview 8 1 Status Indicator Traffic Light Green The sensor and software are ready to acquire and image Yellow The system is preparing to go to ready mode Red The system is not ready See Troubleshooting 8 2 Histogram A histogram or graphical representation of how many times a color occurs in an image Use this tool to adjust the brightness and intensity for the overall image Additional information such as gamma can be accessed by right clicking on the control window and selecting show output control or show numeric fields Histogram Figure 8 1 Hi
8. histogram numerically Right click on the Image Controls windows and select the desired views we Show output control w Show numeric Fields Histogram EF Output P i Lo 0 00 Hiz 100 00 Gamma 03 Figure 14 3 Numeric values for image controls OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 41 14 2 Image The image processing tab contains several enhancement tools for smoothing sharpening and edge enhancing These tools may be applied to an image in any order or combination and can be easily undone using the undo button Below is a description of each tool Enhance Focus Colors ser DICOM Unda z Denoise Denoise Sharpen Equal e Lowpass Median Bl H rer ed 33 SKS Vertical A A A 1 2 3 4 5 6 Figure 14 4 Image process options 1 Denoise Lowpass Applies lowpass filtering with a Gaussian kernel to the image This tool helps to remove normal white noise from the image to make an image appear smoother or less noisy Several levels of this filter are available by right clicking on the tool and selecting a different size 2 Denoise Median Applies median filtering to the image Median filtering smoothes the image by removing the salt and pepper type of noise that appears as dots in the image Several levels of this filter are available by right clicking on the tool and selecting a different size 3 Sharpen Sharpens an image by applying an unsharp mask method Uns
9. in equal square pattern Displays multiple images as a cascade Displays the current dataset on top of all open images Displays the software date and version Software User s Manual for Digital Panoramic Imaging 21 7 Advanced Settings amp Configuration The software s advanced settings and configurations are located under Tools gt Settings The items in this area are used to adjust the functionality of many features which generally will not need to be changed after the initial setup 7 1 General The general tab of the settings area is used for patient information handling Additionally there is an option for automatically maximizing the view when opening the software Settings General Panoramic urit TWAIN Image Files and saving DICOM Advanced Patient information E A WwW Open application maximized C Ask for patient information after exposure C Require patient information before exposure Patent OB bridge amp None ML transport file B Cancel Figure 7 1 Tools gt Settings gt General Patient information is generally used when displaying a patient s name and ID number on an image is necessary or when not provided by existing dental image management software In this window a selection can be made to prompt for this information before or after an image is made The patient DB bridge allows other applications to pass patient information to be displayed on an image using
10. lines Responsible Author Matt Powell Oy Ajat Ltd Approved by K Spartiotis Oy Ajat Ltd OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 2 ninw Aa E A EN OY AJAT LTD Oy AJAT Ltd declares that SCAN300FPC FPBX FPA FPSC FPI FPS FPG and its components are in conformity with the essential requirements of the Medical Device Directive 93 42 EEC Annex II for Class Ila medical device The product is marked with the CE marking and the Notified Body number 0434 0434 DISCLAIMER THE CONTENTS OF THIS DOCUMENT ARE PROVIDED AS IS EXCEPT WHERE REQUIRED BY APPLICABLE LAW NO WARRANTIES OF ANY KIND EITHER EXPRESS OR IMPLIED INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE ARE MADE IN RELATION TO THIS DOCUMENT Oy Ajat Ltd shall under no circumstance be responsible for any loss of data income or any incidental consequential special or indirect damages however caused or occurred The software or related imaging devices may contain technology subject to export laws and regulations from the US and or other countries Any export activities contrary to law are strictly prohibited Software User s Manual for Digital Panoramic Imaging 3 7 1 12 7 3 7 5 7 6 ded 8 1 8 2 8 4 8 5 8 6 9 OY AJAT LTD Table of Contents NI ENN 7 COMPUTER NM 7 OPERATING GUIDELINES ss sessies sind ies ie ss des de es ede ie es de oo is ed eo e
11. ok tj Assign a user button O x The Following image processing operations will be applied to the selected button Enhance vertical edges Denoise lowpass 3x3 Type a name For the button below The preview of the button can be seen beside the text box Edge amp Denoise Edge amp Denoise Figure 14 5 User assigned image processing OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 44 15 Focus Imaging 15 1 Introduction The SCAN300 panoramic imaging system utilizes cutting edge technologies to acquire ultra high resolution images In addition the imaging system allows changing locally the focal trough location within approximately a 3 centimeter range depending on the location The Ajat Panoramic software typically collects a dataset consisting of 100 400 mega bytes of frames per exposure The large dataset of information gives the software the ability to move through the image and find locally the most focused layers to build the panoramic image The SCAN300FP expands the focal trough and collects more diagnostic images Normal anatomic variations in a dental arch Typical realistic focal trough All focal planes in a l 3cm trough are Normally only a single focal useable with a plane is collected during an SCAN300FP SAPOSUTE Figure 15 1 Focus Imaging OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 45 15 2 Auto Focus local A
12. on and off by left clicking the desired color Image Colors ser DICOM Undo I al 8 4 8 User Enhance Focus This area is used configure and apply user defined image processing Many times you will find yourself using the same image enhancement or other processing tools To save time the auto process button can be configured to automatically apply any combination of tools available in the image process area Four additional configurable tools are available quickly configurable to any preference 8 4 9 DICOM DICOM options include saving printing and sending to a server Sending and printing require advanced configuration and must be configured by an administrator Save will automatically save an image in the DICOM DCM format to a preconfigured location and automatically name the image based on the patient information provided 8 4 10 Undo The Undo incrementally once per click removes image processing that has been applied by the user utilizing the Enhance area OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 33 8 5 Panoramic unit program This allows you to tell the software which direction your panoramic unit rotates during an exposure or select unit specific features such as TMJ 8 6 Save TWAIN img Returns an approved image to a program such as your practice manageme
