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OrisWin DG Suite - DIGITAL imaging

1. Software ORISWIN DG SUITE First Edition November 2006 Pag 61 84 Revision April 2014 Using the 3D viewer An example of a 3D image reconstruction is shown below Fig 13 5 WARNING The 3D reconstruction uses the information of the axial images If this information are wrong or they contain any mistake unpredictable result are expected This module is intended only for evaluation and this is not a system fir surgery application The maximum error that this application will introduce is 2 pixels The maximum linear error is the pixel size 2 In the upper left window red arrow you find the axial projection of the volume 512 images The number of the current slice is in the upper left corner You can view other slices by moving the left scrollbar In the central window blue arrow there is the 3D rendering that can be moved by clicking and holding the left mouse button You can zoom in and out using the mouse wheel or by clicking and holding the right mouse button With the cube button in the left bottom corner you can cut the rendering to see only the region of interest more detailed description is done below In the right side of the screen you find the cross sections green arrow which are the projections of the green cuts you see in the axial view Below yellow arrow there is the reconstructed panoramic which is drawn automatically while the user traces the arch on the axial view WARNING Cross im
2. That because it is upgraded to the last emission date The use of the software requires the acceptance of the user license contract NOTE The manual is updated to the state of the product with which it is sold for guaranteeing to the consumer a suitable reference in the use of the instrument and every aspect to the safety of use The manual would be not reflected variations of product deprived of impact on the operational formalities and on the safety of use 1 INTRODUCTION First of all we would like to congratulate you for your purchase This software is a complete appealing and at the same time simple to use tool for the management of the dental cabinet and enhancement of digital radiographic images NOTE OrisWin DG Suite is supplied in different versions that foresee the functionality of procedures defined advanced Some functionalities listed in the manual are present only in the supplied modules as additional option Inside this manual it is indicated if the described function is not included in the basic version This software permits you to manage all data of the Dental cabinet in a very simple and intuitive way Moreover you can acquire the images from a wide range of electronic devices video radio X Ray system telecameras digital extraoral units scanners cameras slides scanner etc All the acquired images independently from their origin can be saved and elaborated You can create a sequential archive for your imag
3. These two buttons allow to acquire from intraoral sensor or X Ray scanners You should select the device in the Options screen before starting acquisition Once the device is configured you will see the following screen Fig 11 2 On the bottom right a pop up window will show all commands of the selected device interface this interface depends on the device you are using In the top bar you will see last images acquired from the device All images in the top bar are saved in the patient s images folder as well Panoramic acquisition This button allows to acquire images from panoramic X Ray device You should select the device in the Options screen before starting acquisition Once device is configured the full screen device acquisition window will appear the window depends on the device you are using After each acquisition you will see last images in the top bar All images in the top bar are saved in the patient s images folder as well OrisWin DG Suite Pag 48 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 48 84 3D Acquisition This button allows to acquire images from 3D X Ray device Setting for this device can be changed in Option screen Once device is configured the full screen device acquisition window will appear After each acquisition you can see the 3D exam by using the 3D Viewer Module Camera Scanner acquisition To acquire images from Camera
4. ADVICE The editing of contrast and brightness can introduce artificials that can compromise the diagnosis For this reason the diagnosis must exclusively have effected on the original image Reverse the image from positive to negative and vice versa Select ROI Region of Interest and correct Contrast and Brightness Restore original image Window Level values Use preset ROIs to correct LUT Select LUT from a list of preset configurations Measures ADVICE The radiographies are a bidimensional representation of three dimensional object places in the space therefore their representation can be deformed in function of various factors what enlargement relative position of the object in comparison to the receptor of image etc These factors don t allow therefore a precision quantifiable of the trial OrisWin DG Suite is not a tool of measure because also after the procedure of calibration of the measure in comparison to a known repere the accuracy of the same measure cannot be guaranteed that therefore it has to be considered as indicative This button will show the following commands OrisWin DG Suite Pag 39 Software ORISWIN DG SUITE First Edition November 2006 Pag 39 84 Revision April 2014 Fig 10 6 Single Measure this function allows to take single measures to the image Proceed in the following way put the cursor of the mouse in the point from which you want to start the measur
5. OrisWin DG Suite Pag 1 Software ORISWIN DG SUITE First Edition November 2006 Pag 1 84 Revision April 2014 ORISWIN DG SUITE v4 User manual FONA s r l Via Galileo Galilei 11 20090 Assago MI Italy Ph 39 02 45712171 Fax 39 02 45703385 First edition November 2006 OrisWin DG Suite Pag 2 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 2 84 Icons included into this manual This symbol indicates a NOTE please pay attention reading arguments marked by this symbol This symbol indicates a WARNING text marked by this symbol is concerning patient and operator safety This symbol certifies that OrisWig DG Suite meets the provisions of the European Council Directive 93 42 EEC relating to Medical Devices and subsequent amendments and integrations of which in the Directive 2007 47 EC of the European Parliament and of the Council According to the above mentioned directive OrisWin DG Suite is a class IIa non invasive active Medical Device OrisWin DG Suite is manufactured by DIGITAL IMAGING DI TESTONI MARIO amp C S A S Via Alfieri 12 A B 10042 Nichelino To Italy Ph 39 011 6056962 Fax 39 011 60579897 Email support archimed org OrisWin DG Suite Pag 3 Software ORISWIN DG SUITE First Edition November 2006 Pag 3 84 Revision April 2014 This manual is subject to technical changes and errors in the text
6. Pag 46 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 46 84 Fig 10 14 Select desired options and press the button Print Send image to CD this function allows to send the image to the CD The image is added to the other images sent before When the application burns the CD it includes a Viewer Send image via e mail this function allows to send the images via email It will open if present your predefined email Client and adds images in the email attachment field NOTE OrisWin DG Suite doesn t send away directly the images via email but it prepares them so that can be sent through your default e mail program The settings out of the account of e mail and all the safety settings out must be verify in your e mail program Send to PACS this function allows to send the image to the PACS Server 3D simulation this function shows a 3D simulation of the 2D image The calculating of third dimension is based on radio opacity that is the X radiation quantity that is passed through the object The 3D image is visualized in a dynamic way so you can change the point of view OrisWin DG Suite Pag 47 Software ORISWIN DG SUITE First Edition November 2006 Pag 47 84 Revision April 2014 11 IMAGES ACQUISITION In the bottom of the Image Screen a toolbar is shown This toolbar allows direct access to acquisition from different sources Fig 11 1 X Ray acquisition
7. compare and edit more than one image at a time Fig 9 2 Clicking on the right mouse button on an image thumbnail the following menu will be shown Fig 9 3 Select all images allows to select all images from the current patient Unselect all images clears the current selection Export selected images export all selected images to an external drive folder Create CD from selection create a cd including the selected images Print all Prints all the selected images Send to PACS Send selected images to PACS server Remove selected images permanently deletes all selected images After using this command it will not be possible to restore deleted images OrisWin DG Suite Pag 35 Software ORISWIN DG SUITE First Edition November 2006 Pag 35 84 Revision April 2014 10 IMAGE PROCESSING Double click on an image to open Image Processing window Fig 10 1 You can modify enhance images using buttons on the left side of the window MAIN FUNCTIONS By this button you can select number of images to show at the same time as follows OrisWin DG Suite Pag 36 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 36 84 Fig 10 2 Select a layout to see the images automatically resize to fit inside the cells Here you can also close current image or all open images By clicking this button the following menu will be shown Fig 10 3 Restore origin
