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XrayVision User Manual

1. 3 4 2 Click the Continuous Series button at the bottom of the window highlighted in green above 3 4 3 Select the tooth or teeth that you wish to focus on during the continuous capture sean TI Apteryx Inc Page 24 of 106 APTERYX XrayVision User Manual custom software 3 4 4 The Capture Layout screen will then appear Click the Capture Series button in the top left of the window outlined in green below and choose the sensor that you wish to use from the list Click OK Please select and configure the sensor that should be eed when captunng the mage 3 4 5 The sensor will ready and you will be able to take the first image in the series Once the image is returned another tile will be created and the sensor will automatically ready itself for the next exposure 2014 04 24 2014 04 24 3 4 6 Once you have finished capturing images click on the Stop Series Capture button outlined in red in the bottom right of the Capture Layout window Then click on the Done button outlined in orange at the top of the window O For more information about retaking images and other interactions during layout capture refer to section 4 Interacting with Layouts 3 5 Multiple PA Capture Multiple PA capture mode allows users to generate an on the fly layout that can contain any combination of custom shots These configurations are one time use only and are not retained
2. TransIT FastAttach Information x General Provider Payor Patient Insured Message Date of Service From Date of Service To April 2014 April 2014 un Mon Tue Wed Thu Fri S un Mon Tue Wed Thu Fri S 30 31 1 2 3 4 5 30 31 1 2 3 4 5 6 8 9 10 11 1 6 7 8 9 10 11 1 13 14 15 16 17 18 1 13 14 15 16 17 18 1 20 21 22 23 4 2 2 20 21 22 23 4 2 2 27 28 2 30 1 2 3 27 28 29 30 1 2 3 4 5 6 7 8 9 1 4 5 6 7 8 9 iC C Today 4 21 2014 C Today 4 21 2014 Payor Reference Number Claim Amount S Fields marked in bold blue font are required OK Cancel e Provider tab Enter the required dental practice information Click the Add button to store the entered information as a quick entry for future use TransIT FastAttach Information 2S General Provider Payor Patient Insured Message Doctor First Name Doctor Last Name John Doe Tax ID TID License No 9999999 RUXXXX Practice ABC Dental Address 1 Main Street City Anywhere State OH Zip 44333 Phone 330 555 5555 Quick John Doe ABC Dental x Add Delete Fields marked in bold blue font are required OK Cancel Apteryx Inc Page 79 of 106 APTERYX XrayVision User Manual custom software e Payor tab The Payor Name is the insurance company the patient is insured through TranslT FastAttach Information General Provide
3. TransIT XrayView Information General Patient Message Password Protect First Name Last Name Doe SS Number ID Number XVA100001 DOB Sex ETR e Message tab Enter information for the recipient of the email This will display in the body of the email TransIT XrayView Information X General Patient Message Password Protect a o a Password Protect tab If desired enable the Password protect the image option and enter a password in the Password field This recipient will need to be provided with the password in order to view the attached files TransIT XrayView Information General Patient Message Password Protect V Password protect the image Password P sswOrD Cancel Apteryx Inc Page 83 of 106 APTERYX XrayVision User Manual custom software 8 3 2 6 Click OK when the TransIT XrayView Information tabs have been completed The imaging application proceeds to spawn Outlook Outlook Express create new email is created with the image attached a T GAl a Untitled Message Plain Text Sy 2s Message Insert Options Format Text Review a 2 j gt A A ES Attach File Follow Up RUZ y t 2 eC Attach Item gt High Importance Paste Sw Names SE v 2 Signature 7 Low Importance clipboard Ta Basic Text Include Tags Zoom MailTips could not be ret
4. Select Patient Images Smith Joshua Teeth lt No Associations gt 3 Images Digital Intraoral X rays IO 6 4 2 5 To export and burn all images click the Select All button on the right side of the box 6 4 2 6 To export and burn one or more specific images simply click on the image s until they are highlighted and then click the Select button Select Patient Images Smith Joshua Teeth lt No Associations gt 7 3 images Digital Intraoral X rays 10 6 4 2 7 The CD DVD burning utility will proceed to export and burn all the patient s images to the CD DVD or export them to the specified drive Click OK to return to the application desktop Apteryx Inc Page 60 of 106 APTERYX XrayVision User Manual custom software 6 5 Finding Images by Date Occasionally users may need to perform a search for an image that was inadvertently captured under the wrong patient The Find Images by Date utility give users the ability to search the entire patient database for all images captured within a specific date range 6 5 1 If one or more patient files are open select Patient gt Close All Patients 6 5 2 Select Database gt Database Utilities gt Find Images by Date The Find Images by Date dialog box displays Please select the starting and ending dates in which to search To April 2014 4 April 2014 Sun Mon Tue Wed Thu i Sun Mon Tue Wed Thu 30 31 1 2 3 3 3
5. 0 ccccccccceececeeeeee cece eeseeeeseeeeaeeeseeceseeeeseeeeseeeseeeesaeeeseeeeaes 18 3 1 Imaging ED GSS eran recipies petite ms tall Plpaeiasmtete id 18 3 2 Capturing Single IMAGES cccccccsecccssecceeecceeeceueeceueeceeecueeceucecsueecaueesaeeceaeessueessueesaeessaeessgeens 18 3 3 Capturing Layout Images ccccccseccceseeceeeceececeueeceueesaeeeeaeeceueeseueesaueesaeeseaeeseusesseeeseeeseaeessaeess 21 3 4 Continuous Series Capture ccccceecccesecceeeccececeueeceueeceeeceeceueessueessueecaeeceueecsueesseeeseeesaueessaeess 23 3 5 M l iple PA Capture sessing inanan eSEE AEAEE AAEE DA AA EAA OANE ANASA aE rA RE Aa TRA AEEA EREE 25 3 6 Intra Oral Camera CA UUN Sci carccessened cid naversacuewanbnd dondadancenchaticensteninduenien bai aanencausneutald menewbacioneniensasennces 28 S INTERACTING WITH AY OUT ws cacienincscedncncstadnerentsctendnadanenudaind aeaaea a aaa aAa Aaaa anaa aaia 30 4 1 The Layout Capture VV ING OW sascein vortices canancadnnubntecesenongnenionubelitmnntabcereicen bad aa venddwnneusetid nenewlendionenbecsasenntes 30 4 2 Retaking and Viewing Saved Layout Images cccceccceeccceececeeeeaeeeeae cece eeseeeeseeesaeesaeeeseueesaees 32 5 IMAGE ENA eect terre rsed ion vesernect tice Deco nteea sane ate Eia i aaa a Saa aAa aaa aaa Eaa aa aia aaa aaa a suet 37 5 1 Brightness Contrast B C Control ccccccseeccccceeeeeeceeeseeeeeeseeeaeueeeeseeueeesseseesaeeeessaeeeesaeeeneas 37 5 2
6. eo gt Simulator Simulator 12 13 14 19 20 21 14 15 16 17 18 19 lt P 2014 05 05 2014 05 05 Images for the empty tiles can be taken at any time after the layout is saved Section 4 2 2 of this guide details how to take or retake images in a layout that has already been saved in a patient s file 4 2 Retaking and Viewing Saved Layout Images In addition to retaking images during the initial capture sequence the user may add or retake layout images after the layout has been saved in the database At the top of the layout view window there are several buttons to control image viewing and capture 4 2 1 Apteryx Inc Interacting with Layouts There are several different ways to view layouts in XrayVision The Select Group View button Ld allows the user to change the viewing mode of layout images Page 32 of 106 APTERYX XrayVision User Manual custom software e LayoutView This is the default layout viewing mode All images in the layout are displayed in their anatomical positions Taken 09 13 1999 9 50AM g LJ 1999 09 13 l fi 1 a _ 1999 09 13 1999 09 13 1999 09 13 1 3 4 5 28 29 30 es wr Te i A 1999 09 13 1999 09 13 1999 09 13 1999 09 13 1999 09 13 1999 09 13 1999 09 1 30 Files 04 17 14 16 42 Double clicking on an image in layout view will open it in single image view The entire layout is then displayed in a small floating Layout Overview window allowing
7. Compare Images Apteryx Inc Page 72 of 106 APTERYX XrayVision User Manual 7 4 1 2 Enter a description in the text box and click OK to save it to the image E Image Description Image Description gt EF S A VEF RP RE Hea N A TA E O Sian Please enter the description that you would like associated with this image 7 4 1 3 The description will now appear below the image s thumbnail representation in any Open Patient Images interface E Open Patient Images X By Date By Image Type By Tooth E fr All Images a e 2000 HIRE 1999 Sample Description lt No image selected B Open File Direct Done 7 4 2 Adding Layout Descriptions 7 4 2 1 To add a description to a layout right click on the layout background and select Layout Description Oo This option can also be accessed by selecting Layout gt Layout Description from the main menu Capture Series s Save Print Reorganize Layout Set Current Positioning As Layout Associate Layout Purge All Unnecessary Files and Associations Add New Tile Layout Taken Date Layout Description Apteryx Inc Page 73 of 106 APTERYX XrayVision User Manual custom software 7 4 2 2 Enter a description in the text box and click OK to save it to the layout E Layout Description Layout Description s i r Please enter the description that you would like associated v
8. 9 2 5 If you select a layout from the list of images the layout will open and you will be prompted to select the image within the layout that you want to print You can also click the Select All button to select all images in the layout Oo If you want to print the entire layout anatomically go back to the open layout on the XrayVision desktop and follow the steps in section 10 4 Print a Layout Image Apteryx Inc Page 86 of 106 custom software 9 2 6 9 2 7 9 2 8 9 2 9 9 2 10 9 2 11 9 2 12 Apteryx Inc XrayVision User Manual Once you have selected all the images that you wish to print click OK The Print Images dialog box displays E 7 EX Print Images Printer HP LaserJet 4200 4300 PCL6 Multiple Print Format 3 images per page Digital Signature R Test Office Information _ Specify the printer that you wish to use in the Printer drop down menu Oo If no printers show up in the list check with your IT staff to make sure that the computer has proper access to a printer Choose how many images you wish to print on each page via the Multiple Print Format drop down menu Assign a digital signature Signatures are defined in the Printing portion of the Tools gt Options menu Refer to section 10 3 Options The Printing Tab Type any desired notes messages that you wish to have added to the printed page in the Message box If you w
9. Files of type All Image Files 04 21 2014 09 37 AM 67 551 bytes 320 pixels x 240 pixels Apteryx Inc Page 51 of 106 AFTERYX N XrayVision User Manual 6 1 3 5 The Move files to patient dialog box displays Confirm that the correct files and patient are selected Optionally you can also enable the option to delete the original files after the import Click the Yes button to proceed with the move Move Files To Patient Should the following files be added to the database of patient Doe Jane On successful move delete original file C Patient Images patient_image_1 JPG No Open them under Nobody amp Yes Add these files to the patient 6 1 3 6 The Extended Image Information screen displays Select the appropriate Image Type e g Intra oral X ray to categorize the image s Click on the Done button Extended Image Information _ X Key Words Quick Keywords Keywords should be separated by spaces 7 Record Keywords 6 1 3 7 If the option to delete the original file after the move has been selected the Delete Original Files dialog box displays Click Yes to delete the image s if desired 6 1 3 8 The imported image s will display on the application desktop when complete 6 1 4 Auto lmport Utility The Auto Import utility automates the import process by allowing users to define an import file location dire
10. Performs Apteryx general enhancement imaging algorithms on an image OFF CustomEnhancement Performs custom imaging algorithms on an image OFF General Endo Enhancement lt No Real Time Filters Performs general endo enhancement on an image Image Filters Options Enables you to modify the options associated with the various imaging algorithms 5 8 7 The indicator bar text will change when a filter is enabled RTF Aptens General Enhancement Apteryx Inc Page 48 of 106 APTERYX XrayVision User Manual custom software 6 IMAGE MANAGEMENT This section of the manual will cover various image management utilities such as importing from external sources exporting for use with claims or referrals or moving images between patient records 6 1 Importing Images There may be times when a dental practice takes or receives images from a source outside of XrayVision and they wish to associate those files with an existing patient Importing those images into XrayVision will allow them to be stored in the patient s database record for future viewing Images captured from digital cameras or toher external sources are normally stored by the user in a known location on the local hard drive XrayVision provides several options to import and associate external files to a patient s record e Standard Import Utility e Open File Direct e Auto Import Utility 6 1 1 XrayVision also supports the Microsoft Windows dra