13. the following SCAN300FP fits yes frame 0 camframe 1 Select the SCAN300FP in the Settings menu Choose a patient Select the scanner icon Take an exposure and select Save TWAIN Image OY AJAT LID Software User s Manual for Digital Panoramic Imaging 57 18 6 KDIS 6 4 Kodak Dental Imaging Software To start the program click the KODAK icon on the desk top After you have highlighted the patient you wish to open click the OPEN file folder Once the patient file is OPEN you will see the patient info displayed as it is below Once the patient information is displayed click on the IMAGING icon to proceed to the next screen KODAK Dental Imaging Software 6 4 research Patient Picture Utilities Options m man E Imaging Number POOODOOT Last name PANDRAMICPCI000 First name PANDRAMICPCA000 2 2 2 2 2 2 Date of birth 20121300 Once the imaging s section Is OPEN your screen will look similar to this jag To acquire an image using the AJAT sensor follow these steps Click FILE on the tool bar to get a drop down menu In the drop down menu first click the TWAIN option Once TWAIN is selected you will see two options Acquire and Select Source First select the option select source OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 58 KODAK Dental Imaging Software 6 4 research P aA Context Format Options Window History Open Ch
14. 2nd Tan exposure 1427 1200 1800 Ok Step 4 3rd X ray exposure Jrd sray exposure 3702 3000 4055 i Ok Step 5 Calculate parameters Beam stability 96 6 gt BLD EE Ok Step 6 Save results Corrected pixels 276 lt 4400 Ok Step 7 Load calibration Comected lines DO 16 Ok Active area horizontal mm 5 3 23 Ok DRIE SR 110 gt Total progress Current step Instructions Calibration done Please check the results for any red bars Sensor Up time 5 min Sensor is ready for calibration Figure 4 2 Successful calibration OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 16 5 Image Management The AJAT Panoramic Imaging software has been designed to adapt to any storage environment Images may simply be saved to a Windows folder or integrated into an existing dental imaging application using the TWAIN interface 5 1 Storing Images in Windows Microsoft Windows XP contains all the necessary tools to save view and print your panoramic images if you decide not to use dental imaging software The Windows Picture and Fax Viewer allow viewing and printing to an installed printer Create a folder for saving images Locate a place of you computer to store your images and right click gt New gt Folder Name the folder Panoramic Images From the Panoramic Software select File gt Save Image as Locate the Panoramic Images folder Name the image I e Doe John Available Image Types Tagg
15. 4 4 Highlight Tool The highlight tool is used by moving the mouse while pressing the left mouse button This tool produces a high contrast filter revealing information in difficult regions Right click the mouse button to choose different sizes for the High Light square Tools OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 31 8 4 5 Enhance Image enhancement tools are provided for more advance diagnostics Denoiseing Sharpening and Enhancing can be quickly applied to improve quality overcome anatomical defects or enhance areas of interest Additional information is provided in the Histogram Adjustment amp Diagnostic Tools chapter Image Enhance Focus Colors ser DICOM Undo Denoise Denojise Lowpass Median IHS SHS P Fa Sharpen Equal 3x3 Vertical 8 4 6 Focus The focus area contains several advanced focusing tools The area selection tool is used to select an area of the image that is outside the default focal trough and then the auto focus can be applied The manual focus or tilt tool may also be used for greater control Detailed descriptions of these features are provided in the Focus Imaging Chapter Image Enhance Focus Colors ser DICOM Undo Auto Manual Default Focus Focus focus OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 32 8 4 7 Colors The colors section offers four different color schemes as well as invert These colors can be toggled
16. ING aged 45 FIGURE 15 2 AUTO FOCUS LOCAL EXAMPLE ees see ees se ee ees se ee ees ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 46 FIGURE 13 FONN 47 FIGURE 15 4 MANUAL FOCUSING WINDOW ee ees sees see ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 48 OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 6 1 Installation 1 1 Computer Prerequisites The computer running AJAT s software must fulfill the following requirements Requirement CPU SSE2 compatible processor with performance equal to or more than in Intel Pentium 4 3 GHz or Core 2 2 GB DDR 333 or higher Chipset NVidia NForce or Intel VIA SIS or ATI chipset are not supported 1 GB of free disk space for AJAT s software Operating System Windows XP Professional SP2 Vista Business One PCI 2 2 compatible 3v or 5v full height bus master slot Display Adapter AGP or PCI Express connection or integrated non PCI connected PCI display adapters are not supported unless approved by AJAT separately high definition medical displays Figure 1 1 Hardware Prerequisites OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 7 OY AJAT LTD 2 Operating guidelines It is strongly recommended that a dedicated PC is used for the panoramic imaging application All hardware devices not required for Panoramic Imaging use should be removed or disabled in BIOS and or Windows Device Manager The PC used for Pano
17. TF Nerd 44 15 FOSS TVA GUN Ge NTN 45 LNM 45 DD MTT NNN 46 Bi MENN 48 16 IMAGE REPOSTTOR Vs is eis edik ene Ge ee Gee kes Ge eb ee ee ed se Ge ee de Ge be GE GR dd Ge ea ie Ge Ge GE 49 16 1 SETTING UP THE IMAGE REPOSITORY esrovnvrnennvnnvnnnnennennennenennennennennenennenennennennennnnennennennennennenennennennennen 49 16 2 VIEWING A SAVED REPOSITORY IMAGE ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 49 17 PROBLEM SOLVING Nede 50 18 APPENDIX DENTAL SOFTWARE INTEGRATION cccccccccccccccccccccccccccccccccccecces 51 18 1 APTERYX XRAY VISION 3 5 3 9 amp PROFESSOR SUNL eesroronernernernnvnnrnnennennennnenernnennennennennennnnnnennenneener 52 EE NNN 54 oo APTERYX A VLIE Ne 55 bis k EE css ec mente OE NE OE OE EE N N OR EEN 56 18 5 DERS 8 WITH DERS CAN ES EE EE AN EE GR EG GE OE EG EE SE OE De GOS ES ON EE ES ER 57 18 6 KDIS 6 4 KODAK DENTAL IMAGING SOFTWARE eerernvrnrnvvnernennennvnnnnennennennnnnenennennennensnnennennenennennennennen 58 18 7 DENTRK 11 4 DENTRIX IMAGE A S sne RR GE Ge RE Ee ER Ee Re ek ee smia endast 63 158 DENITALENE IN 67 18 9 SCHICK CDR DICOM FOR WINDOWS 3 5 ccccsccsccecceccecccscceccuccuscescusceuceecscencesccuscseceescsccuscescuscanenecs 69 EA INT EE N N OO N N sce N RR EO Oe RE N 70 OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 5 Table of Figures FIGURE 1 1 HARDWARE PREREQUISITES scccsssccssscccsscccccsccccsc
