Metron-DVM Version 5 User Manual
Contents
1. 3 images 15 5 MB By default the CD or DVD created by Metron will also contain a mini Metron viewer so that the recipient of the disk can view the images and reports easily This disk will not install any software on the recipient s machine it plays directly off of the CD from the CD drive To write a partial study onto a CD highlight the thumbnails of the images you want to select prior to entering the Burn CD panel From within the panel you can include additional full studies on the disk There is an option at the top of the panel to write a disk without the min Metron viewer but rather with images only If you choose this style of disk you can select the format of the images JPEG TIFF or DICOM Export and Import of Metron Databases There are several reasons why you might want to import or export an entire Metron database or a portion of one For example e To make a back up of your database export a copy of it to another disk e To merge images from a portable Metron based system that went out into the field back into your main database at your office e To give a copy of part or all of your database to a colleague These things are done with items found under the Database entry in the top bar of Metron It is important to note that in the upper right hand corner of the Database Browser the current database you are viewing is shown This is usually Default Some Metron users will onl2. Before proceeding it is highly recommended that you back up your existing old database just in case anything goes wrong with the conversion process or if for any reason you wish to go back to the previous version of Metron The database conversion that occurs will be a conversion in place and will overwrite and update your database and the database will no longer be readable by a version of Metron prior to 5 If you need to back up your old databases before proceeding then note the location of them from this panel and then click Exit Metron Complete this later to exit Metron After backing them up restart Metron to come back to this panel At any time in the future if this panel is not presented to you automatically when you enter Metron you can always find it under Database in the top bar If you have purchased Metron in a bundle with a digital imaging system then the database conversion panel has a second portion at the bottom as shown below Conversion of Metron Databases to Version 5 0 Format Default C Giganto Local C PXS 08 DebugiDatabasesihHain Giganto C Giganto PX DataBases Common_PX_Database_5 0 CR_Originals_Pre5 0 C Giganto CR_OriginalsS 6 DR_Originals_Pre5 0 C Giganto DR_Originals5 TestDE C Giganto Pk DataBases TestDB 5 0 TETROR Originalss 6 C Giganto CR_Originalss 6 The lower portion of the panel is for converting the CR_Originals and or the DR_Originals databases which
3. show only studies which were taken today or during the last week or month Also there is the ability to search by owner name for a particular owner or to search for a particular animal either by its name or by the patient ID The tab labeled Collection 0 Items is for an advanced feature to be covered later DATABASE BROWSER Metron DVM Version 5 33 a loeme Browse amp Acquire Collection 0 items Studies with new images this Day Week Month All Sources Double click a thumbnail to view The Database Browser panel lets you find any image in Metron lets you jump into various ways to acquire a new image and lets you operate on sets of images in various ways Multi Image Operations Sendby _ Recene iy DICOM T Images Paste p 0 items Double click a thumbnail to view An important concept behind the Metron user interface is that you can perform some operations on multiple images at a time whereas other operations only make sense to perform on one image at a time Any time you want to perform an action on several images at once the place you do that is in the Database Browser panel The lower portion of the panel shown above in isolation contains actions that can be performed on multiple images at atime You specify the images by single clicking on the thumbnails which will turn the border of the thumbnail red showing that it is selected For example click
4. Metron DVM Version 5 User Manual Version 5 3 EponaTech LLC 2010 Starting Metron The installation program has placed an icon on your desktop that looks like this td Metron Double clicking the icon will start Metron If the icon does not appear on your desktop you can start Metron by going to the Start button extreme lower left on your computer screen then choosing Programs and then choosing EponaTech and then Metron The installation program also places an icon on your desktop called Metron Guide which is a shortcut to this document When Metron Starts Up When you first start up Metron you will see a panel informing you that you are in Trial Mode In Trial Mode you will find many features of Metron are blocked to you But you may be able to explore Metron a little bit and get a feel for it Welcome to Metron in Trial Mode You are in Trial Mode until you register your copy ofthe software In Trial Mode you cannot Import your own images You can onb view some samples that we have provided To register Metron click the Register choice in the top bar Continue gt gt If you have already purchased Metron the company you purchased it from can supply you with an Unlock Code which will take you out of Trial Mode and fully enable Metron First Time Install of Version 5 over an Older Version of Metron If you are upgrading from an earlier version of M