8. or from a Scanner select those buttons You can configure Camera Scanner in the Options screen Import images Click on this button to open Import image interface and import external images A new screen will be shown with the following menu on the top left side Fig 11 3 You can choose among different functions Import Image use this function to import a windows standard format image or a Dicom image from the PC Selecting Import all you can import all the files in the current folder Select Dicom image checkbox to import images in Dicom format In the latter case if patient s name from Dicom tags is different from the current one a warning message will be shown By selecting Emergency checkbox you can import images acquired in the EMERGENCY patient mode OrisWin DG Suite Pag 49 Software ORISWIN DG SUITE First Edition November 2006 Pag 49 84 Revision April 2014 Fig 11 4 Import 3D exam use this function to import an entire sequence of axial images to reconstruct a 3D exam Acquisition Options Click on the Options button to select acquisition devices and other configuration options Fig 11 5 OrisWin DG Suite Pag 50 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 50 84 This page is used for general purpose option Fig 11 6 Check uncheck the desired options In this page you can configure the two int
9. passed the scheduled verifications see appendix 2 Verification of the adequacy of the monitor is not to consider diagnostic The use of a monitor of not diagnostic quality returns not diagnostic OrisWin DG Suite system Destination of use and user profile OrisWin DG Suite is an active medical device destined to be employed on the man to help to the diagnosis prevention control of pathologies of the maxillo facial complex 1 The system is destined therefore to the acquisition visualization and filing of radiographies of the maxillo facial complex including both the examinations of the dental arcades included the articulations temporo mandibular the air sinuses radiographies of the head in side to side projection and antero posterior radiographies coming from systems CT and or ConeBeamComputed Tomography CBCT 2 the tool is destined to be used from personal qualified dentists radiologists or personal legally qualified The typology of population of the patients depends in first place on the used equipment of radiology without limitation type age etc User profile The user already has basic knowledges about output of ionizing radiations dangers of biological damages tied to the excessive use of ionizing radiations methods to reduce the risks of excessive radiations to the patient use of fallen protections etc It is required to the operator to have familiarity in the use of Personal Computer PC and relative softwa
10. performs a volumetric or 3D reconstruction of the maxillo facial complex on the basis of DICOM images obtained with programs using ConeBeam CT technology The volumetric reconstruction performed by OrisWin DG Suite is controlled by the parameters contained in the original DICOM images OrisWin DG Suite carefully checks these parameters but cannot guarantee that they are correct and accurate as they depend on the system used to perform the exam measurements must therefore be considered approximate Volumetric reconstruction may be used by the implant planning system only if the instructions provided by the supplier of the planning system are followed OrisWin DG Suite Pag 78 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 78 84 Specifically the images used for this purpose must always include the support used by these systems to calibrate the system s geometric properties All the measurements in the image may be rescaled and moved with the mouse You can find the description of the measure button function in the 2D images section of the current manual Press the Notes button to open the following drop down menu You can find the description of the Notes button function in the 2D images section of the current manual Press the Reconstruction button to open the following drop down menu Fig 13 31 This function may be used to edit the size of arch cross imag
11. the mouse To cancel an effected measurement it is necessary to click with the left button of the mouse on the measurement and press the key Del of the keyboard Line and Height this function allows to effect the measure of the height of a part of the image Proceed in the following way put the cursor of the mouse on the point from which you want to start the measurement of the width and press the left key of the mouse put the cursor of the mouse on the point of arrival of the measure and press the left button of the mouse To cancel an effected measurement it is necessary to click with the left button of the mouse on the measurement and press the key Del of the keyboard Line and Width Height this function allows to effect the measurement of the width and the height of a part of the image Proceed in the following way put the cursor of the mouse on the point from which you want to start the measurement and press the left key of the mouse put the cursor of the mouse on the point of arrival of the measure and press the left button of the mouse To cancel an effected measurement it is necessary to make click with the left button of the mouse on the measurement and press the key Del of the keyboard Area this function allows to calculate a determined area of the image Proceed in the following way put the cursor of the mouse on the point from which you want to start the measurement and press the le
12. 47 PASSWORD AND USERS ADMINISTRATION 10 PASSWORD RESET 15 PATIENT DATABASE 27 OrisWin DG Suite Pag 84 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 84 84 PATIENT MANAGEMENT 25 PATIENT SELECTION 28 PRINT ALL 34 PRINT IMAGE 45 RECONSTRUCTED PANORAMIC VIEW 71 REMOVE SELECTED IMAGES 34 REMOVE THE PATIENT 32 RESTORE 24 RESTORE THE DATA FROM A BACKUP COPY 23 ROTATE 90 TO THE LEFT 44 ROTATE 90 TO THE RIGHT 44 SELECT ALL IMAGES 34 SEND IMAGE TO CD 46 SEND IMAGE VIA E MAIL 46 SEND TO PACS 34 46 SEND TO PEN DRIVE 31 SEQUENTIAL ARCHIVE MODE 33 SOFTWARE PRESENTATION 9 STANDARD LUT 68 TAKE A 3D EXAM 59 TRACING PANORAMIC ARCH 62 TRAINING 4 UNSELECT ALL IMAGES 34 UPDATE 5 USER PROFILE 4 USING THE 3D RENDERING WINDOW 65 USING THE 3D VIEWER 61 VERTICAL MIRROR 44 WARRANTY 5 X RAY ACQUISITION 47
13. 5 The upper section is created from the patient s right side toward the patient s left side front view The lower section is created from the patient s front towards the patient s back sagittal view OrisWin DG Suite Pag 74 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 74 84 The background colors help to identify the reference lines in other views All the lines created in the various different views use the same color as the original data For example in the axial view the green line represents the current slice of the full cross A P 3D Cross View 3D View mode is a truly innovative way of reconstructing cross images This reconstruction uses selected cross images to create the partial volumetric rendering view Fig 13 26 The 3D image is created using 9 cross images You can also use 18 cross images by choosing the Extend option The MIP function represents the sum of all greys crossing the same pixel which is why when you select the MIP function a clear rendering will be displayed and cross sections will appear with a different contrast from the standard mode Hounsfield view is a way of displaying cross images with pseudo colors The colors make it easier to identify tissue qualities The classification is D1 D2 D3 D4 D1 represents the least dense tissues while D4 represents the densest tissues Fig 13 27 Ceph This functio
14. E First Edition November 2006 Pag 19 84 Revision April 2014 Disconnect database To stop using a database select the drive containing it Fig 7 5 then click on the Remove Database button A not more available drive will be automatically removed This to prevent the bad functioning of the program Images and data on the drive will not be deleted and can be used again by reconnecting the drive Drive configuration Click on database and you will see this database management page OrisWin DG Suite Pag 20 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 20 84 Fig 7 6 Color assign the color you want to the drive This is the main database for the general clicking on this option a floppy disk icon will appear near the selected drive The default drive is used for tabs and prints cabinet data access password and all the general data This is the main database for the diary clicking on this option a notebook icon will appear near the selected drive In this way your diary will be saved in this drive MAINTENANCE UTILITIES Compact click on this button to show the following window Fig 7 7 If you choose Yes the software will compact the selected database erasing unused information and speeding up the database access OrisWin DG Suite Pag 21 Software ORISWIN DG SUITE First Edition November 2006 Pag 21 84 Revision April 2014 Rege
15. EMEMBER Trough this function you can insert a very important note to remember in anticipation of next patient s visit It is possible to write everything you want As an example to ask to the patient if he has remembered to do the antibiotic treatment or any other important note Fig 8 12 COPY OR MOVE THE PATIENT This function copy or move the current patient to another archive The following window will be shown OrisWin DG Suite Pag 31 Software ORISWIN DG SUITE First Edition November 2006 Pag 31 84 Revision April 2014 Fig 8 13 In this window select the destination archive and then click on the Copy the Patient or Move the patient button SEND TO PEN DRIVE Click on this function to copy the patient images to a pen drive The following window will be shown Fig 8 14 OrisWin DG Suite Pag 32 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 32 84 Select the destination drive and then press the Copy the Patient button REMOVE THE PATIENT Click on this function if you want to remove the patient from archive PLEASE NOTE all patient data and images will be deleted and it will not be possible to restore it again so please pay attention before using this function OrisWin DG Suite Pag 33 Software ORISWIN DG SUITE First Edition November 2006 Pag 33 84 Revision April 2014 9 IMAGE MANAGEMENT NOTE We recommend yo