18. Tools 14 1 Histogram tool The image adjustment tool provides a graphic histogram of an image representing how many times a color occurs in an image Errors in dosage levels can be easily noticed and corrected using the image adjustment tool The histogram is adjusted using three sliding arrows The arrow to left represents the white end of the dynamic range and the arrow to the right the black end The arrow in middle is used to shift the histogram toward the black or white gamma correction The result of making a shift will be seen as brightening or darkening of the image To change the contrast of an image black or white may be clipped by moving the far left and right arrows towards its opposite side Normally shifting the histogram is sufficient and the contrast can be left alone Below are some examples of shifting and clipping a 5 r Histogram is shifted toward Histogram with white Histogram is shifted the black clipped toward the white Figure 14 1 Histogram adjustment OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 40 To move any of the arrows left click on the arrow and move to a new location As the pointer is moved the image will be adjusted in real time Additional adjustment information is available by right clicking on the tool and selecting any desired information Histogram Figure 14 2 Image controls Additional controls may be enabled as shown below to view or change the
19. a temporary UTF 8 XML file The location of this file should be constant and indicated in the location shown above This file is automatically deleted after each usage OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 22 XML Example lt xml version 1 0 gt lt Examination gt lt Patient gt lt PatientID gt 12346 lt PatientID gt lt GivenNames gt FIRST lt GivenNames gt lt FamilyName gt LAST lt FamilyName gt lt Patient gt lt Examination gt 7 2 Panoramic unit This tab is used to configure the panoramic software to work with your specific panoramic equipment Expand the manufacturer name and select the correct supported model The Show advanced programs option will enable additional control of panoramic and TMJ image capturing The default option is not enabled and is the recommended setting Rotation direction should be selected to match the exposure direction of the panoramic unit Asymmetry reduction is used to remove some unnecessary artifacts from the edges of an image caused by the rotation start and stop The effectiveness of this option depends on the panoramic unit and model Selected panoramic unit model Manufacturer Panoramic Corporation Model PC4000 LS Direction of rotation Go Leftto nght Elockwisel C Blohtte lell Caunter oloekwjse h Show advanced programs Asymmetry reduction Figure 7 2 Tools gt Settings gt Panoramic unit OY AJAT LTD Software Us
20. cccscccccscccvsccccssenecsceccesscccscecsscccscerscscssssvseees 7 FIGURE 3 1 SOFTWARE INSTALLATION ccccccccccssccuscccscceusccescceseceueccescseeesseeceeueseeecsenseeusseusseeeseusseuseseuseeueeeues 9 FIGURE 3 2 FULL INSTALLATION OR SOFTWARE ONLY OPTION 0ccccccccseccceccccccesccescccsceuscessceusceeseseusceusess 10 FIGURE 3 3 FRAME GRABBER DRIVER INSTALLATION ccccccecccecccceccessccecceecceuccceecsesceusesesecseeceusseeesesseueess 10 FIGURE 3 4 FINISH INSTALLATION cssccsssccssccssscessccccscesseessscecscevcensscesscvesceassseesceascensscessceevseevssessceesceassess 11 FIGURE 3 5 FIRMWARE UPDATE TOOL ccccccssccccsssccsscccescccesssceuscceusssceuscesesccsesscesscceussseeusessucseusseeuscseuscsss 12 FIGURE 3 6 FIRMWARE UPDATE i e es Se see eee 12 FIGURE 4 1 MECHANICAL ALIGNMENT TOOL s esesvrnnvvnnnvnnnvnnnnnnnnnnnnnnnnnnnnnvnnnnnnnnnnnnnnnnnnnnunnnnennnnnnnnnnnnennnnunnnunenene 14 FIGURE 4 2 SUCCESSFUL CALIBRATION apene eee 16 FIGURE 5 1 INFRANVIEW BY INFRAN SKILJAN ee ees sees se ees ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 18 FIGURE 7 1 TOOLS gt SETTINGS gt GENERAL ees see see sees se ee se see ee ee se ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 22 FIGURE 7 2 TOOLS gt SETTINGS gt PANORAMIC UNIT ees ee see ee se ee see ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 23 FIGURE 7 3 TOOLS gt SETTINGS gt TWAIN iese soe see ees Geo oe tives GO inik akson ee ee ee Ge ER Ge GE ee 24
21. ct operation of your system either immediately or in the future Microsoft strongly recommends that vou stop this installation now and contact the hardware vendor for software that has passed Windows Logo testing Continue Anyway f STOP Installation Figure 3 3Frame grabber driver installation OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 10 On the last screen select Yes gt Finish te Setup AJAT Panoramic Imaging Software Completing the AJAT Panoramic Imaging Software Setup Wizard To complete the installation of AJAT Panoramic Imaging Software Setup must restart your computer Would vou like to restart now Yes restart the computer now No I will restart the computer later Figure 3 4 Finish installation After closing any open software restart the computer OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 11 3 2 Firmware After successfully installing the AJAT Panoramic Imaging software and restarting the computer please run the frame grabber firmware update tool Start the firmware update tool from Start gt All Programs gt Panoramic Imaging Software gt Debug gt PC2 Camlink firmware upgrade Select Yes to begin the update Firmware Update Coreco Imaging Firmware Update Tool version 1 0 This application will update the following board e PC2 CamLink Do vou want to start the automatic update Figure 3 5 Firmware update tool
22. e supplied calibration block over the tube head covering the focal spot Click Calibrate when ready The calibration process consists of several steps which include making three exposures Follow the on screen directions for your particular panoramic unit Panoramic calibration Pee Status Step 1 Exposure length measurement NOT NEEDED Step 2 First ray exposure Step 3 And m ra exposure Step 4 Ad ray exposure Step 5 Calculate parameters Step 6 Save results Step Load calibration Current step Total progress Idle Calibrate OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 15 Once the calibration is complete the results will be displayed on the right If all the categories are green the calibration was successful Yellow graphs indicate that maximum tolerances are close to being exceeded and should be checked If the results are green or yellow verify that the sensor installation was successful by taking a test image Red graphs indicate that a maximum tolerance has been exceeded Please refer to the Troubleshooting section Never accept an installation if any of the fields is red Panoramic calibration Calibration results for current calibration Signal levels Actual Hominal Step 1 Exposure length measurement HOT NEEDED Dark 462 50 700 Ea Ok Step 2 First ray exposure 1at x ray exposure SIL OO 1400 MEE Ok Step 3 2nd X ray exposure