11. If you camera s buttons are not capturing select Camera Buttons from the menu to choose a different configuration e Step on the foot pedal if configured e Click the Capture button in the DirectVideo interface e Press the spacebar on the keyboard Apteryx Inc Page 28 of 106 APTERYX amp custom software XrayVision User Manual 3 6 4 3 6 5 3 6 6 3 6 7 3 6 8 3 6 9 Apteryx Inc Once captured a thumbnail of the image will appear on the left side of the DirectVideo interface When finished click the Done button E3 DirectVideo d Se Video Devices Video Options Images Capture Buttons About 1 images captured Multiple images can be captured at one time if desired Additional thumbnails will appear below the initial one as images are captured Users can right click on one of the image thumbnails to perform the following operations e View Full Screen Opens the selected images in full screen view Refer to section 5 7 Full Screen View for more information e Delete Current Image Deletes the selected image from the list of thumbnails e Delete All Images Deletes all of the image thumbnails in the list When finished click the Done button The DirectVideo interface will close and the image s will be acquired and displayed on the application desktop Once the image is displayed on the desktop the Modify Tooth Associations screen will appear Select one or more teeth to a
12. Sensor the user will be prompted to select the appropriate sensor extension for capture Oo The Capture Layout screen will not be launched when using this option Instead the hardware interface will display as if it is ready for a single image capture and the image will return to the selected layout tile after acquisition Take Retake From The Take Retake From button i allows the user to take an image for the selected tile from a different hardware source than the one that is specified for the layout Refer to section 4 1 1 Capture Buttons for more information about the various capture options 4 2 3 Recording Images in a Layout a Images in a layout can be reordered by selecting the Move Layout Images button at the top of the layout viewing window This tool allows the user to move images from one tile to another Oo Tooth associations for a moved image will automatically be updated based upon the tooth numbers assigned to its new tile Clicking the Move Layout Images button will launch the Reorganize Layout Images window Click and hold an image with the left mouse button and drag the image to a new tile If the user is attempting to swap images they may see a screen like the one shown below after moving the first image Oo Users can drag images outside of a tile to create a temporary placeholder This is helpful when moving images between tiles 2014 05 05 2014 05 05 Apteryx Inc Page 34 of 106 cu
13. The software will prepare to capture from a digital x ray sensor o File The software will prepare to import images form the local hard drive network or media device attached to the computer o Clipboard The software will prepare to acquire an image stored in the computer s memory via the lt copy gt function o Open Image The software will prepare to acquire an image that is open on the application desktop o Unassociated File The software will be prepared to acquire the image from unassociated files a file not associated with a tile contained in the current layout group oO The layout will display a stacked paper icon i in the bottom right corner of the layout when there are images in the layout not associated with any specific tile o Video Source The software will prepare capture from the Direct Video extension and any attached intra oral camera Auto Import This button automatically imports images from a Windows folder location and places them into the layout tiles Refer to section 6 1 5 Configuring the Auto Import Utility for more information on how to use the auto import utility A Warning If the Auto Import button is used within the layout capture screen the images will automatically be DELETED from their original file location Automatically Import Files From Directory File Specification i e ica Wait 2 seconds X after a file appears to be sure that no more files are being transfer
14. just created Refer to section 11 Customizing the Toolbar and Toolbox for more information on creating a custom macro button 5 6 Real Time Filters Real Time Filters are sets of image enhancements applied to any image that is opened but are not saved to the raw images The filters can be turned on and off at the user s discretion Certain filters can also be customized by the user to perform varying levels of enhancements Oo Real time filter settings are specific to the computer on which they are configured Apteryx Inc Page 43 of 106 APTERYX XrayVision User Manual custom software 5 6 1 Enabling or disabling a Real Time Filter 5 6 1 1 Open and view a patient s image layout 5 6 1 2 Left click on the Real Time filter button on the status bar at the bottom of the program o There are several other ways to access Real Time Filters and Real Time Filter options in XrayVision One alternative is to navigate to Enhancement gt Real Time Filters Filters can also be toggled on and off by right clicking in the background desktop of the imaging program For more information about this field refer to section 5 6 Real Time Filters No Real Time Filter Apteryx General Enhancement Custom Image Enhancement General Endo Enhancement Real Time Image Filter Options No Real Tirne Filter Joe John 5 6 1 3 The selected image filter displays on the status bar when it is enabled To disable a filter re select the enabl
15. of the boxes at the top of the window 2 3 3 To open the patient s record double click on the patient s file or click on the record to select it and then click on the Open Patient button 2 3 4 The title bar will refresh to show the new patient record is open File Patient Databi Open a 5 d Fatient Open ave 2 4 Viewing a Patient s Images Once a patient record has been opened images captured for the patient can be viewed The imaging application provides three different options to access and view a patient s images 2 4 1 Using The Open Patient Images Dialog Box 3 Open 2 4 1 1 After opening an existing patient record click on File gt Open or click on the Open icon on the main toolbar to display the Open Patient Images dialog box Oo If there is not a patient open in XrayVision the Open button will display the standard Windows file selection dialog This allows users to manually select a file image to open Apteryx Inc Page 11 of 106 APTE RYX custom software amp Open Patient Images Eg By Date By Image Type By Tooth a i All Images m 1999 lt No image selected gt 2 4 1 2 The available Images can be filtered categorically e By Date Images can be selected by expanding the date tree to a specific year month or date By Image Type By Tooth e By Image Type Select the desired type Digital X Ray Scanned Docume
16. on each page when printing multiple files at the same time Print Number Indicators This option displays the tile and tooth numbers on printed layout images Print Tile Outline When enabled this option will allow the dashed outline of the tiles that are displayed in the XrayVision layout window to also be printed around the images Print Dates When enabled this option will print the taken date under each of the images in a layout Background Color This allows the user to specify a background color for the printed layout It can be set to No Color the background color of the layout as it appears in XrayVision or another specified color chosen via the dropdown menu at the bottom of the window 10 4 Options The Tooth Control Tab In the tooth control tab users can specify which tooth numbering format that they wish to use throughout the software These definitions can also be changed on any of the tooth assignment Tooth Control d Tooth control definition preferences Tooth Control Preferences Adult Controls Deciduous Controls Universal International International sh British Veterinary General Palmer Apteryx Inc V Allow veterinary dentitions Adult International 4 quadrants 8 tooth forms 1 1 1 2 1 3 etc Adult Universal Teeth numbers 1 32 Deciduous International 4 quadrants 5 tooth by 5 1 5 2 5 3 Deciduous Palmer 4 quadrant 5 tooth by letter 1 a 1 b 1 c
17. the XrayVision desktop before continuing 2 5 2 Select Patient gt Edit Patient The Edit Patient dialog box displays Edit Patient es Last Name Doe First Name John SS Number ID Number XVA 100000 2 5 3 Edit the desired field and click OK to save the changes 2 6 Merging Patients XrayVision has the ability to merge multiple patient records in the event that two or more entries in the patient database refer to the same person The software offers two database utilities e Patient Merge the standard utility useful for merging selected patient records e Advanced Patient Merge An advanced criteria based utility that queries the entire database for duplicate patients and then combines them into single patient entries A Warning The Advanced Patient Merge utility is a mass database correction utility that should only be used when warranted and is therefore not covered in this manual Please refer to section 3 1 2 of the XrayVision Administrative Options manual for more information about this tool or contact Apteryx Technical Support at 1 877 APTERYX 278 3799 for consultation if needed Apteryx Inc Page 15 of 106 ett te XrayVision User Manual 2 6 1 Using the Patient Merge Utility 2 6 1 1 Close all open patients by selecting Patient gt Close All Patients 2 6 1 2 Select Database gt Database Utilities gt Merge Patients gt Merge Patients The Patient Merge Utility displays a list of all pa
18. the tooth control on the pop out bar will be adjusted to display both adult and deciduous teeth as shown below Cee 10 t y a a a Left 32 31 30 29 28 27 26 25 23 22 21 20 19 18 17 adagia FARR Bodo PYARE PB E Right All T S R 000 itune Display patient name If enabled the Patient Index File gt Open Patient will display the patient s first name and last name on the rolodex Display patient SS number If enabled the Patient Index File gt Open Patient will display the SS number on the rolodex Display patient ID number If enabled the Patient Index File gt Open Patient will display the patient s ID number on the rolodex Hide patient information as much as possible This option will hide SS numbers from the open patient index This setting will override the Open Patient Pop Up display settings on the Interface tab After adding a label switch to pointer mode After inserting a label the cursor will automatically turn into a pointer If disabled the cursor will remain in label mode The pointer icon will need to be manually selected when done Left Mouse Button Only Creation Mode This option allows users to add points to a drawn line and change the lines direction left clicking Page 94 of 106 custom software Apteryx Inc XrayVision User Manual Display the time the image was taken Displays the original taken date on the image title
19. the user to easily switch between images in the layout i The blue and white arrow buttons hightlighted below can be utilized to cycle through layout images Taken 09 13 1999 9 50AM Tile936124512 stb File 2 09 13 99 9 53AM 344 954 bytes ORG 30 Files 04 17 14 16 42 Oo Double clicking on the single image will Zoom out and return to the full layout view e Single Image View Choosing this option will Zoom in to the selected image The functionality of single image view is the same as described above under the Layout View option e Layout Overview Window The layout overview window shows a small representation of the layout Clicking on the tiles within this window will change the Single Image View to the selected image Layout Overview Apteryx Inc Page 33 of 106 APTERYX XrayVision User Manual custom software 4 2 2 Taking and Retaking Images When a tile is selected in a layout an image can be added to it by using one of the three 3 capture buttons in the layout view window e Capture Layout Images The Capture Layout Images button 2 will launch the Capture Layout window for image acquisition See section 4 1 The Capture Layout Window for more information about the functions in this window e Take Retake Image The Take Retake Image button allows the user to take or retake an image from the standard hardware source used with this layout For example if the layout source is
20. 1 2 3 6 7 8 9 10 8 9 10 a3 2402S GS 15 16 i 2 21 2 B a 2 23 2a g 27 28 29 30 1 4 5 6 7 8 i 6 7 6 5 3 Use the From and To calendars to specify a date range to perform a search 6 5 4 Click on the OK button to proceed with the search Onis process will take a while to complete as it is searching every patient in the entire database 6 5 5 The Found Images dialog box displays if there are images in the patient database that match the search criteria The following patients had images created taken from Monday April 07 2014 to Tuesday April 22 2014 6 5 6 Selecta patient in the left column to preview their related images 6 5 7 If the desired image is found click on Open to view it or click on Move to Another Patient to transfer the image to the correct patient Apteryx Inc Page 61 of 106 APTERYX XrayVision User Manual 6 5 8 If Move to Another Patient was selected in the previous step the Move Layout to Patient window displays Select the patient from the list to which the images are to be moved and click on the OK button 6 6 Deleting Patient Images Follow the steps below to remove one or more images from a patient s file 6 6 1 Open the desired patient s file 6 6 2 Close any open patient images 6 6 3 Select Patient gt Patient Utilities gt Delete Patient Images from the main menu 6 6 4 The Delete Patient Image Files dialog box opens displaying thumbnails of all the