16. N 46 ACCESS TO THE SOFTWARE 12 ACQUISITION OPTIONS 49 ADD A DRIVE 17 ADD A FOLDER 17 ADD A NEW DATABASE 17 ADD NEW PATIENT 25 ADD NEW USER 12 ANNOTATION TO REMEMBER 30 ANNOTATIONS 41 BONE MUSCLE LUT 68 BONE LUT 69 CAMERA SCANNER ACQUISITION 48 CEPH 74 CHANGE THE PASSWORD 16 COMPILING ALL PATIENT S DATA 26 COMPUTER REQUIREMENTS 5 COPY OR MOVE THE PATIENT 30 COPY THE PATIENT 31 CREATE A NEW CATEGORY 28 CREATE A NEW PATIENT 25 CREATE CD FROM SELECTION 34 DATA SECURITY 22 DATABASE COLOR 20 REGENERATE 21 REPAIR 22 DELETE ARCH 63 DELETE USER 13 DESTINATION OF USE AND USER PROFILE 4 DICOM COMUNICATION OPTIONS 55 DICOM PRINT 55 DICOM STORE PACS 56 DICOM WORKLIST RIS 56 DISCONNECT DATABASE 19 DISPLAY USER ACCESS 15 DISPLAYING CROSS SECTIONS 69 DRIVE CONFIGURATION 19 DRIVES ADMINISTRATION 16 EMERGENCY 25 EXPORT IMAGE 44 EXPORT SELECTED IMAGES 34 FIND A PATIENT 27 FORGOTTEN PASSWORD 16 FULL CROSS VIEW 73 HORIZONTAL MIRROR 43 HOW TO USE THIS MANUAL 8 ICONS INCLUDED INTO THIS MANUAL 2 IMAGE MANAGEMENT 33 IMAGE PROCESSING 35 IMAGES ACQUISITION 47 IMPORT A 3D EXAM 60 IMPORT IMAGES 48 INTRODUCTION 3 MAIN FUNCTIONS 35 MAIN OPTIONS 52 MEASURES 38 MEDICAL REPORT 45 MODIFY PATIENT 29 MODIFY THE PATIENT DATA 29 MODULO 3D HOUSFIELD 74 MODULO 3D VISUALIZZAZIONE 3D 65 MOVE THE PATIENT 31 MULTIPLANAR RECONSTRUCTION MPR 64 PANORAMIC ACQUISITION
17. Suite Pag 59 Software ORISWIN DG SUITE First Edition November 2006 Pag 59 84 Revision April 2014 Fig 13 2 Take a 3D exam To take a new 3D exam click on the 3D button in the bottom bar Once you click on it the 3D acquisition interface will appear Please refer to the FONA XPan 3D User Manual to detailed instruction on the acquisition process OrisWin DG Suite Pag 60 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 60 84 Import a 3D exam To import an exam enter in the patient folder then select in the Import button in the bottom toolbar then the Import 3D exam function Fig 13 3 With this window you can choose on the left the folder containing the exam to import You can import only DICOM images Check the check box Look for files with DCM file extension and click on Start search the name of the patients of the 3D exams found in the selected folder will appear in the lower part of the window Double click on the patient s name to see a preview of the axials to import Fig 13 4 Then press Confirm to start import process OrisWin DG Suite will import all the axial images slices along the long axis of the patient of the selected exam When you have finished importing the data into the patient s file OrisWin DG Suite will automatically start the 3D reconstruction procedure OrisWin DG Suite Pag 61
18. The new password will be set to 12345678 NOTE OrisWin DG Suite allows the zero resetting of the password only from the administrator of the computer The safety of the data of the administrator and the position of the access to the database is assigned to the administrator of the net or the single computer OrisWin DG Suite Pag 16 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 16 84 Forgotten Password Click on Forgotten Fig 6 13 Simply answering to the question you have inserted at the registration time the program will indicate your current password Change Password Click on Change the password Fig 6 14 Insert your old password then two times the new one Click on OK and go to insert the new password in the access window 7 DRIVES ADMINISTRATION One of the news of this software is the possibility of multi task work This option makes OrisWin DG Suite the most exclusive software What does it mean to work contemporary on different drives It means that you can subdivide the archives on more drives with the possibility to see all of them contemporary OrisWin DG Suite Pag 17 Software ORISWIN DG SUITE First Edition November 2006 Pag 17 84 Revision April 2014 Example If you want to let on the net drive drive S only the patients under treatment at the moment you can save them on drive S All the others patients f
19. The procedure to perform this test is described in the chapter 9 which is postponed After that you will be asked to select the preferred language Language can be changed also later in access window or in the software settings Fig 6 4 If you already have a previous version of ORISWIN DG SUITE this message will not appear as the software will automatically recognize and use all data from the old database At the software startup you ll see this window Fig 6 5 OrisWin DG Suite Pag 12 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 12 84 Access to the software If you are running for the first time OrisWin DG Suite the password is 12345678 Right after the program will ask you to change it using this window Fig 6 6 Insert the old password one time then the new one for two times you cannot use 12345678 as a new password Click on OK then insert the new password in the previous window Click on Access to enter in the program In conformity with the regulations in force all the accesses are stored by the software Add new user To add a new user or to eliminate an existing one after the Administrator password insertion click on Maintenance Fig 6 7 OrisWin DG Suite Pag 13 Software ORISWIN DG SUITE First Edition November 2006 Pag 13 84 Revision April 2014 Then click on New User Fig 6 8 Insert the name the pa
20. ages are corresponding to perpendicular lines in the panoramic curve drawn by the user The distance between the reconstructed slices is 1 mm and the dimension of the segment perpendicular to the panoramic curve which determines the width of the cross image may be configured by the user The maximum error that may be generated by the reconstruction is two pixels The maximum error converted into a measurement is equal to the OrisWin DG Suite Pag 62 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 62 84 voxel dimension on the axial plane of the axial image multiplied by two The dimension of the voxel converted into millimeters may be accessed from the Project menu under Project Information The Image thickness parameter indicates the dimension of the voxel in millimeters Supposing a voxel size of 0 170 mm the maximum error that can be introduced by reconstruction will be 0 170 x 2 0 340 mm Reconstruction error is the theoretical error supposing the patient is correctly positioned according to the indications given by the manufacturer of the 3D radiographic machine and the reconstruction is successful The information OrisWin DG Suite uses to perform 3D reconstruction and calculate all views is obtained from axial images The results will be unpredictable if the information is incorrect Tracing panoramic arch The first thing to do in order to proceed with 3D recon
21. al image The original image is the image acquired from sensor without any filters and or any other image enhancement process Crops the image to a selected rectangle Show Hide Dicom tags on the image Convert any format image to grayscale image OrisWin DG Suite Pag 37 Software ORISWIN DG SUITE First Edition November 2006 Pag 37 84 Revision April 2014 Click on this button to open Filter window Fig 10 4 ADVICE The application of filters to the images can introduce artificials to compromise the diagnosis For this reason the diagnosis must exclusively have effected on the original image Thumbnails will reproduce the effect of the filters Moving the mouse over these images a preview of the filter will be shown on the main screen s image You can define new filters as a combination of preset filters right clicking on the UNDEFINDED buttons Once set you can rename the filter as you want ADVICE The personalization of the filters can give results that improve or worsen the quality of the image OrisWin DG Suite cannot perform any control on the quality of the result It is responsibility of the user to create personalized filters that help to improve the quality of the image This button opens the contrast brightness correction window OrisWin DG Suite Pag 38 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 38 84 Fig 10 5
22. an differentiate the patients in various categories to simplify the acknowledgment operations Clicking on Category menu Fig 35 you can do the search in the wished category The software will give you a list of all the patients of the selected category Fig 8 6 OrisWin DG Suite Pag 28 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 28 84 To create a new category click on Fig 8 7 Click on New and fill the fields in the following window Fig 8 8 Then click on Confirm Patient selection To open the patient folder select his name from the list or use the search fields The following window will be shown OrisWin DG Suite Pag 29 Software ORISWIN DG SUITE First Edition November 2006 Pag 29 84 Revision April 2014 Fig 8 9 Modify patient To modify registry of a patient select the patient Then click on Modify the Patient data in the following window Fig 8 10 IMAGES Open the folder containing all patient images ANAMNESIS It shows the patient s anamnesis If the patient s anamnesis contains important indication of health status a red spots flashing to indicate it This to safeguard the patients privacy avoiding to accidentally show reserved information OrisWin DG Suite Pag 30 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 30 84 Fig 8 11 ANNOTATION TO R