23. e ed ie ee de di sd od oo sk di 8 3RD PARTY SOFTWARE AND UPDATES esse ies sesse sis ee Geo se ee ee ee ee ss ee Se Ge ee be ee be ese ee bee ee Ge soe se ke ke 8 SOFTWARE INSTALLATION ei sesse ees Ge SN ee sod be Ge ss ee ee de Vo ee ee ee SG Ge ie ii dee ii Ge de 9 ESE IE Ed LO AO OE NO ee EE EE EE ON OE N EO N ee ee 9 EIEN ARE ie ei ae EEE EE RE EE 12 PANORAMIC EOUIPMENT SELECTION Een de Een oe ei bee dee eke ie ie De Ge Ee eee Ee ee be de ee 13 SENSOR ALIGNMENT AND CALIBRATION esse sees esse sees ees o ees ee ooo se ee oe ee ee ee ee oe ee ee ee ee ee ee 14 TPM 14 RIES TOWN ER OE EEE OE tne ete NN 15 IMAGE MANAGEMEN eesriie ee 17 STORING IMAGES IN WINDOWS es ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee Ge ee ee ee ee ee ee ee ee ee ee ee ee ee ee 17 IMPORTING INTO IMAGE MANAGEMENT SOFTWARE iese ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 18 TV NENNE 18 SOFTWARE OVERVIEW ES ed es N ee od es ee ie dkeen 19 MASON 19 GE EE EE REE OE OE EE N 19 JEGERE EE EEE 20 SE 2 EEE EEE EEE SEP 20 SEE 0 EEE EE EN OO TE OE EN 20 ON TN 20 OLO Ve 21 OLT 21 ADVANCED SETTINGS amp CONFIGURATION cccccscccccccccccccccccccccccccccccccscccccccccees 22 MP 22 PANORAMIC UNIT oee EE E E 23 IN A i RE EE NE AEE NE E EE TS O NAA 24 NINE A A Oe N EE A A NE ee AA AA 25 NNN 26 DM NN 27 MN MN 27 INTERFACE OVYERVIE Wise ss ese ke oie sed dbe ek dk es ed Ge ee de ee eg God Ge Ge ee De de ed Ge ee Ge ke AG des 28 STATUS
24. ect a patient Select Acquire Image I HELE A roy Takes x rays or layouts for the Patient Name Ss Number ID Number currently selected patient SETENE EE Peete te Doe Jane MEE it Doe John XM ATOOOOO Acquire Image Acquires images or layouts for the curently selected patient from scanner Imaging device Or Camera Select Take and image for all teeth 6 Take An Image For All Teeth Make sure the Scan300FP is selected in the Scanned Image and click OK Ed ay Scanned Image Scanned Document Misc Imaging Device Tf o EED Cance HI re haak Cinni mr Take an exposure and select Save TWAIN Image OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 55 18 4 MOGO 11 01 Setup Open MOGO Windows Image Editor Select File gt Select TWAIN Device i NANE i ER RIT Gre nites OER top 5 F lt A PREPAID ES sade ee NS EA ane Ee Ve ED EE SCAN300 Usage Open MOGO Windows Image Editor Select File gt TWAIN Acquire Take an exposure and select Save TWAIN Image OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 56 18 5 Dexis 8 with DexScan Note DexScan requires an additional license to enable Twain acquisitions Note The dexis ini files must be edited and the value fits yes added to the SCAN300FP section The ini file is located in the Dexis root folder and can be opened with Windows Notepad The section should look like
25. ed Image File TIF 8 bit Tagged Image File TIF 16 bit Portable Network Graphics PNG 8 bit Portable Network Graphics PNG 16 bit DICOM DCM 8 bit DICOM DCM 16 bit Binary 32 bit Text TXT Viewing and Printing Locate the Panoramic Images folder Open the desired image using the Windows Picture and Fax Viewer Select the printer icon at the bottom the window or type CTRL P OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 17 5 2 Importing into Image Management Software Most dental image management software has a feature that allows importing images that were acquired outside of its environment Please consult with your software provider for further instructions 5 3 TWAIN Integration TWAIN is a common language that most software uses to communicate with imaging devices If your software has support for a Scanner you will be able to use this interface for a seamless integration Please consult with your software provider for further instructions The TWAIN interface is versatile enough to allow even non dental software to be used as well as seen in the illustration below Non dental imaging software FY Scanimage0o 1 Irfanview Zoom 75 x 437 File Edit Image Options View Help ig DAG al P m Reppen Shift fpenvithestemaiedtor gt Shtt t s Open as E Thumbnails T Slideshow y Batch ConwersionRename B Search files tr Rename He F Mowe File F
26. el you should have a blank screen In this screen please click the Scanner Icon on the tool bar This is the fifth button 5 from the Left Dentrix Image Digital X ray TEST PANORAMIC File Exam Tools Annotations DICOM Utilities Help r EO El BEE When you hit the Scanner button a window will pop up to ask you to Select a Source Make sure the SCAN300FP is selected and press the Select button This will OPEN the AJAT imaging software With the program open please verify the Green light is lit and verify the temperature setting of the camera in the black screen With the Green light you are ready to proceed to patient positioning and capture you Panoramic image OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 65 With your Pan image captured you will see the image on the screen and have the ability to manipulate the image as needed in the AJAT program When finished click the Save TWAIN img to send the image to the patient file within DENTRIX TWAIN Click on the button below to save the currently visible image to the TWAIN client With the image in the DENTRIX program you will have the ability to manipulate the images with all of the tools available from Dentrix OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 66 18 8 DentalEye 3 1 The DentalEye imaging software may be easily used the Ajat Panoramic Imaging software by using the TWAIN interface Note T