21. 1 Open an image on the XrayVision desktop 6 3 2 2 Click File gt Auto Export gt Auto Exports 6 3 2 3 The Auto Exports window will appear Click New to add a new auto export definition Apteryx Inc Page 57 of 106 APTERYX XrayVision User Manual custom software 6 3 2 4 Enter a name for the auto export definition being created Please enter the name that will be used to identify this Auto Export 6 3 2 5 Specify a target directory for the images Clicking Create a subdirectory will automatically create a subfolder in the target directory with patient information in the folder name Click Next 6 3 2 6 Filename There are two options on the Filename screen The first option will allow the user to assign a specific filename to any images that are exported out of XrayVision The second option will automatically generate a filename for the images If the user wishes to assign a filename the next screen will allow them to specify if In most situations automatically generating filenames is the preferred method e Specify File Name After specifying the image file name the user will be prompted to select an image file format JPEG files are usually used in this situation due to their compatibility with most image viewing softwares Click Finish when complete Select the image file format that is to be used when the image is saved Image File Format Jpeg Image jpg jpeg
22. 2 3 4 5 12 13 14 15 16 17 18 19 20 21 28 29 30 34 32 Image Type Digital X ray Image Sub Type Intraoral Taken April 21 2044 3 58PM Apteryx Inc Page 90 of 106 estes eS XrayVision User Manual 9 4 3 4 Additional fields outline in blue in the sample above can be manually typed in by the user to complete the document Click on each field to enter the required information 9 4 3 5 The fields outlined in red above can also be manually changed when the document is created However for these fields Apteryx recommends editing these fields in the original document template so that every time a new document is created the office information will be automatically included For more information about editing the templates please contact Apteryx technical support at 1 877 APTERYX 9 4 4 Creating Multiple Image Document Templates 9 4 4 1 Open the desired patient images or layouts to view them on the application desktop 9 4 4 2 Click on Tools gt Document gt Spawn Multiple Image Document The Spawn Document dialog box displays Spawn Document Select the images to print Image preview Image Order Taken 06 25 2012 10 40AM T 1 2 3 Taken 06 25 2012 10 42AM T 1 2 3 Select the document you wish to create 4 Document usage instructions Endo posterior formal 4 Single Image 446 Anterior endo card with limage Four Horizontal Images Clinical Report 4 Small Single Image 4 4x6 Poste
23. Admin Manual If at anytime during the series capture the user would like to retake an image simply click on the desired tile to re capture and the next acquired image will be placed in that tile The series will then continue on the next empty tile in the sequence Apteryx Inc Take Retake The Take Retake button is used to capture an image for one specific tile in a layout It is often used once a series capture has completed and there is a need to retake one or two images Select the desired tile for capture and click the button Again if no preferred imaging extension is set for the layout the user will be prompted to select and available imaging device based on the tile s source Page 30 of 106 custom software Apteryx Inc XrayVision User Manual Take Retake From This button functions the same way as the Take Retake button with one major difference it allows the user to define a capture source that differs from the one currently on the tile For example if a layout is expecting to capture from a sensor but the user would instead prefer to capture form an intra oral camera the user can select a tile and choose Take Retake From gt Video Source to capture an image from an intra oral camera into the selected tile Here are the different Take Retake From choices o Scanner Image The software will prepare to capture from an imaging device extension flatoed scanner other TWAIN enabled device o Sensor
24. Alt N a ong Pa Arrows Ctrl Shift Alt A ni Bisecting Lines Ctri Shift Alt B Callouts Ctrl Shift Alt H 7 1 2 Hover the cursor over the image and note that it changes into a Callout Indicator 7 1 3 Place the stem of the callout indicator in the desired position on the image and then click and drag with the left mouse button to the position where the text portion of the label should be displayed Release the mouse button 7 1 4 The Callout Properties dialog box will display One the General Properties tab enter the appropriate label message in the Text Field and then select the desired color scheme from the Color Scheme drop down Callout Properties aE _ Callout Sample View r j General Properties Appearance Properties Text Properties sample Text Color Scheme Color ki Tet Sample Text C Freeze Label OK Cancel Apteryx Inc Page 64 of 106 APTERYX XrayVision User Manual custom software 7 1 5 On the Appearance Properties tab select the desired Pen Size Pen Color and Fill Color Select the callouts boarder properties No Accent Text JL Borger Border Border 7 1 6 On the Text Properties tab configure the text justification color and font type size Callout Properties Sent Fetes peoones Popes Toi Foe Terc l 7 1 7 If desired select Freeze Label on
25. To Store options Tooth Control Tooth control definition preferences T lime And Date Time and date display preferences and formats ea Language U Language preferences Apteryx Inc Page 96 of 106 custom software XrayVision User Manual Apteryx Inc Mask Patient ID Numbers This option will hide the patient s full ID number on printed images replacing all but the last four numbers with asterisk characters Print Image Information on a Separate Page With this option enabled all image information will be printed on its own page The page with the printed image will still contain patient information Adjust Text Font Size to Fit on Page This option will change the size of the font user to make sure that all words appear on the same printed page Print Page Center Marks This option adds marks on each page edge that can be traced to the center of the printed page Print Barcodes This option prints a barcode on the page that can be scanned to record patient and image information Printing Indents This option allows the user to specify printing margins from the edge of the page Units are measured in Inches Signatures Signatures allow clinics to set up custom texts that can be added to the bottom of a page at the time of printing The signature dropdown is highlighted in the Print Image dialog shown below Users can add update or delete existing signatures by using the b
26. for future captures Apteryx Inc Page 25 of 106 custom software XrayVision User Manual 3 5 1 3 9 2 3 5 3 3 5 4 Apteryx Inc To initiate a Multiple PA series capture click the Capture Layout button eu on the toolbar or select File gt Acquire gt Capture Layout Images The Select Layout window will appear Ba Please select the layout definition that should be used when BS capturing images Click the Multiple PA button at the bottom of the window highlighted in green above The Multiple PA Capture window will appear In this window the user can create shots by clicking on a single tooth or by clicking and dragging over multiple teeth The selected shots are then placed in a series list at the top of the window in blue below Users can use the Tooth Control Options button to change between dentition formats adult deciduous etc The Layout Imaging Extension Preference dropdown in green below can be used to specify a capturing hardware for the layout Mabie P Came d Delete Selected Shot Dectes the currently setectiod shot gt Move Selected Shot Up Mores Bye sodod Pri up m he DDr Move Selected Shot Down Moves Te selectes ret down a fe Mai Detter In the example above three 3 shots have been created The first shot is a right BW the second is a left BW and the third is a PA of tooth 8 and 9 Once shots have been created the
27. image s on the application desktop 2 4 3 Using the Tooth Selection Control 2 4 3 1 After opening an existing patient record click the TEETH button on the vertical toolbar to the right of the application s desktop to open the tooth selection control ee HHL G i 12 13 q W5 W figi a2 Ji 3m 2S Z5 All 27 28 25 24 21 20 1 T8 i iiveeae 2 4 3 2 If desired right click to switch the tooth control to display either adult or deciduous tooth numberings 2 4 3 3 To view images click on a tooth number to view all images related to that tooth 2 4 3 4 To view images associated to multiple teeth click and drag the mouse to select the desired teeth 2 4 3 5 You can also click on Right Left and the top or bottom of the center line to select that entire region of the mouth or click in the very center to select ALL teeth 2 4 3 6 The Images for Selected Teeth selection screen opens From this window you can double click on a single image to open it or view multiple images by left clicking on their thumbnails E Images for Selected Teeth Images for Selected Teeth 2 4 3 7 Click on the Open button to open and display the selected image s on the application desktop Apteryx Inc Page 14 of 106 bbe tv XrayVision User Manual 2 5 Editing Patient Information To edit an existing patient entry 2 5 1 Open an existing patient record Ensure that none of the patient s images are open on
28. is running an NG icon will display in the system Tray Na 2 1 1 1 Open the practice management screen that contains the patient information Click on the NameGrabber icon on the system tray once with the left mouse button The Patient Information screen that NameGrabber grabs information from varies from one PM application to another If needed contact Apteryx Technical Support for assistance 2 1 1 2 Once a name has been detected NameGrabber uses the data drill to pull patient information from the PM database and launches the imaging application A patient record is automatically created or opened if it already exists On many circumstances before a PM bridge is implemented a dental practice manually creates patients in the software As a result patient information may not exactly match the information being passed via the PM bridge After the PM bridge is implemented the user may be presented with a Patient Does Not Exist dialog box when attempting to open a patient that DOES exist in XrayVision if there is a mismatch in the patient information being passed Refer to the following online knowledgebase article for instructions on how to update the existing patient HELP Error Patient Does Not Exist Apteryx Inc Page 9 of 106 APTERYX amp custom software XrayVision User Manual 2 2 Adding Creating a New Patient 2 2 1 Manually Creating a Patient 2 2 1 1 Select Patient gt Add Patient from the menu on
29. mouse to the end point of the object Release the mouse button Oo While dragging the mouse the length of the line you are creating is displayed in real time Oo Non linear measurements can be created by right clicking on end points while dragging the mouse with the left button held down Release the left mouse button at the final end point 7 2 4 3 The Measurement Properties dialog box will display allowing users to format the label Waming Measurements are not guaranteed to be accurate _ Intermittent Measurement Dashed Line and Dot Measurements General Properties Calibration D209 HarzRes OFI m5 VetRes DPI 75 C Freeze Label Oo The Measurement Sample View section in the dialog box above does not display the actual measurement but rather a sample of what the measurement will look like The Measurements tab is where you will find the actual measurement Apteryx Inc Page 70 of 106 APTERYX XrayVision User Manual custom software 1 2 4 4 Customize the measurement label properties color line unit measurement position etc then click OK to exit A measurement label will be placed on the image displaying the measurement E Taken 04 28 1999 8 26AM 7 2 4 5 To remove the measurement label click on the label and then select Labels gt Remove or press the Delete key on the keyboard 7 3 Label Operations Once labels are added to an image there are several operations t
30. on OK The selected layout will open up in capture mode Note that the first tile in the series is selected awaiting an image capture Additionally note that the tile capture order is indicated by a large yellow number and the related tooth numbers are displayed in each tile Apteryx Inc Page 21 of 106 Aan aah N XrayVision User Manual Sensor Sensor 12 13 14 19 20 21 14 15 16 17 18 19 A Warning X ray images will be automatically captured in the order set by the layout definitions They will be oriented according to the teeth defined in the layout tile If the user deviates from the order without taking the proper steps images will be placed in the wrong tile and be oriented incorrectly 3 3 4 Click the Capture Series button in the top left portion of the Capture Layout window If a layout has been configured to use a specific hardware extension refer to XV_AdministrativeOptions section 4 2 Layout Options for more details that hardware will ready itself for acquisition and the series capture can begin If no specific hardware extension is pre defined the user will be prompted to select from a list of available capture hardware The list of hardware choices will depend on the capture source on the layout tiles i Users can retake images and perform numerous other operations before during and after the acquisition of a layout Refer to section 4 Interacting with Layouts for more information C