23. e To make the change enter the new size and press Rebuild Cross the software will display the arch cross image calculated of the larger smaller volumetric data Press the Camera button to show the following menu OrisWin DG Suite Pag 79 Software ORISWIN DG SUITE First Edition November 2006 Pag 79 84 Revision April 2014 Fig 13 32 Screen Capture this button will capture the entire screen displayed Captures Images click on the button to display captured images You will see the following screen in Fig 123 Fig 13 33 The images displayed after capturing are entered and grouped in different categories axial cross panoramic 3D screen ceph full cross To see images capture you have to select the desired category For example in the Fig 123 the 3D category was selected You may save print or delete each of the captured images using the buttons shown below To save all the captured images in a category press the Save button on the right To save all images captured click of the Save button of the left side To delete all the captured images in this category press the trashcan Delete all button on the right To delete all images captured press the trashcan Delete all button on the left OrisWin DG Suite Pag 80 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 80 84 Click on Print to open a print p
24. e the object please use only the rotating functions explained below Horizontal mirror this function flips the image horizontally OrisWin DG Suite Pag 44 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 44 84 Vertical mirror this function flips the image vertically Rotate 90 to the left this function rotate the image by 90 anticlockwise Rotate 90 to the right this function rotate the image by 90 clockwise Select this function to show the following window Fig 10 11 Export image this function allows to export the image to the drive The following window will be shown Fig 10 12 Select folder filename and image format then press Save OrisWin DG Suite Pag 45 Software ORISWIN DG SUITE First Edition November 2006 Pag 45 84 Revision April 2014 Medical Report this function allows to insert notes associated to the current patient s image as shown in the Fig 64 Fig 10 13 Insert all useful data and press Save button Image notes written in the section ANNOTATION will be also shown under the thumbnails of the image in the thumbnails screen Print image this function allows to print the visualized image It will open a print preview window in which printer and picture size can be selected If you have the Dicom extension of the application you can use this function to print on a Dicom printer OrisWin DG Suite
25. efore a software update of the product we invite you to observe the specified following warning ADVICE OrisWin DG Suite is a software and therefore it can be updated with special procedures without the presence of a specialized technician OrisWin DG Suite is a medical device and the producer and or supplier have the duty to hold trace of all the installed versions with the purpose to be able to apply possible call back following found defectiveness For this reason we invite you not to update the version of the software that has been delivered you if not following of a documented procedure from your supplier of reference that guarantees the traceability of the product 2 WARRANTY This software has a warranty of 90 ninety days starting from the date of purchase Producer could not be responsible for any direct or indirect damage deriving from the program use partial or total loss of data neither The program is assigned in licence use and could be given to third parties only upon written authorization of DIGITAL Imaging sas 3 COMPUTER REQUIREMENTS Minimal requirements OrisWin DG Suite Pag 6 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 6 84 Windows XP suggested Window 8 1GB RAM suggested 4GB 1024x768 pixels 65 000 colors 1280x1024 pixels 16 millions colours 32 bits optimized 5GB HD 10 GB in 3D version 17 monitor 19 best or high
26. ement and press the left key of the mouse put the cursor of the mouse in the point of arrival of the measure and press the left key of the mouse it will appear the effected measurement To cancel an effected measurement it is necessary to make click with the left button of themouse on the measurement and press the key Del of the keyboard Multiple Measure this function allows to effect multiple measures to the image Proceed in the following way put the cursor of the mouse on the point from which you want to start the measurement and press the left key of the mouse put the cursor mouse on the second point to measure and press the left button of the mouse make the same operation for the third point and so on To finish the measurements press the right button of the mouse To cancel an effected measurement it is necessary to make click with the left button of the mouse on the measurement and press the key Del of the keyboard Line and Width this function allows to effect the measure of the width of a part of the image Proceed in the following way put the cursor of the mouse on the point from which you want to start the measurement of the width and press the left key of the mouse OrisWin DG Suite Pag 40 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 40 84 put the cursor of the mouse on the point of arrival of the measure and press the left button of
27. er Minimal requirements could be different depending on the acquisition system installed For more details please refer to the corresponding section of this manual The Hard Disk capacity must be proportional with the archive size you create and in particularly with the images size you save Every X Ray image occupies on the HD a space that varies between 100KB compressed and 500KB not compressed A panoramic occupies from 1MB compressed to 6MB not compressed A camera picture occupies from 100KB compressed to 1MB not compressed A 3D exam requires about 320MB Your hard disk dimension has to be sufficient to contain the images you want to save The necessary RAM Random Access Memory for ORISWIN DG SUITE is almost 100 MB in most cases but can be up to 1 5GB when opening 3D exams Windows can manage the virtual memory that is a RAM extension on the HD I In case the RAM is not sufficient Windows uses the Hard Disk like a RAM This operation involves a slowing down of the system because the hard disk is slower than RAM Before running ORISWIN DG SUITE please verify the memory available In Windows XP and Window 7 proceed in the follow way Right click on the Windows taskbar Then in the following menu Fig 3 1 choose Start Task Manager OrisWin DG Suite Pag 7 Software ORISWIN DG SUITE First Edition November 2006 Pag 7 84 Revision April 2014 Fig 3 2 Select the Performance ta
28. es or you can group them to obtain systematics and photographic album Improve contrast and brightness for better analysis filters to exalt the edges or rotate the 3D image in real time Moreover virtual colorations will make the 3D volume navigation even more intuitive On top a series of measurement functions exist distance angles areas etc for reliable treatment planning An intelligent system will clarify in every moment in a very detailed way the cause of a malfunctioning or an error This software is fruit of the users collaboration Please do not hesitate to give us any suggestions such as new functionalities It will be our pleasure to consider them for future versions NOTE OrisWin DG Suite can be used on operating systems to 32 64 bits like Windows Vista Windows 7 and Windows 8 Such peculiarity is specific of the product OrisWin DG Suite and not of the OrisWin DG Suite Pag 4 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 4 84 devices connected to the computer Before purchasing a computer with an operating system to 64 bits verified that the equipments to be connected to the personal computer scanner cameras videoradiografy system digital panoramic etc foresees this possibility ADVICE The good quality of the monitor is an essential requirement for a correct diagnosis of the examination through analysis of the image A monitor that don t
29. ess the zoom lens button With the Camera button you can capture the axial image displayed The captured image will be sent to a temporary folder of captured images and they may be used to create a report Multiplanar reconstruction MPR The MPR button closes the axial view and opens a new window showing the Multi Planar Reconstruction function OrisWin DG Suite Pag 65 Software ORISWIN DG SUITE First Edition November 2006 Pag 65 84 Revision April 2014 Fig 13 8 In this figure you can see on the left hand window the series of axial images which you may scroll through using the mouse wheel or the scroll bar on the right side of the image Here too viewing of axial images is ordered as if viewing the patient from the feet towards the head The red square in the centre of the image may be dragged and shifted by clicking on it and holding down the left mouse button while moving it The two blue lines running through the red square represent the vertical slices produced of the patient corresponding to the sagittal and coronal planes which are represented in the upper and lower windows on the right respectively Click on the two smaller red squares on the two blue lines to rotate the two axes and translate them tangentially to the patient s arch The images on the right are automatically updated with the slicing planes defined by the new axes In these images the measure button may be used to take measure
30. estore of the database performs a backup copy of the data before the real regeneration In this way the safety of the data is preserved in case of failure of the procedure of restore Select the drive containing the backup copy Fig 7 13 Click on Next then the following window will be shown Fig 7 14 This window will show a list of all backup copies found Select one of them and click on Next OrisWin DG Suite Pag 24 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 24 84 Fig 7 15 Click on Restore button and all data will be restored Once the operation is completed a Restore completed message window will be shown OrisWin DG Suite Pag 25 Software ORISWIN DG SUITE First Edition November 2006 Pag 25 84 Revision April 2014 8 PATIENT MANAGEMENT Click on the Patient Database button in the software main toolbar and the following window will be shown Fig 8 1 Emergency Emergency button will create a patient without registry for an immediate image acquisition It will be possible to fill up all patient data afterwards Create a new patient To create a new patient click on Add New Patient Fig 8 2 To create a new patient you must insert some important information OrisWin DG Suite Pag 26 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 26 84 These