27. elect Next on all screens to perform a typical installation fe Setup AJAT Panoramic Imaging Software Welcome to the AJAT Panoramic Imaging Software Setup Wizard This will install AJAT Panoramic Imaging Software 6 5 3 479 on your computer It is recommended that you close all other applications before continuing Click Next to continue or Cancel to exit Setup Cancel Figure 3 1 Software installation The select components window provides the options for a full installation for systems with the AJAT sensor attached or software only for standalone workstations Software User s Manual for Digital Panoramic Imaging 9 ie Setup AJAT Panoramic Imaging Software Select Components Which components should be installed Select the components You want ta install clearthe components you da not vant ta install Click Next when wou are ready to continue Fun installation with hardware support Full installation with hardware support Only software no hardware support Back Cancel Figure 3 2 Full installation or software only option Select Continue Anyway to install the frame grabber and drivers Hardware Installation A The software you are installing for this hardware PL2 CamLink Board has not passed Windows Logo testing to verify its compatibility with Windows AP Tell me why this testing is important Continuing your installation of this software may impair or destabilize the corre
28. er s Manual for Digital Panoramic Imaging 23 7 3 TWAIN The TWAIN selection screen allows the user to customize how the TWAIN functionality is implemented and offers several different GUI Graphical User Interface options Full application mode and Automatic compatibility are selected by default Settings General Panoramic unit TWAIN Image Files and saving DICOM Advanced TWAIN driver user Interface Application compatibilit Automatic Full application if requested mini GUI otherwise Apteryx rap Vision 4 W Lite Full application if requested no GUI otherwise Adobe Photoshop Elements C Mini GUI always C Cliniview Mini GUI if requested no GUI otherwise Digora No auto detection C Visiodent 8 bit grayscale images No GUI Figure 7 3 Tools gt Settings gt TWAIN OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 24 7 4 Image The image settings area provide selectable options that change the appearance of the acquired image to appear more like a traditional film Orientation imprinting option will place an L amp R marker in the corners of the image to indicate the direction of the exposure Patient information imprinting options control the display location of the patient information entered or passed by other application Image options are preset to the ideal configuration and generally should not need to be changed Settings General Panoramic unit TWAIN Image Fil
29. es and saving DICOM Advanced Patient information inprintin Image options None jf Center image after exposure Lower left comer Mr Maintain image size in manual focusing window Lower right comer h Maintain grey level in manual focusing window Bottom center Reset grey level settings when dataset changes Orientation inprintin None C LandR markers Figure 7 4 Tools gt Settings gt Image OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 25 7 5 Files and saving The Files and saving tab provides options to customize the background data repository feature This image protection feature is not intended to be a replacement of a solid daily method of backup but more as a convenience When enabled every image or dataset acquired is automatically time stamped and saved to the repository Options to remove the unnecessary white edges only store unsaved images and disk space allowances may also be configured in this tab as well settings General Panoramic unit Task Image Files and saving DICOM Advanced Data repository usage Data repository settings Remove backup image after save Max repository size MB fi U4 f Dataset Mas number of images 256 Image save settings W Remove white margins Figure 7 5 Tools gt Settings gt Files and saving OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 26 7 6 DICOM The DICOM storage and printing servers may
30. excessively over exposed Q Anterior teeth are out of focus blurry and narrow A Patient is positioned forward of the focal trough Q Anterior teeth are out if focus blurry and wide A Patient is positioned too far back from the focal trough Sensor Q Solid red light on Frame Grabber A Sensor is not powered on or sensor link cable is disconnected Q Slow blinking light on Frame Grabber A Make sure that the panoramic service is started Restart computer and re check Q Sudden reduced image quality or lines occur A Sensor may be misaligned Check mechanical alignment OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 50 18 Appendix Dental Software Integration The following section provides specific support integration unto the following dental imaging programs Apteryx XrayVision 3 5 3 9 amp Professor Suni 3 5 3 9 Done Prolmage 6 XVLite 2 1 amp Lightyear Technology 2 MOGO 11 01 Dexis 8 with DexScan KDIS 6 4 Dentrix 11 amp Denterix Image 4 5 DentalEye 3 1 Schick CDR DICOM for Windows 3 5 CliniView 6 1 2 Any mention of dental imaging products with the exception to Ajat branded products is for personal reference only and no form of relation is implied OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 51 18 1 Apteryx XrayVision 3 5 3 9 amp Professor SUNI Method One Open the desired patient and select Capture Single als TransIT Archive
31. harp masking enhances boundaries in the image so that the image appears clearer Additional degrees of sharpening may be selected by right clicking the tool and choosing the desired filter size OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 42 4 Egual Vertical The egual vertical tool adjusts the local brightness of an image so that brighter areas appear less obvious This tool is useful for evening the appearance of a panoramic image and diminishing the bright artifacts caused by the spine spine compensation 5 Vertical Edge Enhancement Vertical edge enhancement is similar to sharpening but only vertical edges are enhanced 6 Horizontal Edge Enhancement Vertical edge enhancement is similar to sharpening but only horizontal edges are enhanced OY AJAT LTD Software User s Manual for Digital PanoramicImaging 43 14 3 User Image Process The user image process area provides several user configurable buttons that can be used to apply freguently used image processing tools as desired One additional tool can be configured to apply image processing automatically when images are acquired Use the following steps to configure user button 1 Select and apply any smoothing sharpening or edge enhancement desired 2 Select the User Image Process tab 3 Right click the desired configurable button and select Assign current image processing to desired button 4 Type a name for the button and click