31. printer that you have selected 9 3 8 Click on the Print button when compete to print the images from the selected printer 9 4 Document Templates XrayVision provides a library of document templates e g referral letters treatment plans clinical reports image cards etc that a user can select to automatically create a pre formatted document in Microsoft Word The new document will automatically include patient images and demographic information Oo Macros must be enabled in MS Word in order for document templates to be used We recommend setting the macro security level to Medium The medium security setting permits a user to allow or disallow macros when working with documents Refer to Microsofts help documentation for further instructions 9 4 1 Setting Up Microsoft Word Before Microsoft Word can be used to create documents the location of the Word application must be specified To specify the location of Microsoft Word on the computer click on Tools gt Options On the General Tab there is a heading for Microsoft Word Microsoft Word Microsoft Word can be found in the following directory C Program Files x86 Microsoft Office Office 14 WINWORD EXE Search Apteryx Inc Page 88 of 106 APTERYX amp XrayVision User Manual custom software 9 4 1 1 Click the browse button outlined in red above to manually search for the Microsoft Word executable typically called WINWORD EXE or click the Search b
32. the associated tooth numbers on image title bars when viewed Page 95 of 106 APTERYX XrayVision User Manual custom software e Display ImageBar horizontally Displays the Image bar available via Patient gt ImageBar horizontally across the user interface e Display Image Descriptions on Thumbnail Buttons Shows image description text on image thumbnails when viewing or opening images from thumbnail view To add a description to an image Right Click on an open image gt Image Related Information gt Description e Display Legacy Image Type and Subtype Selection This option allows users to see the legacy Image type and subtype that were assigned to images in XrayVision version 3 12 and previous 10 3 Options The Printing Tab The Printing tab contains preferences for general and advanced printing of x rays 22 General General control settings options and eG preferences Printing General and advanced printing options and preferences Interface e control settings options and gt uF gous Se Printing Options V Mask patient ID numbers T Print image information on a separate page V Adjust text font size to fit on page Print page center marks __ Print barcodes and preferences i a 3 Printing Printing U inches m Ge and advanced printing options and ces 0 Database Database access and caching options ionization and
33. the bottom left of the dialog box to lock the position of the label The label will not be able to be moved around on the image When satisfied with the label options click on OK 7 1 8 The label will now appear on the image a B Taken 04 28 1999 8 32AM T lt Whole Mouth gt o amp zx Apteryx Inc Page 65 of 106 APTERYX XrayVision User Manual custom software Oo Label properties sizes etc can be modified at any time while in the Pointer mode The Pointer mode is the default mode of the application and is selected by either clicking Actions gt Pointer or by clicking on 4 in the toolbox To adjust label properties in pointer mode either double click on a label with the left mouse button or right click on the label and adjust the appropriate attribute under the Labels option 7 2 Calibrating Images and Adding Measurement Labels One of the most commonly used labels is the Measurement Label This label allows the user to measure the distance between points or a set of points on an image However to achieve the most accurate measurements possible the image should first be calibrated In general images are calibrated by taking a measurement of an object of a known length in an image as shown in the example below and then providing the actual length of the object This will allow the software to adjust its perception of that distance to make future measurements far more accurate
34. time 9 50 PM would read 9 50 45 PM e Date Format o Put year first Places the date s year at the front of the display ex 2014 04 21 o Put date before month Places the date before the month as they do in Europe Instead of August 14th it would read 14th August o Use the full year Instead of placing 00 it would read 2000 o Zero pad the date Places a 0 in front of the date if it is less than 10 o Include weekday long format only Includes the day of the week e g Monday Tuesday etc in long format Apteryx Inc Page 99 of 106 APTERYX custom software XrayVision User Manual 10 6 Options The Language Tab The Language tab allows users to change the language that the program is presented in by selecting a different language from the Available Languages list The change will take effect once the user exits and launches the software again Language Language preferences Language Preferences B To change languages either click on the new language from the Available Languages list or click on the Select Other Language File button NOTE The information displayed on these pages will not be displayed in a new language until the next time you access the application options ase access and caching options Synchronization and To Store options Tooth Control Tooth control definition prefer rs Current Flerame art Language Amencan_Endiish Trans
35. to save to 9 4 2 4 Select the desired naming scheme to use for any Word document spawned from the imaging application Use the the following for the format of the filename C Date foy MM OD HH MM DOC C Patient Name Lastname FirstN ame MM DO 7 HH MM DOC f Patient Name First ame Lastname MM DO 777 HH MM_ DOC 9 4 2 5 Select the option to Automatically handle images that may be too big for MS Word If enabled large images will be automatically resized to fit within the document s designated area for embedded images 9 4 2 6 Click OK to save the changes Apteryx Inc Page 89 of 106 APTERYX gt custom software XrayVision User Manual 9 4 3 Creating Single Image Document Templates 9 4 3 1 9 4 3 2 aus Open the desired patient image or layout to view it on the application desktop Click on Tools gt Documents and select the desired single image document template to generate Options Document List Spawn Multiple Image Document Document usage instructions 4x6 Anterior endo card with 1 image 4x6 Posterior endo card with 1 image Dual Image Endo anterior 4x6 card Endo anterior formal Endo posterior 4x6 card Endo posterior formal Four Horizontal Images Clinical Report Four Vertical Images Clinical Report Full Mouth Series Quad Image Recall Exam Bitewings Referral Single Image Small Single Image Treatment Plan 1 image Treatment Plan Oo The naming convention
36. 0 Calibration 130 000000 Set 44 Calibration 44 000000 Set No Calibration 100 000000 TIETIES Auto Calibrations automatically applied after capture Creste New Auto Calibration From Current Image 7 2 3 2 The Auto Calibration Dialog box displays Auto Calibration Please enter information for this calibration entry Name Auto Calibration Test Enabled Image Size V Any orientation Calibration Factor 20 506944 nh TA 7 2 3 3 Enter an applicable name 7 2 3 4 Select any orientation to configure the calibration to be applied to any images captured that match the dimensions displayed in the Image Size field Click on OK to save the new calibration 7 2 3 5 The newly added calibration factor will be listed under Auto Calibrations Click on the box to the left of the new entry to enable it Image Size E Create New Auto Calibration From Current Image gt Auto Calibration Test MIE x 581 Apteryx Inc Page 69 of 106 APTERYX XrayVision User Manual 7 2 4 Adding a Measurement Label Follow the steps below to create a measurement label 7 2 4 1 Once the calibration is applied the cursor will change to a crosshair with no gear E Alternatively select Labels gt Measurements to add a measurement label 7 2 4 2 Place the measurement crosshair at the starting point of the object to be measured hold down the left mouse button and drag the
37. 2 Select Patient gt Patient Utilities gt Patient CD DVD or Disk Options from the main menu 6 4 1 3 The Options dialog box displays Export Format X Export images as JPEG images This format exports images that can be read by any application T Include viewer Matt Programs Keith MYXV44 0 0 OuickView EXE Export images as XrayVision images includ Watt Programs Keith M s 4 0 OMY QuickView EXE Export Target Export the images into a patient subfolder in the target X X Export to directory Prompt me if files exist in the target path Export to CD DVD lt Prompt for drive Encryption Password I Encrypt the images WARNING Encrypted files will only be viewable by one of Aptenx s viewer applications or imported by one of Aptenin s imaging applications If you are not including one of Apterys s viewers with the exported images or you are not exporting the images for importation to another Apten s product ther vou should hot enable this option 6 4 1 4 In the Export Format section select one of the following options Export images as JPEF If enabled images burned to CD DVD will be in JPEG format compatible with most image viewing applications e Export images as XrayVision images If enabled images burned to CD DVD will be in a format that can be imported by a recipient who also uses XrayVision at their practice 6 4 1 5 Both of the export formats above have the option
38. 63 7 1 Adding and Modifying Labels Markers and Annotations ccccceccceeeeceeeeseeeeaeeeeaeeeeeeeesaees 64 7 2 Calibrating Images and Adding Measurement Labels ccccccceeceseeeeeeeeseeeeseeeeseeeeaeeesaeeees 66 7 3 Label OPELANONS eaeee nee eee eee ero nt enn ren ee ene ee eee 71 7 4 Image and Layout DeESCTIPTIONS cc eecccecccceeeceeeeceeeeseeeeseeeeaeeesaaeeseaeeseueeseeeeseeeseeeeseueesaeeeaeeeaes 72 8 DISTRIBUTING IMAGES TRANSIT ADD ON COMPONENTS 0c ceccceceeeeeeeeeeeseeeeaeeeeaes 75 8 1 General Emaller Creator s asrorni iini a aea ne case era aE east E eaa REE Ea 15 8 2 SC DY NE asta cae ethane E tender aden dawnt ancdaee sahnenaet E E E E E 78 8 3 Aray View EMO Creaton sac seaccatinn ca cahe a cedeen smc bape ceed aiaee aE EE A aaa aea 81 9 PRINTING IMAGES AND IMAGE RELATED DOCUMENTS ccc cccccceeecaeeeeeeeeeeeeeseeeeseeeeaes 85 9 1 PENRO TNO M 0 gt a E E E AE EE 85 9 2 FUE MURDIS IMAGES ceisio E E E A aliens adaa eii 86 9 3 Printing an Entire Layout cvcccececpnsetstxccteapsuitnadnesuwedceusunareeconveddeedewestaeaeneiaacoumacesenstenrsecssteevewedecnceans 88 9 4 Document Templates oso cicccocseceractaienstcspsubsageeiensdceusucoxeieoannddaeeudecsnennreleseadaseheewsdeeusutesetereeedeauceues 88 10 CONFIGURING OPTIONS aes cne ere es cepts es oats E aiaa 92 Apteryx Inc Page 3 of 106 XrayVision User Manual custom software XrayVision User Manual 10 1 Option
39. 7 4 2 3 The description will now appear below the layout s thumbnail representation in any Open Patient Images interface E Open Patient Images By Date By Image Type By Tooth a All Images Y T W a 2000 wo jE S TE ed Mi af 1999 1 a aa A Torey a Sample Description Na image selected gt Apteryx Inc Page 74 of 106 APTERYX amp custom software XrayVision User Manual 8 DISTRIBUTING IMAGES TRANSIT ADD ON COMPONENTS XrayVision provide various way to distribute patient images to third parties through our TransIT components TransIT helps to automate the process of sending images via email as well as simplifying image exporting to certain claim processing interfaces The most commonly used TransIT components are described in the following sections Oo TranslIT add ons can be downloaded from the Apteryx website at www apteryx com apteryx updates site under Add ons and Utilities gt TransIT 8 1 General Emailer Creator The most commonly used TransIT add on component the General Emailer It enables users to launch their email client application e g Microsoft Outlook and automatically attach patient images and files to a new email message The General Emailer requires Outlook Outlook Express or other MAPI clients 8 1 1 Configuring the TransIT General Emailer Creator Oo The TransIT General Emailer component will attempt to use the
40. APTERYX W custom software Apteryx Inc 330 376 0889 voice 313 S High St Suite 200 330 376 0788 fax Akron OH 44308 sales apteryx com www apteryx com XrayVision User Manual Effective Date __05 30 2014 Revision Number 3 0 Abstract Abstract This document contains work instructions related to utilizing the dental imaging application XrayVision version 4 0 and above APTERYX custom software Copyright 2004 2014 Apteryx Inc Apteryx is a registered trademark of Apteryx Inc All rights reserved All other trademarks and tradenames are the property of their respective owners Controlled Document Printed or downloaded copies are considered uncontrolled and are for reference only TS_WI_XrayVision_UserManual Apteryx Inc Page 1 of 106 APTERYX XrayVision User Manual REVISION HISTORY T Description of Revision Task Date e Corrected step 1 Open Existing record section 02 09 2011 Updated Viewing Patient Images section to be more in depth Moved Viewing layouts mounts section below View Patient Images Meee drag n drop note to Importing Images General Info Fixed grammar in Step 1 Open File Direct Real Time Filter images updated to reflect generic options Revision Doc Change Effective PE document formatting and name to comply with new doc PA 1 2011 control requirements Added Toolbox info to document Sec 15 Linked in User Int