31. from the databases list Save the position of the windows saves all program windows coordinates Use this function to enable multiscreen usage Start the window as Modal disable this function if you are using multi screen modality Display the virtual keyboard enable this function to show the virtual keyboard on screen Automatically enable any new drive connected to the computer Check this function to enable automatically database included in any new drive connected to the computer Use this section to configure Local Area Network as follows Fig 12 3 OrisWin DG Suite Pag 54 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 54 84 All network drives configured here will be automatically started on program start up This way you can activate network drive in easy way on every Operating System thus enabling also Windows XP Home edition to keep the network configuration after reboot You just have to specify the list of network drives used up to 6 and their position If you want the software to automatically check Network drive select The selected drive should always be connected option Click on the Select button and a new selection window will be shown Fig 12 4 Select the drive and click Add You now see the following rows displayed If the selected drive is not connected you will get this warning message upon software startup Fig 12 5 When th
32. ft key of the mouse put the cursor of the mouse on the second point of the measure and press the left button of the mouse put the cursor of the mouse on the point of arrival of the measure and press the right button of the mouse The calculation of the selected area will be visualized To cancel an effected measurement it is necessary to click with the left button of the mouse on the measurement and press the key Del of the keyboard Angle this function allows to calculate the angle of a part of the image Proceed in the following way Put the cursor of the mouse on the point from which you want to start the measurement and press the left button of the mouse Put the cursor of the mouse on the point of arrival of the measure and press the left button of the mouse Move the mouse until the desired angle is traced and press the left mouse button To cancel an effected measurement it is necessary to make click with the left button of the mouse on the measurement and press the key Del of the keyboard Parallel lines this function allows to calculate the length angle and ratio between two lines OrisWin DG Suite Pag 41 Software ORISWIN DG SUITE First Edition November 2006 Pag 41 84 Revision April 2014 Proceed in the following way Put the cursor of the mouse on the point from which you want to start the measurement and press the left button of the mouse Put the cursor of the m
33. g versions If basilar concepts are not clear what s a window how to recall a program etc we advise to read a Windows manual first or make the Windows exercises OrisWin DG Suite Pag 9 Software ORISWIN DG SUITE First Edition November 2006 Pag 9 84 Revision April 2014 5 SOFTWARE PRESENTATION Fig 5 1 Before start working with OrisWin DG Suite you need to understand how the software has been projected and then realized The basilar objective for the realization of this program is the SIMPLICITY OF USE To obtain this purpose we ve started from the idea that a software is simpler to use if there are few overlapping windows It is necessary to arrange in the monitor the maximum of possible information subdivided for argumentation Often many software force too complex and long procedures which are difficult to remember This means that to complete a not frequently operation it must make a big effort for finding the correct way Our objective is few clicks with the mouse to follow every procedure OrisWin DG Suite has been developed for a very intuitive use The main window of OrisWin DG Suite is like the picture here over The Close session button padlock icon must be utilized every time you go away from the computer using this button you can standby the program for being able to re use it it will be necessary to insert again the password in this way during your absence if nobody knows t
34. g and check for the free memory amount value In Windows 8 will appear the following window Fig 3 3 Please check that the free memory amount of the Available memory is almost 100MB for normal 2D images operations or almost 1 5 GB for a fast 3D viewing OrisWin DG Suite Pag 8 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 8 84 4 HOW TO USE THIS MANUAL This manual is organized in cards Every function is presented in his use and if possible with examples Exist a paragraph Description one Operation and one Additional Informations Since this software uses electronic devices computer mouse peripherals it often uses terminologies or specific acronyms some of these are explained hereafter The phrase move the mouse means that you have to displace the monitor indicator normally an arrow that indicates the mouse position in a specific zone Click with the mouse means to bring the mouse in position then press the right button and release it The buttons represent the program function that you can activate clicking with the mouse on the same You can also find To recover the image you have to open the archive window sequential or systematic then select the image you want to elaborate and send it using the right buttons to the elaborations window For using this software we suggest a basic knowledge of Windows 95 or followin
35. greyscale Fig 13 14 Bone Muscle LUT Applies the color scale to reveal bones and muscles Fig 13 15 OrisWin DG Suite Pag 69 Software ORISWIN DG SUITE First Edition November 2006 Pag 69 84 Revision April 2014 Bone LUT Applies the color scale to reveal bones Fig 13 16 Clicking on the Cube button displays a cube around the volume to activate trimming Fig 13 17 To cut out the volume align the mouse with a green dot press the left mouse button hold it down and move it to cut out the volume With the button Camera you can capture the volume displayed and send it to the archive of captured images Captured images may be used to create a report Displaying cross sections OrisWin DG Suite Pag 70 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 70 84 The cross view allows to evaluate the quality and quantity of bone structures and other anatomical morphologies These functions are available in cross view Scroll all images from top to bottom and from bottom to top To scroll images you may use the scroll bar on the right of the axial images or the mouse wheel Optimize contrast and brightness To adjust these values press the right mouse button and hold it down while moving it on the image until you obtain the desired result Changes in contrast and brightness will also affect all other views Press the CTRL butt
36. he password no one will be able to use it This procedure guarantees the use of the software ensuring data security The program is divided in the following categories Patients Dicom Worklist Documents Options Database Clicking on one of this buttons you will approach different windows OrisWin DG Suite Pag 10 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 10 84 6 PASSWORD AND USERS ADMINISTRATION First access to the software At the first run of the software following window will appear Fig 6 1 Click on OK and the program will automatically use the software starting drive as default database Then if you don t have currently installed any database this following window will open Fig 6 2 Click on Yes and OrisWin DG Suite will automatically create the starting environment Fig 6 3 OrisWin DG Suite Pag 11 Software ORISWIN DG SUITE First Edition November 2006 Pag 11 84 Revision April 2014 NOTE We recommend you to perform the functional verification of the monitor to verify that the the monitor is proper for the visualization of the radiographic images This procedures automatically started the first time that is accessed the images module The procedure to perform this verification is available in the section Desktop of the module management imagines as from following image pressing on the icon Verify monitor quality
37. information are highlighted with a darker color name last name birth date It is possible to complete these data in another moment too Before record a new patient you must select the drive for archiving it only if you have more than one drive Click on the drive you prefer and an arrow near the drive icon will appear Then click on Save button that will appear in the bottom of the window when mandatory fields are filled up and the patient will be added to the selected archive Compiling all patient s data In the following windows after inserting all patient data click on Next button Fig 8 3 Window allows to shot a picture of the patient and store it in the patient database Clicking on the corresponding button it will be possible to acquire select a picture from Disk Patient search OrisWin DG Suite Pag 27 Software ORISWIN DG SUITE First Edition November 2006 Pag 27 84 Revision April 2014 Click on Patient database in the software main toolbar Fig 8 4 To find a patient you can proceed in three ways 1 Insert Patient s name or last name in the proper place if you write only the first letter of the name or last name the program will find all the patients whose last name or name contains the inserted text 2 Use the icon identification clicking on Icons menu Fig 34 you can select the icon associated to the patient you need to find Fig 8 5 3 Using the categories you c