5. buttons across the bottom of the screen provide image filtering tools and other functions The Free Mark Up panel provides a number of different measuring and annotation options Free Mark Up Properties of Currently Selected Item Mame Line 2 fl Line Col Font 12 E Cal Background Hide Clear Fill Current Mark Detach Handle Reset Handle Uplate Llose Report Creation An important function of Metron is to generate reports These reports are multi page formatted reports containing images and text Metron users create these reports for their clients and they are a vital communication tool The report generator panel is shown below In this image a report has already been constructed which consists of several pages Report Name Aep Drant Repi Fages Specieky Equine Pages Forrrbessd Pages Oredmage Page Tecdmags Page pemen y a 5 a l Paget C Page S C Pi gt C Pel gt C aes gt E Save es FDF File You create a report by choosing a page type adding it to the report and then using a page editor panel its details depends on the type of page to fill in the images and text on that page Pages come from 3 main categories represented by the 3 tabs in the upper portion of the repot generator panel Generic Pages Specialty Equine Pages and Form Pages Most reports are built from Generic Pages the Specialty Equin
6. e Pages format pages in which multiple images which have been measured in Metron are auto scaled and auto cropped and made to line up and also Metron s scoring system results can be reported on the pages The Form Pages allow multiple images to be laid out on a page in various ways Users can create their own forms to get particular layouts of interest Reports in Metron can be re opened and edited at any time From the report generator panel you can choose to export a report as a PDF file the free Adobe Acrobat software is need to view these If you burn a CD or DVD in Metron and include a report in the study that goes onto the disk it will automatically be converted to a PDF file and put on the disc This way the recipient of your CD will not be able to edit the report Likewise you can e mail a report directly from your Metron database and it will be converted to a PDF file and attached to the e mail There is also a choice in the e mail panel which will let you send a report as well as anything else in your Metron database by e mail to another Metron user who will then be able to bring the items into their own copy of Metron In that case it is not a PDF file that is sent but a fully editable report Burn CD or DVD Another important function is to burn a CD or DVD with images and other items to be given to another person The panel is shown below Export Image CD or DVD with Viewer SampleOwner SampleHore 13 Feb 2009
7. easurements that you are guided to make For small animals we support the Vertebral Heart Score VHS and the TPLO procedure for dogs and other such tools will be added in the future e Measures this panel presents the measurements which resulted from a Guided mark Up session e Scores this panel presents a scoring system associated with guided mark up e 3 D Bones this is a specialty function just for later radiographs of the equine foot Metron creates approximate 3 D models of the 4 bones of the distal limb e P3 Analysis this is patent pending method we propose for measuring the health of the equine pedal bone available for lateral radiographs e Luminance this is a beta feature related to measuring bone density but not fully developed yet We are engaged in university research in this area METRON DVM 5 r m M ay 1 e Paes Sutter sens Soren Caner SampleOwner t ET birk z ror Anmal SempleHorse Ea an Date 6 Feb 2009 RF Foot DF a t Skekta Danial Afler Trim fo al RF Tor E TA rt a Dae Di i D H Dag CF a r Se 4 ia Laat E ia ty 3 Sr ook S gt Fernie Fel Fan Cot z F 1 j i adhere e s R e li dere Hmi Haig cai Fa bikira Debil Fieis Pei i Dirai ah Laat mif S ea pes zs i ed ed ee el i 2 a 4 Tuned ed ae eae o d d d d 4 i i eei d n i a 4 i d i In the single image view edit screen a row of
8. etron to version 5 you will have to go through a one time database conversion operation This operation will convert your old database s into the modern format for use with Metron version 5 Please see Appendix A for further instructions on this process The Database Browser Metron always starts in the Database Browser This is where you can browse and find all images video clips and reports in your Metron database The basic organization of the database is by Owner then Animal then Date Each Owner may have one or more Animals and each Animal may have been imaged on one or more Dates We sometimes use the term Study for all the images of a given animal on a given date The Database Browser always shows thumbnails small images for all the items in the selected study B panache oye 1A THREE E PRONE TE Petre EM aiae S h l i steal Browee amp Acquire Collection 0 itema Bebis mhija magi tet Dee A Riga E a mafra ES m m Goo ball 7 a Ea amp GEE CE GS Beh Hre spe ie EJ EA Tamaa a Chm dipr a aia o sere The Database Browser _ and thumbnails all n items in a selected study The Database Browser is like the home page of Metron You always start here and you often come back to it The database consists mostly of images but can also contain video clips and reports Additionally there is something called a form which is an image but it is created fr