32. he TWAIN plug in must be installed in order to utilize this feature Configuration Open DentalEye and select the configuration button on the TWAIN plug in Select DX Panoramic for the image type and select TWAIN source Setup TWAIN Plugin X Options Selected TWAIN source SCAN 300FP Select TWAIN source Image type delivered IDX Panoramic v Plugin Options Plugin visible About Cancel Choose the SCAN300FP 5 0 from the sources and click Select Select Source X 5 OUNCES SCAN SOUFP 5 0 22 32 Cancel OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 67 Open the Ajat Panoramic Imaging software Click Tools gt Settings gt TWAIN Select Adobe Photoshop Elements under application compatibility Settings x Panoramic unit TWAIN Image Files and saving Advanced TWAIN driver user mtertac f Full application always Application compatibilit Automatic Apterm ran Vision XV Lite Adobe photoshop Elements Full application if requested mini GUI otherwise Full application if requested no GUI otherwise Mini GUI always Mini GUI if requested no GUI otherwise C No GUI Usage Click the acquire TWAIN button in DentalEYE The Ajat Panoramic Imaging software will open One a panoramic image is acquired and adjusted as desired Select the Save TWAIN Img TWAIN Click on the but
33. he panoramic unit s manufacturer Proper patient positioning is key to successful panoramic imaging Adjust the panoramic unit to the proper dosage according to the panoramic unit manufacturer s instructions Activate the panoramic machine Note refer to the manufacturer s documentation for specific usage instructions During the exposure if the traffic light turns to green or red the exposure should be interrupted to prevent unnecessary exposure OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 37 12 Taking a TMJ Image The TMJ mode produces one image consisting usually of four short exposures The TMJ image shows the patient s right closed right open left open and left closed temporamandibular joints Depending on the panoramic unit it may be necessary to change the panoramic unit program in the software from panoramic to TMJ while others will remain in the automatic mode Manually changing to TMJ mode Locate the panoramic unit program box in the upper left corner of the screen Click on the current mode button and select TMJ Remember to set this back to panoramic before taking another exposure The TMJ sequence will automatically advance to the next position and will be complete when all four images are taken Figure 12 1 TMJ image OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 38 13 Using the image workspace The image workspace consists of an area where an X RAY i
34. is options is not selected the repository will automatically purge based on the space allocated and number of max images Make sure that there is sufficient free space on the hard drive to accommodate the maximum size repository and max number of images selected When finished click Ok 16 2 Viewing a saved repository image To view or recover an image or dataset select File gt Data repository Select a saved image Be careful once an image is deleted from the repository it s permanently removed Images will be automatically deleted based on the settings selected when enabled The delete and delete all should not need to be used OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 49 17 Problem Solving Installation Q Status indicator flashes Init Failed and sensor will not function A This is normal condition that may occur periodically and is corrected by resetting the sensor Q Status indicator displays Not Connected A Verify that all cables are connected and that all equipment is powered on Image Quality Q Image is a blurry and the spine is very clear A Verify that the software s rotation direction matches the panoramic machine Q The image has poor tone quality or excessive background noise A The image is under exposed Increase the kVp or mA Q Excessive dark areas in image or poor tone A The image is over exposed Reduce the kVp or mA Q Image is solid black A The image is
35. ll Tools Window Help 2 o d i a E 1da Reda Capture Capture Capture Single Layout Video Make sure the Scan300FP is selected in the Scanned Image and click OK ay Scanned Image Scanned Document Misc Imaging Device ETER CAN300FP Cancel Ir haak Cinna mr Take an exposure and select Save TWAIN Image Select the center area of the tooth association window and then select Ok OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 52 Method Two Open the desired patient Select File gt Acquire gt Capture Single Image XV XrayVision Doe John ie Patient Database TransIT dArchivelT Tools Window Help ojal alB BIE Mew From Clipboard Ctri h Open Ctrl 0 Tie Images ScanzPrint CtrH Alt T Acquire Capture Single Image Capture Layout Images CtrlHL Recent File Make sure the Scan300FP is selected in the Scanned Image and click OK Ed ay Scanned Image Scanned Document Misc Imaging Device o EED z Cance HI re haak Cinni mr OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 53 18 2 Prolmage 6 Configuration Select File gt Select Scanner Twain Select SCAN300 as the source Usage Select File gt Scan Image Twain Input Take an exposure and select Save TWAIN Image OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 54 18 3 Apteryx XVLite 2 0 Sel
36. lot Show function bar 6 1 3 Patient Patient information 6 1 4 Image Denoise Gaussian Denoise Median Sharpen unsharp mask Edge enhancement horizontal Edge enhancement vertical Apply auto leveling 6 1 5 Tools Settings Displays the average signal strength of the last exposure for Support purposes Enables or disables the small overview window used while viewing magnified images Enables or disables the sensor temperature status windows Enables or disables tools and status information displayed above the image area Opens a dialog box for entering patient information Noise removal tool Smoothing tool Sharpening tool Sharpens horizontal edges Sharpens vertical edges Automatically changes the grey levels to the best use of the display s dynamic range Opens the advance setting area Software User s Manual for Digital Panoramic Imaging 20 Dataset Tools DICOM Maintenance Send error report 6 1 6 Window Tile horizontally Tile vertically Tile square Cascade Dataset image 6 1 7 Help About OY AJAT LTD Advanced dataset handling tools Opens the DICOM saving and sending options Sub menu that contains mechanical alignment calibration diagnostics tools and open log file tool Can be configured to electronically send reports to Support personnel Displays multiple open images side by side Displays multiple open images vertically stacked Displays multiple images
37. noramic 86 CliniView 6 1 2 PAtient Test fe DICOM Patient Image View Diagnose Graphics Measure Tec pg Open image Chrl 0 Ugg dl did n has kl IT Import F Export P Select Source Capture Panoramic Cephalometric Intraoral Photograph After the panoramic image acquired select the Save TWAIN Image window The image will be returned to the Schick software and edited as usual TWAIN Click on the button below to save the currently visible image to the TWAIN client Save TWAIN img OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 70