38. is message appears be sure your Always connected drive is connected and active on the network or click YES to continue without the drive If you choose NO the program will exit OrisWin DG Suite Pag 55 Software ORISWIN DG SUITE First Edition November 2006 Pag 55 84 Revision April 2014 DICOM comunication options Click on this button to open the following window Fig 12 6 Here you can choose configuration for Dicom Printers Worklist and Dicom image servers PACS Dicom Print To configure a new Dicom printer select New and a new section will be shown Fig 12 7 OrisWin DG Suite Pag 56 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 56 84 Fill in parameters for your Dicom printer IP address port and AE Title Then select format and desired settings and Click on the Save button To get a correct measure in scale 1 1 on the printing a calibration step is needed Proceed in this way Click on Print Calibration Area This will print out a white paper with 5 boxes one in the middle and 4 at the corners Measure the distance between upper side of one upper box and lower side of a lower box then insert the measured value in the field Height in fig 88 Now do the same with the right side of one right box and the left side of a left box and put the value in the Width field Then click on the Prin
39. isWin DG Suite Pag 43 Software ORISWIN DG SUITE First Edition November 2006 Pag 43 84 Revision April 2014 ADVICE The dimension of the image represented to video never has to be considered as an exact report in comparison to the real dimension of the image It is not possible to measure the image with rulers or other tools supported to the monitor Zoom a ROI this function allows to select and zoom a region of the image Proceed in the following way select a rectangle area to zoom clicking and dragging with the left mouse button release the button Zoom using lens this function zooms a region of the image by pressing and holding the left mouse button on it You can also move the mouse to zoom over the image Adapt to page this function zooms the image to fit in the page Adapt to vertical size this function zooms the image to fit in the page vertically Adapt to horizontal size this function zooms the image to fit in the page horizontally Display to full resolution this function show the image in actual full resolution Display image fo 150 this function zooms the image to 150 of actual full resolution To restore original view press the Adapt to page button Select this button to show the following window Fig 10 10 ADVICE please be careful by using the mirror function you will get a confusing left to right image losing the correct projection of the acquired object To rotat
40. ll appear representing the size of the rubber to be used To change the size of the rubber select rubber size in the top of the window You may also change the Rubber Threshold and Level To delete parts of the image position the cursor on the part of the image you wish to delete and hold down the left mouse button while moving the mouse onto the part of the image you wish to delete When you have made the changes press Save Changes Export slices Exports axial images into a folder selected by the user When the export is complete the folder into which the data has been exported will open automatically OrisWin DG Suite Pag 77 Software ORISWIN DG SUITE First Edition November 2006 Pag 77 84 Revision April 2014 Project information a window opens containing patient information acquisition method number of the images slice thickness image size gray level Kv X ray tube current mA exposure time ms and technical data on the exam Send to PACS a window opens allowing you to specify the PACS server to which to send the data Fig 13 30 Restore original Layout used to restore the original layout i e If you have modified the size of the windows with this function you can come back to the original sizes Rebuild Axials Reconstructs the exam on the basis of the RAW data acquired when available Clicking on the Measure button will show the following menu NOTE OrisWin DG Suite
41. lume will change in accordance with the mouse movements Rotate on Z axis press and hold CTRL left mouse button to rotate the view by Z axis Zoom in and zoom out with the wheel of the mouse or by clicking right mouse button To set predefined views in 3D rendering window you can use each of the three planes shown on the buttons frontal sagittal and axial The 3D Options button will open a dropdown menu containing all the 3D volume options OrisWin DG Suite Pag 67 Software ORISWIN DG SUITE First Edition November 2006 Pag 67 84 Revision April 2014 Fig 13 10 Generate 3D update generate 3D view View type Predefined View Automatically selects the greyscale to be shown in the volumetric reconstruction see Fig 99 Fig 13 11 Stereo 3D Activates Deactivates the stereo 3D option When this option is active you can view the reconstruction of the volume in a real 3D representation To appreciate the results you need to wear special glasses with one green lens and one red lens see Fig 100 Fig 13 12 3D MIP view the volumetric image in MIP Maximum Intensity Projection mode This option allows you to activate the transparency of the volume OrisWin DG Suite Pag 68 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 68 84 Fig 13 13 Color Standard LUT Applies the standard color scale to the
42. ments also diagonally as shown in the photo on the lower right To adjust contrast press the ctrl button on the keyboard and draw a square with the right mouse button directly on one of the three images displayed Press ctrl left mouse button on each image to view pixel coordinates Here too you may take a screenshot by pressing the Camera button or capture the entire screen with the capture screen button The images are saved and sent to the archive of captured images Captured images may be used to create a report Using the 3D rendering window In the bottom part of the 3D rendering view there is a tool for selecting the minimum and maximum level of greys to be represented To move the references click on the handle of the minimum value and move it red arrows on the right Do the same thing with the maximum handle red arrows on the left To move both select the area in grey green arrow between the two handles and move the mouse This function is very important for selecting the tissues to be displayed Soft tissues are to the left As you move to the right bones teeth and metals will appear OrisWin DG Suite Pag 66 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 66 84 Fig 13 9 In the 3D view there are many possibilities of movement Rotate orientation press the left mouse button and hold it down while moving the mouse The orientation of the vo
43. n demonstrates reconstruction of Ceph projections A P and L L By dragging the bar under the two windows to the left soft tissues will appear by dragging it to the right hard tissues will appear OrisWin DG Suite Pag 75 Software ORISWIN DG SUITE First Edition November 2006 Pag 75 84 Revision April 2014 Fig 13 28 Side menu functions The Screen button on the left side allows to select the preferred layout for the 2D and 3D views as follows Select preferred layout and the screen will update immediately with the new preference OrisWin DG Suite Pag 76 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 76 84 Clicking on the Project button the following menu will be shown Save Project Saves the project displayed Saves the panoramic arch and display options Cross and panoramic slices are not saved because they will be recalculated when the project is opened again This method prevents problems with carrying over errors Restore project Restores original project data All changes made to axial images will be lost The panoramic arch will be deleted along with all the calculated slices Edit Axials Opens an axial image editor to make changes Fig 13 29 Select the image to start editing and press Tag Start then scroll the scroll bar down to the last image you wish to edit Press the Rubber button and a green circle wi
44. n the correct panoramic section of the nerve canal If you are out of focus please find the best focus and trace the nerve canal on the correct panoramic section This way the nerve canal will be traced correctly also in cross sections You will see the tracing of the nerve in real time in axial view as well Fig 13 36 To correct the position of the nerve canal traced you can move the dot on the cross section on the right side You can choose other cross section by moving the right scroll bar or by mouse wheel after selecting the cross section window To stop tracing the nerve canal click again on the Draw Edit checkbox You can also hide show the nerve canal undo last nerve canal tracing or remove it OrisWin DG Suite Pag 82 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 82 84 Fig 13 37 Once the nerve canal is traced you can see it in all views in order to correctly evaluate distances by measurement functions Fig 13 38 Fig 13 39 OrisWin DG Suite Pag 83 Software ORISWIN DG SUITE First Edition November 2006 Pag 83 84 Revision April 2014 INDEX 3D CAPTURES IMAGES 79 EDIT AXIALS 76 EXPORT SLICES 76 NERVE CANAL TRACING 80 PROJECT INFORMATION 77 REBUILD AXIALS 77 RESTORE ORIGINAL LAYOUT 77 RESTORE PROJECT 76 SAVE PROJECT 76 SCREEN CAPTURE 79 SEND TO PACS 77 3D ACQUISITION 48 3D CROSS VIEW 74 3D MODULE 58 3D SIMULATIO
45. nerate click on this button to show the following Fig 7 8 By answering Yes the following message will be shown Fig 7 9 Close all running instances of the OrisWin software on all computers if connected to a network and choose Yes This way the Database Management procedure will start with the following window OrisWin DG Suite Pag 22 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 22 84 Fig 7 10 Repair click on this button to try the recover process in case of a damaged database or data loss The following window will be shown Fig 7 11 DATA SECURITY ADVICE We advise you to perform the backup of the data every day This will make your job more safe over whether to make you to respect how it is foreseen by the norms on the privacy Create a backup copy this function allows to make a backup copy of the selected archive The following window will be shown Fig 7 12 Select the destination drive and click OK then the copy will start Backup copy includes all images and data of all patients belonging to the selected archive The disk space needed is indicated in the Total database size in Fig 26 OrisWin DG Suite Pag 23 Software ORISWIN DG SUITE First Edition November 2006 Pag 23 84 Revision April 2014 Restore the data from a backup copy this function allows to recovery all images and data from a backup copy NOTE The r