41. Brightness Contrast and Gamma Correction cccccccccceecceseececseececeeeceseeceeseecessueeesaeeesseeeesaes 37 9 3 Sharpening and Laplace Edge Enhancement cccccccseccceeeceeeeseeeaeeeeaeeeseeseseeeeseeeeseeesaeeees 40 5 4 NOB RONOV Al ese E S e E E E E E 41 5 5 ae Ma T S e E E E EA E AO 43 5 6 RESERO EIO oeenn E A E eesseuboee 43 5 f POEM SEO STA NC races ts ea deste Sect EIA E EEA 45 5 8 COTA RS MINNA CS anA A sande dace es eeetacetcesagt reuse E 47 6 IMAGE MANAGEMENT sce tce bcs seidc deste tciecls pester Se see Sacto ceca tec ance asetice tec dee toeacdeseemacstcuaeete eee seaboee 49 6 1 ADONI TASS beac ees deci er ae atere rte tetas gece peters ped eceiec A A 49 6 2 Moving Images from One Patient to ANOther ccccccccecceceececeeeeseeeeaeceseeeeseueeseeeeaeeesaeeeseneesaees 54 6 3 Exporting Patient Images ccccscccseccseeceeecaeeceeeceeeceeecceeceeeeeeseeeeeuessuesauesseesaeesaeesaeeseessaeees 56 6 4 Creating a Patient CD DVD DISK 0 eccccceccccceeeeceeeeeeaeeeeeeeeceseeeeeseeceeseecesseeeessaecesaeeeseneessaes 59 6 5 Finding Images by Date sestsicita snndside mnnutsiaddinnd acdc yencsaitnaund peda asda eddianadiaid mire nell aenphaiidwanaudalddanoddulecdnendsuitaannnt 61 6 6 Deleting Patient Images isis cciitinensoiisiin wecstrid diana isnieniuis a CaanpasidauemunndianadduenmendseSuanedaiidneaadseddcmadaddarneadsa aust 62 fa AN ct Eg AC SS eee ee ee ee ee eee ee eee eee ee eee ee
42. Create Patients Using a Practice Management Bridge XrayVision provides users with the various methods to create or open patient records Although patient records can be manually created the preferred method of creating patients is to bridge their information in form a practice management PM software PM bridging automates the patient creation process by carrying over patient information first name last name id number SS number SS number birth date gender etc to XrayVision via our NameGrabber application or an integrated bridge PM bridging ensures that patient information in the imaging application matches the information contained in the PM application A PM bridge can be established using the following methods e NameGrabber and Data Drills Apteryx s patented applet that runs in the Windows System Tray Users simply open a patient s record in the PM application and then click on the NameGrabber icon XrayVision is automatically launched the patient s information is carried over and the patient s record is opened or created Visit www apteryx com for more information e Direct Practice Management Bridge Most Practice Management PM softwares already have a built in button capable of bridging patients into XrayVision Please contact your PM software support provider to see if this can be setup 2 1 1 To launch NameGrabber browse to the install directory and double click on the NameGrabber exe file When NameGrabber
43. Deciduous Universal Letters A T Adult and Deciduous in British format Veterinary Dentitions include Feline Equine Canine and General Veterinary Page 98 of 106 APTERYX XrayVision User Manual custom software 10 5 Options The Time Date Tab Options available on the Time Date tab determine how the time and dates are displayed throughout the application Any combination of the following choices can be selected a 22 General Time And Date tee settings oplig ani Re Time and date display preferences and formats Interface Patient Time Format E Use 24 hour dock F Zero pad the hour Indude seconds Date Format and preferences A Put year first Printing F Put date before month G eneral and advanced printing options and V Use the full year preferences iv Zero pad the date Safety W Include weekday long format only 2014 04 21 2 11PM Database Database access and caching options Monday April 21 2014 2 11PM Sync Synchronization and To Store options Tooth Control Tooth control definition preferences amp Time And Date E Time and date display preferences and ormats fy Language E Language preferences e Time Format o Use 24 hour clock Time reads out in military time 9 50 PM would be 21 50 o Zero pad the hour Places a 0 in front of the hour So 9 50 PM would read 09 50 PM o Include seconds Places seconds at the end of the
44. Do you want to use a different JPEG setting than the current application settings Note that the following options only apply if you selected the JPEG file format V Overide the default JPEG quality settings and use a quality factor of 100 a Gea Gael e Automatic File Name The automatic file name option gives the user the ability to include patient information in the name of the exported file They can also specify a file extension but this option is left blank by default Click Next Also include the following custom text _ lt Beck JL Net gt cancel After adding notes or a footer to the image the user will be prompted to select an image file format JPET files are usually used in this situation due to their compatibility with most image viewing softwares Click Finish when complete Apteryx Inc Page 58 of 106 APTERYX XrayVision User Manual custom software 6 4 Creating a Patient CD DVD Disk XrayVision allows users to burn patient images and information directly to a CD DVD disk for distribution e g referrals etc Users can burn one multiple or all patient images with ease This utility can be downloaded from the http www apteryx com apteryx updates site webpage under Add ons and Utilities gt Components 6 4 1 Configuring the CD DVD Disk Options 6 4 1 1 Prior to burning patient images to CD DVD export formatting and target preferences must first be setup 6 4 1
45. G 368 36 KB 368 36 KB 05 05 14 10 49AM _ AT E Tile_5 JPG 364 30 KB 364 30 KB 05 05 14 10 49AM AT E Tile 6 JPG 224 73 KB 224 73 KB 05 05 14 10 49AM__ AT E Tile_7 JPG 370 55 KB 370 55 KB 05 05 14 10 49AM__ AT E Tile 8 JPG 359 70 KB 359 70 KB 05 05 14 10 49AM AT E Tile 9 JPG 350 60 KB 350 60 KB 05 05 14 10 49AM AT Tile JPG Teeth 1 2 3 Apteryx Inc Page 36 of 106 XrayVision User Manual APTERYX custom software 5 IMAGE ENHANCEMENT XrayVision s image manipulation and enhancement tools enable users to improve image quality without having to re shoot x rays or other images This portion of the guide will highlight the primary enhancement tools 5 1 Brightness Contrast B C Control The imaging application offers an easy access B C adjustment tool that can be utilized for diagnostics To utilize the tool 5 1 1 Open a patient image for viewing 5 1 2 Select the B C icon on the vertical toolbar to the right of the user interface La D 4 g ct Oo Oo The brightness contrast control is only available for grayscale images It will be grayed out if a true color image is display on the desktop 5 1 3 To adjust brightness and contrast click and drag the sliders located on the right side brightness and bottom contrast of the tool or click and drag the crosshair located in the center of the control box 5 1 4 To reset the B C back to its original setting right click or double click o
46. Payor Patient Insured Message Same as patient First Name Last Name Insured ID Relationship Self z Group Plan Name Group ID Fields marked in bold blue font are required Ok Cancel e Message tab Enter any additional information to relay to the insurance company regarding the claim and or attachments 8 2 2 4 Click OK to forward the image and claim information to NEA s FastAttach communication application 8 3 XrayView Emailer Creator The XrayView e Mailer Creator creates a ZIP file containing a patient s images as well as the XrayView exe program that allows the recipient to view them Images sent using this component can also be password protected so that images cannot be viewed without the proper credentials XrayView e Mailer Creator supports the transmission of Apteryx s unmodifiable Secure Tagged Block STB file format guaranteeing image authenticity 8 3 1 Configuring the XrayView e Mailer Creator Options Oo The XrayView e Mailer component will attempt to use the default email application set up in Windows Refer to Microsoft Support s Online Knowledgebase Article KB 154359 for instructions to specify Microsoft Outlook or Outlook Express as the default email application 8 3 1 1 Select TransIT gt Component Options 8 3 1 2 The TransIT Configurations dialog box displays Select XrayView e Mailer Creator and click on Edit Optio
47. The toolbox control should be thought of as a cross between the standard menu and the toolbar When opened various buttons are displayed enabling users to quickly access and execute the related feature function X 4 2 e Pointer Invert F CNES gome ag Flip Flip Horizontally Vertically 4 Q M cio E Laad vE ay aie Rotate 90 EEg cc M A 3 t 7 Gamma Correction 4 Adaptive Normalize 4 Equalize al Or aie Xr Notes Taken Date X 4 Alf D L i A B Measure ert Tent Labels Labets 2 4 AE Full Screen Undo Spot Spot Enhancer Magnifier ee If the toolbox is not in locked mode it can be customized to display the desired toolbox option Refer to section 11 2 2 Customizing the Toolbox for additional information on customizing the Toolbox and the available options To change the toolbox size select Tools gt Toolbar Toolbox Button Sizes e Open Patients The patient control can be used to quickly switch between the various open patients that are currently in the application To switch to another patient simply click on the patient s name in the pop up control NIRS swn Page 6 of 106 APTERYX custom software XrayVision User Manual Teeth The tool selection control gives users the option to choose one or more teeth and view ALL of
48. Tooth Control F Display both adult and deciduous tooth controls Open Patient Pop up Display V Display patient name Display patient SS number E Display patient ID number V Hide patient information as much as possible Labels Database access and caching options Sync Synchronization and To Store options Tooth Control Tooth control definition preferences Fa Time And Date P Time and date display preferences and formats Apteryx Inc V After adding a label switch to pointer mode except freehand line labels Left mouse button only creation mode Image Fille Time Display Display the time the image was taken i Display the last modified time Image Tiling T Automatically tile images when they are displayed Tile images horizontally Tle im ages opened under Nobody Leave extra space at the bottom of the application window 33 percent Layout Viewing Options Page 93 of 106 custom software Apteryx Inc XrayVision User Manual Desktop Color Allows users to select the background color of the application desktop where images are displayed Display Background Bitmap This option allows the user to show or hide the XrayVision background graphic Display Background Tile Bitmap Allows the user to show or hide the tiled XV background graphic on the XrayVision desktop Display both adult and deciduous tooth controls If selected
49. after tooth selector 1 2 3 4 5 6 7 9 10 11 12 13 14 15 16 Right All Left 32 31 30 29 28 27 76 25 24 73 2 21 20 19 18 17 i O Cnt 3 2 1 1 If Automatically proceed after tooth selection is checked on the Sensor Tooth Selection screen the software will automatically advance and prepare the sensor for x ray exposure If it is not checked click on OK to proceed to prepare the sensor for capture Sarmin Cipla 3 2 1 2 The sensor indicator will turn green when the sensor is ready to capture an image A vocal cue will also be heard if the computer has a sound card and speakers 32 1 9 Proceed to shoot the x ray The new image from the sensor will soon appear on the application s desktop The amount of time it takes for the image to appear on the screen is dependent upon the sensor manufacturer Apteryx Inc Page 19 of 106 a a te N XrayVision User Manual 3 2 2 Quick Sensor Capture Quick sensor capture is the fastest way to capture a single image from a sensor This capture process is configured to automatically ready the last sensor that was used on the workstation This eliminates the need for an x ray tech to specify which sensor extension they want to use like they would have to in normal Capture Single mode To perform a quick sensor capture click the Quick Sensor button on the toolbar or go to File gt Acquire gt Quick Sensor Capture 3 2 3 Imaging Device Extension Capture This displayed int