9. n the acquire section of the Database Browser This will bring up a new display of thumbnails but note that these thumbnails to not have the icons in the lower right hand corner beneath them They are not in Metron yet you are simply viewing image files that happen to be on your computer s disk On the right hand side of the screen is a folder Browser which you use to navigate to any folder on your computer indeed to any folder anywhere on your office network as long as remote disks are mounted with drive letters on your PC ik ees cu g BEM Ahem O Photo Fipe Radio _F ype You can double click one thumbnail to bring it into Metron or you may highlight a group of images and then click the button Import highlighted Images This brings to a screen in which you see one image at a time in its full size and with the Anatomy Diagram shown on the right hand portion of the screen bi Deg OF Nav bO Deg DP P3 Navicular Skyline Med Lat Oblique Lat Med Oblique LLIT ii tas r i a Tr i i pal S e E i J Sat at i een eae Pye aa T a P if Cuay meemi a Pi EE a on p Re p ppo Click on the appropriate anatomical zone one of the green dots to indicate to Metron what anatomy is in the image you are importing into Metron Additionally there is a list in which you select the View that best describes the image e g La
10. om several individual images arranged in a certain pattern Beneath each thumbnail is a small icon that indicates what kind of item it is a Metron Report Che ner milh ammala Eime hate 23 ENH Report Title Deils disci beii el e ple Aue twee ri leer Creer Aeierii evti pid Hogi Images Vertical A Image Video Clip Report Form The Database Browser panel is shown below It indicates the currently displayed Owner Animal and Date which tells you which study you are looking at By clicking the down arrow next to the Owner Animal or Date you can switch to another By clicking the New button to the right of each of these you can create a new Owner Animal or Date When you first create a new Animal you can enter its species breed and other data This Animal Data can later be viewed or edited by clicking the Edit button to the right of the animal s name You can delete an owner and all animals and dates and images by using the Del button to the right of the Owner Likewise you can delete an entire animal or you can delete just one study by deleting a certain date Anytime items from the database are deleted they go into Metron s Trash Can which is shown in the lower right corner of the Database Browser panel You can click on the Trash Can icon to un delete items or to finally empty the trash and make the deletions permanent There are filters that let you
11. on 6 thumbnails to highlight them with a red border then click the button labeled Multi View You will see those 6 images side by side as below tom l daph ee He Bm T cio z Mev high lp me In multi view below each image you are able to zoom and you can choose to turn off or on any mark up that is drawn over the image Other multi image operations that you can do are e Delete a group of highlighted images Export a group of images that is write them out to your disk in whatever image format you choose JPEG Bitmap DICOM etc Print a group of images you can choose how many per page to print Stich 2 or more images into a single image Send some images by e mail Send some images by DICOM network Burn some images to a DVD or CD Cut or Copy some images later to be Pasted into a different location in the database Just above the buttons that perform operations on multiple images at once are three buttons that can be used to help you highlight or select which images you want to do the operation to You can Select All Select None or Select Next Region The Select Next button will highlight all images from a certain anatomical zone and subsequent clicks to this button will step through the various anatomical zones found in the study Adding Images into your Metron Database Add New Image Video Clip Form or Report Other SOUrceS Add Mew Image Video Clip Form
12. or Report Other Sources This section is known as the Acquire Box Any new item that you wish to bring into Metron will be brought in by clicking on one of the choices in this box The exact set of choices in this box may look different in your copy of Metron depending on which hardware devices you have interfaced to Metron Above we show two different examples of what you might see in the acquire box Metron is used with CR and DR radiography systems and with USB video cameras e g an inter oral camera and other devices If your Metron came as part of a DR or CR system there will be a large icon on the left hand side of the acquire box which you will click in order to acquire new radiographs The button Add Form lets you add a Form to your study and the button Add Report lets you create a report and add it to your study The button Image File s or in some cases called My Computer is the way to import any image file on your PC into Metron and also any avi video file can be imported this way Finally the Other Sources button brings up a panel with methods to input images from various other sources e g scanners twain devices etc Other Image Sources Film Radiographs Tain Image Source Dental Aadogaphs Importing Images from Files To import images from a digital camera or from any other source you start by clicking on the Image File s or My Computer button i