46. on allows to insert on the image arrows and inserting a text that will appear next to the arrow Proceed in the following way put the cursor of the mouse on the point of the image from which you want to depart the Arrow and click on the left mouse button put the cursor of the mouse on the point of the image to which you want that the arrow arrives and click again the following window will appear Fig 10 8 insert the text to visualize near the arrow and press OK To cancel an effected measurement it is necessary to make click with the left button of the mouse on the arrow to cancel and press the key Del of the keyboard Insert Text this function allows to insert some text on the image Proceed in the following way put the cursor of the mouse on the point of the image on which it is wanted to insert the text and press the left button of the mouse the dimension of the rectangle can be modified once chosen the dimension press the left button of the mouse it will open the in Fig 59 in which you can insert the text to visualize on the image Press therefore OK To cancel an effected measurement it is necessary to make click with the left button of the mouse on the text to cancel and press the key Del of the keyboard Remove measurements and texts this function allows to remove all the measurements and texts on the current image Click on this button and the following window will be shown Fig 10 9 Or
47. on on the keyboard and hold it down press the left mouse button OrisWin DG Suite will display information on the position and greyscale of the pixel The selected cross image is surrounded by a red square You can choose bigger or smaller amount of slices displayed using Dispose Images options Fig 13 18 This menu appearing above the cross images may be used to decide how many cross images to view in the box The available options are 1 2 4 3 6 or 9 You may also choose which filter to apply light or strong Click on the Camera button to open the window shown below OrisWin DG Suite Pag 71 Software ORISWIN DG SUITE First Edition November 2006 Pag 71 84 Revision April 2014 Fig 13 19 This window may be used to select images to capture Reconstructed panoramic view Once the arch of the patient has been traced a reconstructed panoramic appears in the bottom window By clicking on the panoramic you can see that the yellow lines change their positions and consequently also the other views axial and cross sections change their projection accordingly Fig 13 20 You may use the scroll bar on the right hand side to change the panoramic arch displayed To find out where the panoramic curve currently reconstructed is located refer to the axial view Fig 13 21 The green arch represents the original panoramic arch created by the user The red arch is the arch calculated and
48. or example the historical ones can be saved on drive T general drive OrisWin DG Suite can use all the archive until 20 drives contemporary To distinguish patients from different archives each patient of the list will have the colour selected for the archive in which he is stored Add a drive Click on the Database Management icon this window will be shown Fig 7 1 Click on Add a new database and the software will show the available drives Fig 7 2 Select the drive of interest or click on Add a folder to manually choose the path When clicking on a drive a confirmation window will appear OrisWin DG Suite Pag 18 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 18 84 Fig 7 3 Click on Yes if you want to add the new database By clicking on the Add a folder button you can choose the preferred path You can also choose a Network path this way you can use a shared database in the network to be used by other OrisWin DG Suite installations The following window will allow you to choose the folder Fig 7 4 NOTE OrisWin DG Suite verifies if the added disk contains the database If the disk doesn t contain the database it will asked you to create the environment of job In affirmative case a driven procedure will help you to create the database In negative case the disk won t be added OrisWin DG Suite Pag 19 Software ORISWIN DG SUIT
49. oss images you can see the reference slices shown on the axial image You can do the same thing by moving the scroll bar of the panoramic slices To move the axial and cross reference position click on the panoramic sections To hide the panoramic arch deselect the Display Arch option If you want to hide the cross image appearing next to the panoramic arch deselect the Display Cross option Fig 13 7 Press the Delete Arch button to delete the panoramic arch and draw a new one Axial view NOTE The visualization of the axial images is arranged as if the patient was observed by the feet toward the head OrisWin DG Suite Pag 64 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 64 84 In the axial view window the following functions are available Scroll all images from top to bottom and from bottom to top To scroll images you may use the scroll bar on the right of the axial images or the mouse wheel Optimize contrast and brightness To adjust these values press the right mouse button and hold it down while moving it on the image until you obtain the desired result Changes in contrast and brightness will also affect all the other views except 3D rendering To view information on the position and grayscale value of a pixel press the CTRL button on the keyboard and hold it down while pressing the left mouse button To enlarge the axial image pr
50. ouse on the point of arrival of the measure and press the left button of the mouse Proceed in the same way to trace the second line To cancel an effected measurement it is necessary to make click with the left button of the mouse on the measurement and press the key Del of the keyboard ROI Region Of Interest this function allows to evaluate ROI area and grey level values for this area AV average SD standard deviation AR area extension Proceed in the following way Put the cursor of the mouse on the point from which you want to start the measurement and press the left button of the mouse Move the mouse to draw a circle until the desired ROI extension then click on the left mouse button Remove measures and text this function allows to remove all the measurements and texts on the current image Calibrate image this function allows to calibrate the current image Proceed in the following way Draw a line using the single measure function to trace a measure of a known distance Press Calibrate a new window will pop up showing the actual value of the selected measure Correct this measure with the real value and press Calibrate Annotations Click on this button and the following window will be shown Fig 10 7 OrisWin DG Suite Pag 42 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 42 84 Draw arrow this functi
51. raoral sensors RVG1 and RVG2 After choosing the correct device select all device configuration and options Fig 11 7 To save changes in any time you can click the Save options button Use this page to change device and parameters for the Dental Panoramic Device In this section you can select preferred options for 3D device OrisWin DG Suite Pag 51 Software ORISWIN DG SUITE First Edition November 2006 Pag 51 84 Revision April 2014 Here you can choose preferred videocamera settings asfollows Fig 11 8 You can use standard camera acquisition or TWAIN drivers It will be also possible to look for images in a temporary folder Use this screen to configure the 3D viewing options as follows Fig 11 9 OrisWin DG Suite Pag 52 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 52 84 12 MAIN OPTIONS Click on the Option icon in the Main software screen The following windows will be shown Fig 12 1 Use this section to choose the preferred language in the software In this section you can choose the preferred general options as follows OrisWin DG Suite Pag 53 Software ORISWIN DG SUITE First Edition November 2006 Pag 53 84 Revision April 2014 Fig 12 2 Run the drive unit check enable this option to run automatic checking for drives connected to the PC On drive removal the database included will be hidden
52. re so that to be able to use the present functions on the PC in easy way Training At the end of the installation of the system it will follow the training of the operator both on the use of the system and of the acquisition and visualization software of the images The training doesn t ask to use particular tools ADVICE OrisWin DG Suite Pag 5 Software ORISWIN DG SUITE First Edition November 2006 Pag 5 84 Revision April 2014 At the end of the operations of installation and training it is obligatory to perform the verification of correct visualization of the images on the monitor in use The procedure is described in the appendix 2 Controls to the installation and periodical which it is postponed ADVICE The procedures of verification described in the appendix 2 must be perform with regularity as described in the paragraph related to the periodic controls This manual describes the necessary operations to perform intraoral radiographies panoramics and volumetrics or 3D with various types of digital sensors ADVICE The application of filters to the images the calibration of the measures the change of contrast and brightness and all the functions that modify the images can introduce artificials that compromise the diagnosis For this reason OrisWin DG Suite always preserves the original copy of the image to which is had to make reference for the diagnosis Update OrisWin DG Suite is a medical device B