50. age click on the image in the preview with the left mouse button To reduce the magnification click with the right mouse button O Select to automatically resize the image to fit the viewing area Page 38 of 106 APTERYX XrayVision User Manual custom software e Use the brightness and contrast sliders or click and drag the sliders located on the right side brightness and bottom contrast of the adjustment tool to enhance the image as desired The enhancements are adjusted in real time in the Resulting Image Preview area e Click OK to apply the settings to the open image Click Save to sore the changes 5 2 1 Other Common B C Enhancements The imaging application offers additional B C enhancements available on the main menu under the Enhancements gt Brightness Contrast The most common B C enhancements are listed below with an explanation of each e Equalize A non linear approach to altering the brightness contrast of an image This enhancement is typically used to improve the image quality of very low contrast images Most images span an entire range of brightness with all levels well represented However sometimes images are too light or too dark and some levels are overpopulated leaving others under populated The Equalize effect modifies an image so that all levels of brightness are equally well represented within the image The equalize option is only available for grayscale images Before Gam
51. al estate as possible for capturing manipulating and enhancing images E XrayVision Doe John Taken 04 28 1999 8 50AM T lt Whole Mouth gt a File Patient Database DICOM Edit Actions Image Enhancement Labels TransiT Tools Window Help s u ned u do jake sure you take care of this g g st UORBIGNED FJ 1 1 1 Main Menu The main navigation menu 1 1 2 Toolbar The user interface provides a familiar Window s toolbar that is retrofitted with the more frequently used options Each operatory in a dental practice can have their own set of commonly used options setup on the toolbar Refer to section 11 Customizing the Toolbar and Toolbox Oo To accommodate user preferences users can switch between multiple button sizes The larger sizes contain text descriptions of the functions associated with each button To switch the toolbar size select Tools gt Toolbar Toolbox Button sizes to select a size 1 1 3 The Desktop The desktop is where images are displayed when they are being viewed or captured from an external source such as sensors scanners etc Apteryx Inc Page 5 of 106 custom software XrayVision User Manual Apteryx Inc Pop out bar This interface provides easy access to a range of commonly used features and functions on the right hand side of the screen To expand or collapse any of the toolbar modules simply click on their associated icon in the bar e Toolbox
52. aphics Implant Measurements Predefined Text Rectangles Relative Angles Straight Lines vY Texts Time and Dates Overlays Properties Quick Properties Prompt For Label Properties Freeze Label Merge Order Remove Hide Labels Recover Lost Labels Allow Interaction With Labels Ctrl Shift Alt N Ctrl Shift Alt A Ctrl Shift Alt B Ctrl Shift Alt H Ctrl Shift Alt J Ctri Shift Alt 4 Ctrl Shift Alt F Ctrl Shift Alt G Ctrl Shift Alt 1 Ctrl Shift Alt Z Ctrl Shift Alt U Ctri Shift Alt K Ctrl Shift Alt R Ctrl Shift Alt L Ctrl Shift Alt T Ctrl Shift Alt D Adding a label to an image is easy Simply select a label from the menu then click or click and drag on the image A Label Properties dialog box will then display allowing users to specify various attributes of the label These include but are not limited to text type if applicable size and color of the label Apteryx Inc Page 63 of 106 APTERYX XrayVision User Manual custom software 7 1 Adding and Modifying Labels Markers and Annotations i The following example is how to add a callout label to an image The callout label is a text box with a stem that points to an area of interest on the image Users have control of the direction and look of the stem as well as the text 7 1 1 Select Labels gt Callouts Labels TransIT Tools Window Help Ra Angle Measurements Ctrl Shift
53. apture Sensor Image Please select and configure the sensor that should be used when capturing the image Digital System Selected Sensor Description lt Auto gt Select Sensor V Continue to use this sensor No intermittent prompts Apteryx Inc Page 22 of 106 XrayVision User Manual 3 3 5 Select Continue to Use This Sensor Source if all images in teh layout will be captured using the same hardware source If unchecked the user will have to specify a hardware source between each capture in the series 3 3 6 The software will advance and prepare the hardware for x ray exposure The indicator will turn green when the sensor is ready to capture an image A vocal cue will also be heard if the computer had a sound card and speakers 3 3 7 Proceed to shoot the x ray The new image form the hardware will appear in the selected tile 3 3 8 The application will then advance to the next tile in the series If Continue using this sensor source was selected the hardware will automatically be prepared and readied for the next capture If not the user will be prompted to select a source for the next image tile 3 3 9 Repeat the capture process until the last image in the series has been captured Once all the images are captured click the Done button The Layout Capture screen will close and the layout complete with images in each tile will display in the LayoutView screen on the appli
54. apture under nobody If enabled users will be unable to capture until a patient file is open e Display user cancelled messages If enabled displays a prompt indicating a cancelled capture e Microsoft Word can be found in the following directory If Microsoft Word is installed on the computer a user can browse or click on the Search button to locate the application This is used when clinics utilize XrayVision s document template exports e Move all deleted items to the recycle bin If enabled items deleted from within the imaging application will be moved to the local computer s recycle bin Before restoring an image from the recycle bin note the original location as listed in the Window s Recycle Bin screen s Original Location column e Log all TWAIN acquisitions If enabled a TWAIN log file will be generated whenever acquisitions from the device are performed 10 2 Options The Interface Tab The Interface tab contains settings that control the appearance of the user interface and information displayed on different control windows pop ups and the status bar Interface control settings options and 98 OP Interface control settings options and preferences Interface control settings options and _ preferences interface Preferences s Desktop Color yatient Information and n display settings options Desktop Soler M V Display background bitmap T Display background tile bitmap
55. as 5 24 2012 section Updated content to align with the release of XV4 5 30 2014 Update format and grammatical changes e added effective date and version number to the header added Technical Director approval line to cover page removed double spacing corrected spelling errors deleted random alphabetic and numeric bullets throughout document Apteryx Inc Page 2 of 106 custom software TABLE OF CONTENTS PSS VISION H OTY si E E E E E aacdaate iankianedmecamitiantinseaineimitdaakiamansesnssiantiis 2 TADE OFCOM ENS sect ri E E E E E E 3 k THE G ER MINT AOE orree E EA A 5 1 1 ORN OV SSW eE A EE E E EAE A 5 2 MANAGING TN asics ere censors cs stacey ees oe eee ees arent E 9 2 1 Open Create Patients Using a Practice Management Bridge cccccccssceceeeeeeeeeseeeeseeeeaeeeaes 9 2 2 Adding Creating a New Patient ccccccccscccscecseeeceeccueeceueeceueeceeeeaeeseucesaueeseeeesueessusessueenaess 10 2 3 Opening an Existing Patient Record ccccccccceececeeeeseeeeee cece eeseeeeseeeeseeesseeeseeeeseeeeseeesseeesseeees 10 2 4 Viewing a Patient s Images cccccccsscccssecceeeceeeeceucecueecueecaeeseueeseusesaueeseeesueeseusessueesseesseeeseas 11 2 9 Editing Patient InMormaloNs sssrinin Eara e 15 2 6 Merging Patents sssrinin eters esha espa ede ies needa aca E E EE SAE EEE 15 2 1 Deleting a Be SY WU escent eee cpt pi nan Pcp eet nc eee mele en pleeatomen sis 16 3 CAPTURING IMAGES IN XRAYVISION
56. bars when viewed Display the last modified time Displays the modified date on the image title bars when viewed Automatically tile images when they are displayed If enabled images will automatically be tiled on the application desktop when opened under a patient Tile images horizontally If enabled images will be tiled in a horizontally across the application desktop Tile images opened under Nobody If enabled images opened on the application desktop when no patient file is open will be tiled Leave Extra Space at the Bottom of the Layout This allows users to define a percentage of space that will be left unoccupied at the bottom of the XrayVision Window Maximize layout displays Select this option to maximize the display of open layouts on the application desktop On new layout automatically switch to layout capture mode this option eliminates a click when capturing into a layout It opens layouts directly into capture mode On new layout automatically start the series acquisition If selected layouts open in capture mode will automatically start the series acquisition As indicated auto capture must be enabled in the hardware s settings Use the last window position for the layout single view window This option applies to displaying layouts in the single view mode Users can fix the layout single view window based on the where the window was last positioned on the application desktop Draw toot
57. can add custom text to the toolbar button by typing it in the Custom Text box at the bottom of the window Click OK to save the button 11 1 2 6 The new button will now be displayed in the button list on the left of the Customize Toolbar window You can click and drag the button up or down in the list to change its displayed position on the toolbar Click OK to save your changes te Reset To Default E Capture Single Image K k Capture Layout Images Quick Sensor Capture N Capture Video Image Fe OArAa6 rr l Counter Clockwise 90 rees BoE 4 sas ea Capture Capture Counter Layout video Clockwise 11 2 The Toolbox When opened the toolbox displays various buttons that enable users to quickly access and execute the related feature function To open or close the toolbox simply click on the Toolbox button in the pop out bar on the right side of the XrayVision desktop xoOgoo y Apteryx Inc Page 103 of 106 APTERYX custom software 11 2 1 Default Toolbox Options Fointer Equalize dl Spat Enhancer il Pointer Allows the user to freely click throughout the program with the mouse arrow Rotate 90 CC Rotates the image 90 counter clockwise Equalize Performs an equalization enhancement on an image Measurement Labels Permits the placement of measurement labels Requires calibration before use Spot Enhancer Performs
58. cation s desktop Oo For more information about retaking images and other interactions during capture refer to section 4 Interacting with Layouts 2014 04 18 2014 04 18 2014 04 18 File 0 4 Files lt New Group gt 3 3 10 Quick Layout Capture Quick layout capture allows users to launch directly into a specified layout bypassing the Select Layout screen This functionality is useful for creating toolbar toolbox buttons that will directly launch a commonly used layout and automatically ready the hardware for capture this requires the specified layout to have a default imaging extension assigned To launch a quick layout capture click File gt Acquire gt Quick Layout Capture gt Desired Layout 3 4 Continuous Series Capture Continuous Series capture mode allows users to repeatedly take shots of a specific tooth or teeth without having to manually ready the sensor before each exposure This method is commonly used during endodontic procedures so that x rays can be taken at any time during the process without having to interact with the software Apteryx Inc Page 23 of 106 ett Ate N XrayVision User Manual 3 4 1 To initiate a continuous series capture click the Capture Layout button aed on the toolbar or select File gt Acquire gt Capture Layout Images The Select Layout window will appear p Please select the layout definition that should be used when EM capturing images
59. ctory that XrayVision will periodically check for files to import Once the utility is configured users can perform auto imports with just a few mouse clicks Auto Importing is typically used for the real time import of images captured with a digital camera Apteryx Inc Page 52 of 106 APTERYX N XrayVision User Manual 1 Images that are automatically imported are deleted from the source folder after being imported 6 1 5 Configuring the Auto lmport Utility 6 1 5 1 Select File gt Acquire gt Auto lmport Images or Layout from the main menu The Auto Import Image or Layouts interface displays Autolmpon images Orly Automatically Import Files From Directory Wait 2 seconds x after a file appears to be sure that no more files are being transferred to the target directory NOTE The images will be opened under whatever patient is currently opened Additionally the files will AUTOMATICALLY BE DELETED from the target directory once they have been imported into a patient but will NOT be deleted if imported into NoBody Import As Image Type A layout lt Please Select A Layout gt Enable constant automatic irf 1 Sal 2 Bite Wincs F Do immediatly when I close t 5x5 Group 6 1 5 2 Click the Browse button shown in red below in the Automatically Import Files From section Auto Import Images Or Layout Le File Specification fie zs v after a file appears to be sure t