38. nt software TWAIN mode only Click on the button below to save the currently visible image to the TWAIN client OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 34 9 Power Up and System Check Note Refer to the documentation provided with the sensor for any specific instructions for start up Note Refer to the documentation provided by the manufacturer of the panoramic unit for proper power up procedures 1 Open that AJAT Panoramic Software 2 Power on the panoramic unit 3 Verify that the Green Light is illuminated and that system is ready System status Sensor Connected Action Idle 3 System i ready Figure 9 1 System status OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 35 10 Setting the Exposure Levels Note Exposure levels must be followed strictly according to the instructions of the panoramic equipment manufacturer Note Taking several test images on inanimate objects is a good way to safely get comfortable with the panoramic units exposure levels Note Only a person trained in dental radiography should be using the panoramic unit Figure 10 1 Exposure on an object OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 36 11 Taking a Panoramic Image Select the correct panoramic rotation direction The software must match the setting on the panoramic unit s control panel Position that patient as specified by t
39. ocated on the top and bottom of the window indicate the direction the sensor should be moved for proper alignment seen from behind the sensor Aligment ok Once the green Alignment ok is displayed the alignment is complete Be sure to check the alignment again after replacing any covers Figure 4 1 Mechanical alignment tool Sometimes the software is not able to fully detect the beam and may only display arrows without any numbers In this case the sensor should be moved 2 3 millimeters in the direction of the arrows OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 14 4 2 Calibration The software calibration tool is used after any alignment or hardware adjustments performed to the panoramic machine or sensor Calibration is to be performed after the sensor has been properly aligned securely mounted and the entire panoramic unit has been fully assembled with all covers Any alignment parts that may obstruct the XRAY beam must be removed This includes bite pieces chin rests and forehead alignments Calibration allows the imaging software to get to know a particular panoramic machine and makes software adjustments for optimum performance For this process you will need the Calibration Block provided with your sensor On screen instructions are provided as the specific process varies depending on your panoramic equipment To perform a calibration click Tools gt Maintenance gt Calibration Attach th
40. om this screen you can manipulate the image with the tools from the AJAT software This is an example of the image after all modifications have been done and we are ready to save the image into KDIS software OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 60 To SAVE the image click the Save TWAIN Img button on the right side of the Screen This shows the image transferred directly into the KDIS software Once in the KDIS software the operator would have the ability to use all of the tools within KDIS to manipulate and modify the image KODAK Dental Imaging Software 6 4 research PANORAMIC PC 1000 PANORAMIC PC 1000 File Context Format Scans Options Window GOS RA Gu Gea ve E 12 18 2006 ae To save the image into KDIS simply click the disc icon on the tool bar KODAK Dental Imaging Software 6 4 research PANORAMIC PC 1000 PANORAMIC PC 1000 Fie Context Format Scans Options W oos Er Ow GaOSBBE Once you have clicked the icon to save the image you will see a box asking for comments to be attached to the image and what classification for the image Not classified Extraoral or Intraoral then click OK OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 61 KODAK Dental Imaging Software 6 4 research PANORAMIC PC 1000 PANORAMIC PC 1000 FOO is me gagong H e Save image Date 12 18 2006 Comments Extramral Intraoral
41. r Digital Panoramic Imaging 47 15 3 Manual Focusing Manual image focusing works in the same way as the auto focus tool described above but with the added ability to control in real time the focal point position as well as tilt Begin by using the region selection tool to select an area you would like to focus then select manual focus The focus control window will now appear with two vertical sliding controls Position 0 95 Tilt 8 64 Figure 15 4 Manual focusing window Move the vertical sliders until the desired focus is achieved The graphical representation at the top of the slider will illustrate the current focal spot once the Apply button is selected The close button will exit this window and prompt to save the changes Any focusing can easily be undone by selecting the Default Focus button in the focus area OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 48 16 Image Repository The image repository is a safety feature that when enabled automatically saves acquired panoramic images or datasets to allow recovery in the event an image is lost or damaged The repository is intended for convenience and as a last resort to image recovery The repository Is not a replacement for a full system daily backup 16 1 Setting up the Image Repository Select File Tools gt Settings gt Files and saving To protect and image only until it s Successfully save select Remove backup image after save If th
42. ramic Imaging application should be protected by an Uninterruptible Power Supply UPS or at least by a surge protector Using a medical grade PC with a high quality power supply is highly recommended Power supply failure in the Panoramic Imaging PC may irreversibly damage both SCAN300FP system and the panoramic unit and is not covered by the warranty The PC used for Panoramic Imaging application and the panoramic unit must be connected to the same power grid with common ground 2 1 3rd Party Software and Updates AJAT requires that upgrades Service Packs or Hotfixes to the Windows operating system are not installed after the installation of the sensor before AJAT has verified the compatibility AJAT requires that the computer used for capturing images from the SCAN300FP sensor doesn t have real time virus protection or software firewalls active Also it should be verified that no background application for example automatic update service for virus protection software can activate during data collection Software User s Manual for Digital Panoramic Imaging 8 OY AJAT LTD 3 Software Installation Note If this software will be used with an AJAT sensor be sure to physically install the PCI frame grabber prior to beginning the software installation The necessary drivers will be automatically installed during the setup process 3 1 Installation Double click the AJAT Panoramic installation package to begin the installation S