53. reconstructed in panoramic view OrisWin DG Suite Pag 72 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 72 84 Captures the panoramic image displayed and sends it to the archive of captured images Captured images may be used to create a report Creates a panoramic image in MIP Maximum Intensity Projection mode The MIP image is created by applying the calculation to all panoramic arches You can also choose between maximum minimum and average calculation mode Fig 13 22 The Smooth option activates a filter for attenuating image dynamics The cutter function may be used to select just the upper or lower part of the panoramic image as shown in the figure below so as to print out only a part of the data Fig 13 23 When you have selected the part to be kept the panoramic image will appear as shown in figure below To go back to the original settings and view all the data again click on the cutter function again and select RESTORE to original conditions OrisWin DG Suite Pag 73 Software ORISWIN DG SUITE First Edition November 2006 Pag 73 84 Revision April 2014 Fig 13 24 Full Cross View In full cross view OrisWin DG Suite creates two sections Both sections are created from axial images and represent the slices of all axial images from the top to the bottom in the two projections Fig 13 2
54. review window where you can set the printer and printing parameters Nerve canal tracing WARNING The Nerve canale tracing can only be used to highlight certain references within the recostructed volume This function can not be used to detect any type of measures The designs were drawn within the volume may hide some important parts of the X ray CBCT exam NEVER USE THIS FUNCTION TO DETECT A MEASUREMENT OR TO TAKE A CLINICAL DECISION OrisWin DG Suite is not a tool of measure because also after the possible procedure of calibration of the measure in comparison to a known repere the accuracy of the same measure cannot be guaranteed that therefore it has to be considered as indicative To trace the nerve canal select the Nerve canal tab in the right side of the 3D module section This tab will be shown after the drawing of the panoramic arch so you will need to draw this first Fig 13 34 Select the Left or Right arch Draw Edit checkbox to start drawing Then trace the nerve canal on the Panoramic image by clicking a sequence of points from the border to the center of the image You will see the nerve canal drawing after each click OrisWin DG Suite Pag 81 Software ORISWIN DG SUITE First Edition November 2006 Pag 81 84 Revision April 2014 Fig 13 35 You can move forward and backward the panoramic arch by the mouse wheel or by scrolling the scroll bar on the right in order to focus o
55. ssword and select the access type You can also insert a question and an answer only known by you for recovering your password in case you have forgotten it The user are of five kinds Fig 6 9 The Administrator is free to make all the operations in the software The Standard User can do managerial operations but he can t access to settings on the software The External Consultant is an external collaborator who helps the Cabinet in the management accounting he can view only images taken using his account The Secretary is the cabinet secretary and the Limited Account is the one that can see only some patients that the administrator has decided to show Delete user Click on Delete User Fig 6 10 OrisWin DG Suite Pag 14 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 14 84 You could have the possibility to select the user to remove Click on OK then the user will be deleted OrisWin DG Suite Pag 15 Software ORISWIN DG SUITE First Edition November 2006 Pag 15 84 Revision April 2014 Display user access Click on Display user access Fig 6 11 In this way you can see all the access occurred date and hour user name and computer name Password Reset This button allows you to reset the password To reset the password you will be requested to insert login and password of the Administrator of the Operating System in use Fig 6 12
56. struction is to trace the panoramic curve The panoramic curve identifies the position of the dental arch Before starting to trace the panoramic arch it is advisable to select the axial image containing the region of interest the dental arch of the upper or lower jaw The best position for tracing the arch is according the region of interest the best area where to place the curve is in the half of the length of teeth roots where the root canals are good points for the curve Click on the arch button to trace a new panoramic arch Put the mouse cursor over the image and press the left mouse button to fix all the dots on the panoramic arch In the event of error you may move the dots added by clicking with the left mouse button on each yellow dot again and dragging it into the right position Use the right mouse button on a yellow dot to delete dots or insert a new intermediate dot When you have finished tracing the panoramic arch press the arch button again OrisWin DG Suite will then calculate all the cross sections You can use this button to edit a panoramic arch you have already entered To change the position of the dots put the mouse pointer near the point to be moved press the left mouse button and hold it down while you move the dot into the new position OrisWin DG Suite Pag 63 Software ORISWIN DG SUITE First Edition November 2006 Pag 63 84 Revision April 2014 Fig 13 6 If you move the scroll bar of the cr
57. t Final Test button and measure the size of the center reference box Insert the values of width and height in Horizontal and Vertical fields in the section Reference box size Finally click again on Print final test to check the correct measure of the center reference box Dicom Worklist RIS To use the Worklist functionality you need to configure correct values in this section as follows Fig 12 8 Insert Worklist server IP address port and AE Title then click on Save button Dicom Store PACS Use this section to configure one or more PACS Server for image Storage Fig 12 9 OrisWin DG Suite Pag 57 Software ORISWIN DG SUITE First Edition November 2006 Pag 57 84 Revision April 2014 To check and modify PACS list click on the dropdown menu and select a row Then modify parameters and click on Save If you want to verify connection to PACS server you can use the Verify button To add a new PACS server click on New button and fill in all required data then click on Save button OrisWin DG Suite Pag 58 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 58 84 13 3D MODULE WARNING The reconstruction of the paraxial images occur on the perpendicular of the panoramic curve drawn by the user The distance among the reconstructed cuts and the dimension of the perpendicular segment to the panoramic curve
58. that determines the width of the paraxial image are configurable parameters from the user The maximum error produced by the reconstruction is two pixels The error maximum converted in measure is equal to the dimension of the voxel in the axial plan of the axial image multiplied for two The dimension of the voxel converted in millimeters is accessible from the menu Project to the voice Information Project The parameter Thickness image it points out the dimension in millimeters of the voxel Supposing a dimension of the voxel of 0 170 mms the maximum error introduced by the reconstruction will be equal to 0 170 x 2 0 340 mms The error of the reconstruction is the theoretical error supposing that the patient has correctly been positioned according to the indications of the furnished by the producer of the X ray instrument and that the reconstruction has been succesfully OrisWin DG Suite is not a tool of measure because also after the possible procedure of calibration of the measure in comparison to a known repere the accuracy of the same measure cannot be guaranteed that therefore it has to be considered as indicative To view a 3D exam just click twice on a 3D exam thumbnail in the patient images folder Fig 13 1 This action will open the 3D module in which you can view axial images of the 3D exam dataset the 3D reconstruction and panoramic reconstruction as well as cross sections of the selected arch OrisWin DG
59. u to perform the functional verification of the monitor to verify that the monitor is suitable for the visualization of the X ray images This procedures will automatically starts the first time that you will accessed to the images module The procedure to perform this verification is available in the section Desktop of the module in the general management imagines as from following image pressing on the icon Verify monitor quality Fig 9 1 Image are archived and shown in two possible ways Sequential archive mode Status mode Sequential archive mode In sequential archive mode images are shown ordered by time date of acquisition without any other support structure Most recent image acquired will be shown as the first one on top left of the screen On patient selection thumbnails of all images included in the archive are shown by clicking on Open the images button Since each patient can include a large number of images this operation could take much time To speed up this operation it is possible to organize images going in software setup screen To open an image just double click on the image thumbnail This way the image will be open in full screen into the Image Editing window OrisWin DG Suite 4 0 allows to select OrisWin DG Suite Pag 34 Software ORISWIN DG SUITE First Edition November 2006 Revision April 2014 Pag 34 84 and open several images into the Editing window in order to visualise

OrisWin DG Suite - DIGITAL imaging

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