60. default email application set up in Windows Refer to Microsoft Support s Online Knowledgebase Article KB 154359 for instructions to specify Microsoft Outlook or Outlook Express as the default email application 8 1 1 1 8 1 1 2 8 1 1 3 8 1 1 4 8 1 1 5 Select TransIT gt Component Options The TranslIT Configurations dialog box displays Select General Emailer Creator and click on Edit Options The General Emailer Options dialog box displays r General Emailer Options V Always use this quality factor JPEG Quality Factor 1 100 100 ewe ie at High Huay Copyright 1999 Apterys INC AI rights reserved Wi Mask SS numbers P About Emailer 20K Caneel _ Accept the default or change the JPEG Quality Factor The higher the quality the larger the generated jpeg files will be when converted and sent Enable the Mask SS numbers option to suppress the transmission numbers Click OK when done Click OK on the TransIT Configurations dialog to return to the application desktop 8 1 2 Sending Images Using the General Emailer Creator 8 1 2 1 Apteryx Inc Open the image or layout that you wish to send Page 75 of 106 APTERYX XrayVision User Manual custom software 8 1 2 2 Select TransIT gt General Email Creator The TranslT Item Selection dialog box displays TranslIT Item Selection ri What do you want to send Si
61. e options Microsoft Word can be found in the following directory Tooth Control C Program Files x86 Microsoft Office Office 14 WINWORD EXE Tooth control definition preferences y Miscellaneous Time And Date V Move all deleted items to the recyde bin Time and date display preferences and a formats E Log all TWAIN acquisitions Language preferences e Display Open Patient Dialogue Will display the Patient Rolodex every time the program is opened e When opening patients from other applications proceed directly to Open Patient Images If bridging from a Practice Management application and opening an existing patient file the Open Patient Images dialog will display if this option is enabled Apteryx Inc Page 92 of 106 APTERYX XrayVision User Manual custom software e Prompt for which database to use when starting the program If the office has multiple databases that are used in XrayVision this option will allow them to specify which database to use when the software is opened e Track p undo and redo operations Option will define how many undo s and redo s you will have available Choose zero 0 for an infinite number of undo operations e Display warning messages when capturing under nobody Controls the display of the warning that pops up when a user attempts to capture without a patient open first If unchecked the warning will never come up e Prevent image c
62. e layout Refer to section 6 6 Deleting Patient Images for more information about deleting images i Once an image is deleted it cannot be recovered 4 2 5 Additional Layout Views e Grid View Grid view displays all the images in the layout in a grid format shown below Users can change the size of the grid by clicking on the Specify Grid Size button HE at the top of the window e List View List view will provide the user with a file list of the images contained in a layout shown below Double clicking on one of the files in the list will open it in single image view Double clicking on the single image view will return the user to the file list Taken 2014 05 05 10 49AM E L Filename Size Compressed Size Compressed Method Time Date Attributes ke Tile JPG 362 34 KB 6 362 34 KB 05 05 14 10 49AM AT E Tile 10JPG 372 79 KB 372 79 KB 05 05 14 10 49AM__ AT E Tile 11 JPG 347 64 KB 347 64 KB 05 05 14 10 49AM__ AT E Tile 12JPG 353 76 KB 353 76 KB 05 05 14 10 49AM_ AT E Tile 13JPG 341 96 KB 341 96 KB 05 05 14 10 49AM _ AT E Tile 14JPG 374 19 KB 374 19 KB 05 05 14 10 49AM _ AT E Tile 15JPG 364 12 KB 364 12 KB 05 05 14 10 49AM AT Tile 16JPG 364 12 KB 364 12 KB 05 05 14 10 49AM AT Tile 17JPG 359 04 KB 359 04 KB 05 05 14 10 49AM AT Tile 18JPG 364 58 KB 364 58 KB 05 05 14 10 50AM AT Tile 2 JPG 362 25 KB 362 25 KB 05 05 14 10 49AM AT E Tile_3 JPG 368 24 KB 368 24 KB 05 05 14 10 49AM _ AT E Tile 4 JP
63. eal Time Filters e Ignore Large Images Selecting this option prompts the user to set a maximum image pixel dimension for use with the filters Any dimension value that is higher than the specified number will not have Real Time Filters applied to it Oo Right clicking on an image and selecting Image Related Information gt Image Information will show that image s pixel dimensions Ignore RTF On Large Images Enter the dimension that defines the maximum dimension that is considered when running real ime filters Entering U disables maximum dimensions Maximum image dimension oO The Ignore Large Images option is primarily utilized for excluding panoramic and cephalometric images from being filtered 5 7 Full Screen View The Full Screen View allows users to make adjustments on an image while viewing the image on the entire screen 5 7 1 Right click on the image and select Image Operations gt Full Screen View or click Image gt Full Screen View from the main menu to view the image in full screen mode 5 2 The buttons in the bottom right corner highlighted in red above perform various functions on the image Oo These functions are used for diagnosis in full screen view ONLY and are not saved to the image itself Apteryx Inc Page 45 of 106 XrayVision User Manual A A Mouse Zoom Tool This button allows the user to click and drag on the image or use the mouse wheel to zoom in and out PI Fit t
64. ection specify whether the files to be imported should be imported as Individual Files or A Layout If a layout is chosen select the appropriate layout format Also select the appropriate Image Type to categorize the images being imported Import As Image Type Other Miscellaneous OT X Individual Files A layout lt Please Select A Layout gt lt Please Select A Layout gt u T Enable constant automatic irl Mi 2 Bite Wings Do immediatly when I dose LI Checkup 6 1 5 6 Select Enable constant automatic importing of images if desired If enabled XrayVision will automatically import images from the specified location whenever an image is created in the directory 6 1 5 7 Enable Do immediately when close this dialog to start the auto import process immediately 6 1 5 8 Click OK when finished 6 1 6 Performing an Auto Import 6 1 6 1 Add create a new patient or open an existing patient record 6 1 6 2 Select File gt Acquire gt Perform An Auto Import Now The images will be imported and displayed on the application desktop 6 2 Moving Images from One Patient to Another Occasionally images may be captured under the wrong patient and needs to be moved to another patient s record To find images captured under the wrong patient refer to section 6 5 Finding Images by Date function 6 2 1 To move single images from one patient to another 6 2 1 1 Open the image or ima
65. ed filter or select a different filter If no filters are selected images open for viewing will be displayed in their original state a aman Apteryx General Enhancement ___ Doe John 5 6 2 Adjusting Real Time Filters 5 6 2 1 To adjust values used with a Real Time Filter left click on the Real Time Filter button on the Status Bar select Real Time Filter Options and choose the appropriate Real Time Filter from the list No Real Time Filter Apteryx General Enhancement Ignore Color Ir Custom Image Enhancement Ignore Large Images General Endo Enhancement 3 Apteryx General Enhancement as Real Time Image Filter Options lt 3 Custom Image Enhancement No Real Time Fite Doe yon i a 5 6 2 2 Adjust the settings as desired and click OK to save the changes 5 6 3 Ignore Color Images Ignore Large Images Real Time Filters can be configured to not show their enhancements on images that are in color or very large These options appear under the Real Time Image Filter Options menu shown below No Real Time Filter Apteryx General Enhancement Ignore Color Images CustomEnhancement Ignore Large Images General Endo Enhancement Ez Apteryx General Enhancement CustomEnhancement Apteryx Inc Page 44 of 106 APTERYX XrayVision User Manual custom software e Ignore Color Images If this option is checked any image that was captured or imported into XrayVision as a color image will not be filtered by the R
66. ed to the target directory image Type Miscellaneous v Image Subtype Miscellaneous X NOTE The files will AUTOMATICALLY BE DELETED from the target directory once they have been imported into the layout Page 31 of 106 custom software XrayVision User Manual 4 1 2 Enhancement Buttons The buttons in the bottom left of the Capture Layout window are used to rotate vertically horizontally mirror and invert images in the layout These buttons are most commonly used with phosphor plate scanners as tiles may be scanned by the user in random order and rearranged after capture Q Rotate Clockwise Rotates the selected image 90 clockwise F 3 a Flip Horizontal Flips the selected image horizontally E H Flip Vertical Flips the selected image vertically Invert Converts black areas of the image to white and vice versa Stops Series Capture Stop Series Capture The Stop Series Capture button is located in the bottom right of the layout capture window This button allows the user to stop the automated series capture The series acquisition can be restarted at any time by clicking the Capture Series button If the user clicks the Done button any captured images will be returned to the XrayVision desktop and empty tiles will act as placeholders for images that were not captured in the layout format shown below 4 Bak g 1 1 K a2 Ds 9 1 f 1
67. ent 5 3 1 Applying sharpening or Laplace edge enhancement 5 3 1 1 To apply sharpening to an image select Enhancement gt Sharpen and Edge Enhancement gt Sharpening to use the standard sharpening tool or Enhancement gt Sharpen and Edge Enhancement gt Gaussian Edge Enhancement from the main menu The applicable enhancement dialog box displays Apteryx Inc Page 40 of 106 APTERYX amp XrayVision User Manual custom software O Gaussian Edge Enhancement ati Original nage Display Operation Preview Mak 16x15 v Fods J 150 we of x HK cancet k 5 3 1 2 Use one of the following image adjustment buttons to size resize or reposition the images displayed in the original and resulting image preview windows as desired 2 AA Select to magnify or reduce the image in the preview To increase the magnification of an image click on the image in the preview with the left mouse button To reduce the magnification click with the right mouse button DERN Select to automatically resize the image and make it fit in the viewing area 5 3 15 The mask size and sharpening factor work hand in hand in determining the degree of sharpening that is applied to the image The Sharpening Factor specifies the magnitude of the sharpening operation Use the slider to manually adjust the degree of image sharpening as desired H lave 5 3 1 4 Click OK to apply these settings to the open image Cl
68. equalization on a small user defined area in order to exaggerate density changes iy Pris Adaptive Normalize a Spat Magnifier vrd Invert Converts black areas of the image to white and vice versa Rotate 90 Rotates the image 90 Adaptive Normalize Performs an adaptive normalization enhancement on an image Text Labels Adds a label consisting of customizable text Spot Magnify Magnifies a user defined area of the image by 1x 2x 3x or 4x 11 2 2 Customizing the Toolbox Apteryx Inc te 4 d Full Screen al Flip Horizontally Flips the image horizontally on a vertical axis Fast Median Performs a fast median noise reduction enhancement on an image Notes Lengthier annotations about an image or layout Full Screen Maximizes the image to fill the entire computer screen XrayVision User Manual u Fip_ Vertically 4 al ar Gamma Comection d Flip Vertically Flips the image vertically on a horizontal axis Gamma Correction Displays gamma correction values that can be manually adjusted Taken Date Allows the user t adjust the taken date of an image Undo Modifications to the image can be reversed or undone with this tool If the toolbox is not in locked mode it can be customized to display the desired toolbox option All buttons on the toolbox have a black triangle in the lowe
69. erface for this option will depend on which imaging device was selected from the list Tooth assignment for any captured images will occur after the acquisition 3 2 4 TWAIN Capture If a TWAIN source is selected for the single image capture the TWAIN interface will appear and prepare for acquisition Once the image is taken the Modify Tooth Associations window will appear prompting the user to assign tooth associations to the new image 3 2 5 Direct Capture Extension Capture Direct Capture Extensions are untilized by 3D hardware units Readying an exposure from one of these extensions will launch the specified manufacturer s 3D capture software Once an image is captured it will be stored in the XrayVision database 3 2 6 Auto Acquire Device Capture If an auto acquire TWAIN device is configured this selection will ready the hardware for acquisition without any interaction from the user oO Not every TWAIN or Other Device supports auto acquire A standard interface capture will occur in these cases Apteryx Inc Page 20 of 106 cece anki XrayVision User Manual 3 3 Capturing Layout Images A layout is a group of tiles displayed in a single workspace Tiles are grouped anatomically to reflect tooth positioning in a patient s mouth O Layout definitions specify the source sensor scanner etc from which the image will be acquired By default layouts are configured to capture from sensors If a practice wishes to use a dif