43. rl 0 Delete Print Print setup Report b Word report F Import image file Import digital camera DICOMDIR d Acquire Select source TWAIN b The next screen you will see should look like this If multiple TWAIN compliant devices are connected to the computer Look in the list and highlight and select the option SCAN300FP Select Source SOUICES PanoACT 2 0 32 32 SCANADOFP 4 1 22 37 Es Next click on File from the tool bar again to get the drop down menu This time select the TWAIN option and the Acquire tab This will automatically launch the AJAT software OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 59 KODAK Dental Imaging Software 6 4 research AEn Context Format Options Window 7 New RYG image FZ New Panoramic Image Fa kk l New Ceph image F4 New intraoral camera Image FS New CR image History Open CtrlH 0 SAVE Ciis LOZE Delete Print Print setup Slide Show Report F Word report Import image file Import digital camera DICOMDIR Copy Dro Select source Paste Ctrl Once the AJAT program is launched you will see the acquisition software over the top of the KDIS software Verify the stoplight is GREEN and the PC 1000 is turned ON Position your patient and take your exposure After the image is captured your screen should look similar to this Fr
44. s displayed tools for diagnostic viewing and information about the panoramic digital sensor This section will provide an overview of the built in controls you may find useful while working with panoramic images 13 1 Hiding the toolbar The upper tool bar can be easily hidden to allow a panoramic image to be viewed at maximum size Click the small arrow located on the bottom right area of the toolbar to collapse the bar Click the arrow again or press ESC to expand 7 See Figure 13 1 Hiding amp showing the toolbar 13 2 Working with magnified images Method 1 Images may be magnified by right clicking anywhere on the image and selecting a desired magnification By default view to fit is automatically selected While magnified hidden right and bottom scroll bars can be used to navigate around the image Move the mouse to the far right or bottom to reveal the hidden scroll bars The blue scroll position is moved by left clicking and moving Method 2 The optional overview image enabled by selecting View gt Show overview image may be used to relocate your position on the image To move left click the small red rectangle and slide it to a new location Entire image magnification is adjustable using the slider located at the bottom of the overview window Figure 13 2 Hidden sliders in magnified view OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 39 14 Histogram Adjustment amp Diagnostic
45. stogram OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 28 8 3 Temperature The optional temperature view is a real time report of the current temperature of the sensor This window can be toggled by selecting View Show temperature plot By default this control is not enabled Camera Temperature Figure 8 2 Temperature plot OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 29 8 4 Tools 8 4 1 Magnifier This is a spot magnifier that is controlled by the mouse while the left button is pressed More magnification is available by right clicking on the tool Tools 8 4 2 Move Tool This is used to move the image when magnified beyond the limits of the screen When desired the entire image may be magnified by right clicking anywhere on the image and select a desired magnification Use the move tool to navigate around the image Tools Optionally a small overview may be enabled for easier navigation while the image is magnified This feature is enabled by selecting View gt Show overview image 8 4 3 Region Selection Tool OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 30 Used for selecting a region of interest during focusing Select a starting position and click and hold the left mouse button While still holding the left button move the mouse to enlarge the box to the desired size Tools 8
46. ton below to save the currently visible image to the TWAIN client Save TWAIN img The panoramic image will be returned to DentalEye for editing and saving as usual OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 68 18 9 Schick CDR DICOM for Windows 3 5 Open the Schick software and select Start A New Exam Start New Exam Select a patient then select PANO 1x1 from the Select Series window LI Edit Series Change the acquisition mode to scanner using the Mode button FJ Powell Matt 1 File Edit View rawlimage Series Print System Window Help 17252900 Mew Exam Oper Close When the Scanner is selected a scanner will be displayed in the acquisition window Click the scanner icon to launch the Panoramic Imaging software After the panoramic image acquired select the Save TWAIN Image window The image will be returned to the Schick software and edited as usual TWAIN Click on the button below to save the currently visible image to the TWAIN client Save TWAIN img OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 69 18 10 CliniView 6 1 2 Configuration Select File gt TWAIN gt Select Source Select the SCAN300FP then click Select Select Source S OUNCES SCAM300FP 5 0 32 32 TWAIN 32 Sample Source 1 603 32 32 Usage With a patient selected select File gt TWAIN gt Capture gt Pa
47. uto Focus is a tool for guiding the software to make additional focal adjustments that may help to further enhance the diagnostic guality of an image Auto Focus consists of two steps First the selection tool is used Select the area to be focused It s recommended to select an area slightly larger in both vertical and horizontal direction to improve the results This provides the software the necessary information to perform the refocus Auto Focus Once an area is selected use the Auto Focus button to make the change Figure 15 2 Auto focus local example OY AJAT LTD Software User s Manual for Digital Panoramic Imaging 46 In the image below the anterior region is noticeably out of focus The selection tool is used to select an area within the local area to be focused that is considered to be out of focus The auto focus tool is then used and the difference can be seen clearly in the second image It should be remembered that the focusing alters the focal trough for the selected part and thus changes also the region below and above the selected area Unfocused image Focused image Figure 15 3 Focusing an image At any point the Default Focus button can be used to undo all changes If the desired focal result in not achieved after several attempts it may mean that there is not enough information in the selected area and the profile should be reset to the Default focus OY AJAT LTD Software User s Manual fo
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