13. se to Version 5 Format Metron version 5 uses an updated format for storage of its database In order to use images and video clips and reports etc that you had entered into an earlier version of Metron you will have to convert the old database to version 5 format When you first install Metron version 5 if it detects that an older version had previously run on the same PC it will pop up the Convert Old Databases panel as shown below Conversion of Metron Databases to Version 5 0 Format Iki recommended that you back up all of your Metron databases before proceeding with the conversion process to Metron version 5 0 To do this make a complete copy of all the folders listed under Location inthis panel After you have made backups of your data then proceed as indicated below Database Name Location Old New C Epona Databases Main STEP 1 Convert Database named Default to modern format NO OF Done with Conversion Enter Metron Exit Metron Complete this later The panel above is what you would see if you are installing Metron Hoof or Metron Hoof Pro or unbundled Metron DVM In the display above there is just one database and the display shows that it has 50 old items and 17 new items The 17 new items are some sample images that came with version 5 so they are already in the new format The 50 old items are the number of images that were found in the old pre version 5 database format
14. teral DP etc You can adjust the size and location of the annotation on the image as well When complete click the button Accept into Metron to finalize bringing the image into Metron If you had selected several images you would now see the next one repeat the procedure of labeling the anatomy and view of each image Single Image Tools When an image is in Metron and you view it alone on the screen you can perform various operations on the image You get into Single Image View Edit immediately after importing a new image into Metron or by double clicking any image thumbnail from the Database Browser screen The single image operations are entered by clicking on the large buttons just below the Metron DVM label and above the anatomy chart bi Deg OF Nav 6i Deg DP P3 Mavicular skyline Med Lat Oblique Lat Med Oblique Other The number of buttons will depend on the kind of image that you are viewing Not all operations are available on all image types In the example above a lateral radiograph of an equine foot there are many operations available e Annotation All images have this feature which lets you pick the anatomy and view e Calibration Prior to making measurements in images you need to calibrate e Free mark Up A set of tools that let you make measurements and add notes to an image e Guided Mark Up A protocol for making measurements for certain image types In Metron we have patent hoof analysis m
15. were used in Metron version 4 for digital radiography systems The panel shown above also shows that if as an advanced user you had declared multiple Metron databases then they are all shown in the upper portion of this panel Note that in the case of CR or DR originals Metron can t know if you have other archives from version 4 located elsewhere If you do and you wish to convert them to version 5 you need to click on the Add CR or DR DB button in order to tell Metron where these archives are When Metron is converting your old database s to modern format it could happen that it will encounter problems due to a corrupted file or a file that was improperly closed or some other problem The converter is pretty robust and can often continue past such issues If it can t you may also simply restart Metron and try converting again usually on the second try it can get past the problem
16. y ever have this database In fact unless there is a good reason to have multiple databases it is simplest to just have one In the database tools the terms Export and Import are always meant relative to the current Metron database That is you export out of the current database or import into the current database You can export your database or a portion of it onto a thumb drive then carry it to another computer with Metron then import from the thumb drive into the database of that Metron In the Export Database panel there is also the ability to export the current database to a CD or DVD This is a way to accomplish a back up of your database The Export Database panel is shown below Export Database A subset of the entire database can be specified by giving a range of dates of the studies It is often convenient to export only the studies created in say the prior week and merge them into some other database Database Tools The Database Tools panel gives you a way to count how many images are in your database and to see the total size your images occupy on disk More Information Other specialized documents for various portions of Metron are available for example a manual concerning DICOM functions of Metron a manual concerning calibration of images in Metron etc Also please visit www metron imaging com and www eponatech com for more information Appendix A Updating an Old Databa
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