70. ferent hardware source for their layouts they will need to change the layout definition Select Tools gt Layout Definitions from the main menu and then refer to XV_AdministrativeOptions section 4 4 Common Layouts Tasks Changing the Capture Source To capture layout images from the current patient ve 3 3 1 Click on the Capture Layout Images icon on the toolbar gt Capture Layout Images or click File gt Acquire 3 3 2 The Select Layout screen displays allowing users to choose the layout definition to be used for capture By default XrayVision includes layouts for bitewings posteriors anteriors full mouth series etc Layouts can be edited or created in the layout definition options Refer to XV_AdministrativeOptions section 4 Customizing Layout Definitions for more details Select Layout gig Please select the layout definition that should be used when BM capturing images dcon List icon and Name E WBC pa m A H ore J 2 Ww Oo By default this window displays available layouts in Icon view Additional views include List and Icon and Name Select the tab preferred for viewing layouts on the selection screen and it will be stored as a default setting for the workstation 3 3 3 Select the desired capture layout by double clicking on it or click on it once to highlight it and then click
71. g and drop feature to manually add import images First open the patient s file In Windows Explorer navigate to the location of the image Click on the image file and continue to hold down the mouse button while dragging the image filed onto the XrayVision desktop Let go of the mouse button to drop the file The image will display on the application desktop for the user to save to the patient s file 6 1 2 Standard Import Utility The standard import file utility streamlines the import process by providing a single interface that allows users to add files from any location on the computer To import images to a patient s record 6 1 2 1 Add create a new patient or open an existing patient record 6 1 2 2 Select File gt Acquire gt Import Images or Layout from the main menu The Import Images or Layouts interface displays Import Images Or Layout Files To Add Or Import _ Show preview Filename Size Modified Date Created Date To add files drag and drop them onto this window click on the browse button to the right and select the files that should be added or fill in the auto4mport parameters below The files can be reordered by dragging and dropping them to their new locations Right click on an item for additional options Double click for view Automatically Import Riles From Directory File Specification i e a Automatically import files from this directory as soon as this dialog is opened Ope
72. ge gt Type and then select the applicable label type the submenu will only display the label types added to the open image Oo Once a label is merged onto an image it can no longer be moved hidden edited or deleted We recommend making a duplicate copy of the original image by selecting Image gt Duplicate before merging labels Apteryx Inc Page 71 of 106 APTERYX XrayVision User Manual custom software 7 3 2 Hiding Labels Hiding labels is a good way to analyze an image in its raw state without removing any labels that have been created 7 3 2 1 To hide labels Select Labels gt Hide Labels The sub menu gives the user the option to hide All of the labels or specific label types Ta2 2 To unhide labels Select Labels gt Hide Labels and choose None or select a specific label type to unhide 7 3 3 Freezing Labels Freezing a label will essentially lock it in place preventing it from being moved or deleted This feature will prevent a label from accidentally being moved from its current location The freeze utility is most commonly used on measurement labels to prevent them from being shifted To freeze a label in place Select it with the left mouse button and click Labels gt Freeze Label or right click on the label and select Label gt Freeze Label Simply repeat this process if you wish to un freeze the label 7 4 Image and Layout Descriptions A description is a short note about a single image or lay
73. ges that were captured under the wrong patient 6 2 1 2 Right click on an image and select Move to Patient gt Move Image to Patient from the pop up menu Oo If you wish to move all of the open images at one time select Move to Patient gt Move All Images To A Patient Apteryx Inc Page 54 of 106 APTERYX custom software 6 2 2 To move a layout from one patient to another 6 2 2 1 6 2 2 2 Apteryx Inc 6 2 1 3 6 2 1 4 Real Time Image Filters Real Time Image Filter Options Image Operations Tooth Information Image Related Information Save Print Move to patient 4 Move Image To Patient Delete This Image 4 Move All Images To A Patient History Compare Images moved and click on the OK button pop up menu Layout Options Real Time Image Filters Real Time Image Filter Options gt Image Operations r ED Tooth Information Image Related Information b Save gt Print sR Copy r Paste Move to patient g Move Image File To Patient 7 Delete This Image From The Layout a Move Layout To Patient Delete This Layout a Move All Images To A Patient History Compare Images Open the layout that was captured under the wrong patient XrayVision User Manual The Move Image to Patient utility displays Select the patient from the list to which the image is to be The
74. gt Capture Single Image or select Capture Single Soe on the toolbar e The Capture Image screen displays Choose the appropriate imaging hardware that you wish to acquire from Oo There are several tabs in the Capture Image window that categorize attached devices f amp Capture Image Imaging Devices and Capture From Imaging Devices and Sensors Sensors Alloy s Capture from a digital sensor and other imaging devices TWAIN and Other Devices lt e Imaging Devices and Sensor Extensions Auto Acquire Devices e i Imaging Device Extension Wray serene lt Aaity gt e The next window that displays will depend on which hardware was selected for capture Apteryx Inc Page 18 of 106 APTERYX XrayVision User Manual custom software 3 2 1 Sensor Capture The Sensor Tooth Selection screen will appear Select one or more teeth to associate to the image after the capture is complete This will automatically setup the tooth association with the image and properly orient the displayed image Oo Select a group of teeth by holding down the left mouse button and dragging the cursor over each tooth in the group Release the mouse button when complete Select teeth will be highlighted in grey Sensor Tooth Selection a a a 5 U T 1 ll 82 ft ie le f Mm we oO tag t wel w ad Select the teeth for which you will be capturing a digital x ray Canet J Aistomabcally proceed
75. h number indicators instead of tile number indicators If enabled tiles in layout view will display the associated images tooth numbers rather than the order number of the tile During Sensor Capture Display an Auto dismissing Preview Screen of the Sensor Capture This option will display a window with a preview of the most recent sensor capture in between tiles during a layout series Display the layout overview when viewing individual images in a layout The layout overview window shows the user a small representation of the full layout when a single image is opened for viewing This can be turned on or off The visibility of the window can also be adjusted via the dropdown menu Zoom to fit Images displayed full screen This option will display images that are opened in full screen mode to fit as opposed to 100 Lock toolbox Locks the top 12 buttons on the Toolbox pop out bar to what they are currently set to Only allow one patient open at a time Limits the amount of open patient files to just one Automatically hide pop up controls If enabled the automatic Properties menu that pops up when a label tool is used will be disabled Keep control s position relative to application This option limits the toolbar to display within the boundaries of the interface when the application is not in full screen mode If disabled the tooloar may appear outside of the interface Display tooth numbers in title bars Displays
76. hat can be performed on them This guide will cover the most commonly used operations merging hiding and freezing 7 3 1 Merging Labels Labels are not permanently fixed to an image file when they are added They are floating objects that can be moved modified resized or deleted at any time There may be situations when a dental practice wants to make a label or labels a permanent part of an image This will allow them to export the image out of XrayVision with the labels on them This process is called merging If labels are not merged onto an image they will not show up in exported files Oo Labels cannot be directly merged into STB16 or STB images the proprietary secure image format of Apteryx imaging applications If you are intending to email or print a STB image export it as a duplicate JPEG image right click on the image then click Save gt Export and select Jpeg image in the Save as type field The exported image will need to be opened in order to email or print it It can be found under the Miscellaneous category Follow the directions provided below to merge one or more labels Fead To merge a single label click on the desired label to select it Select Labels gt Merge gt Current label or right click on the label and select Labels gt Merge Label 7 3 1 2 To merge all labels on an image Select Label gt Merge gt All Labels 7 3 1 3 To merge only labels of a specific type Select Labels gt Mer
77. hat no more files are being transferred to the target directory 6 1 5 3 The Select Path dialog box displays Find and select the appropriate folder Click Select Folder Select the appropriate directory Ke 2 gt Computer gt Windows C Patient Images Organize New folder Favorites E Desktop amp Downloads Gl Recent Places No items match your search Libraries E Documents a Music E Pictures E Videos JE Computer amp Windows C Gia Network 1 an jm ap Apteryx Inc Page 53 of 106 APTERYX XrayVision User Manual custom software The path of the folder selected will display in the Directory field If desired specify the file extension for specific file types to import e g jpg in the File Specification field highlighted below Auto Import Images Or Layout 2s Automatically Import Files From Directory File Specification f e C Patient Image n es Wait 2 seconds after a fle appears to be sure that no more files are being transferred to the target directory 6 1 5 4 Click on the Wait drop down list to select an appropriate wait time for the import utility to wait for more images before completing the import Oo This feature is useful if the images are to be directly imported from a digital camera that is attached to the computer and multiple shots are being taken on one patient 6 1 5 5 In the Import As s
78. i Typically calibration is not necessary as XrayVision should automatically receive the correct measurement calibration from the hardware during capture Taken 04 28 1999 8 26AM Sensor images can be more accurately calibrated by using the actual dimensions of the sensor s active area rather than an object of Known length The active area of the sensor can be determined by referring to the hardware s documentation or contacting the manufacturer 8 Apteryx does not guarantee the accuracy of any calibration measurement performed in the imaging application Apteryx Inc Page 66 of 106 eon N XrayVision User Manual 7 2 41 Calibrating an Image je 7 2 1 1 From the menu select Actions gt Calibration Measurements The cursor will change into a crosshair with a gear above it PH 7 2 1 2 Place the calibration crosshair at the starting point of the object of known length Hold down the left mouse button and drag the crosshair to the end point of the object Release the mouse button B Taken 04 23 1999 8 Oo Non linear calibrations can be created by right clicking on end points while dragging the mouse with the left button held down Release the left mouse button at the final end point 7 2 1 3 The Calibration Measurements pop up screen will appear Type the known length of the object in the appropriate measurement unit box and click OK Calibrate Measurements Reported Distance Actual Di
79. ick on Save to store the changes 5 4 Noise Removal Noise in an image can be caused by a number of factors such as dust scratches or image static A variety of noise removal reduction algorithms are provided e Fast Median e Median e Minimum e Maximum What is identified as noise in an image differs with each selection In most cases median noise reduction results in the best image quality The minimum and maximum noise reduction filters are usually useless on smaller images However due to their fast speed of computation they are typically utilized on large images It is important to note that excessive noise reduction leads to a loss of detail Apteryx Inc Page 41 of 106 APTERYX custom software XrayVision User Manual 5 4 1 Applying Median Minimum or Maximum Noise Removal 5 4 1 1 Select Median Minimum or Maximum from the Enhancement gt Noise Removal menu option The applicable Noise Reduction dialog box displays amp Median Noise Removal Original Image Display BR 2 Ace Jf OK xX Cancel 5 4 1 2 Use one of the following image adjustment buttons to size resize or reposition the images displayed in the original and resulting image preview windows as desired a A Select to magnify or reduce the image in the preview To increase the magnification of an image click on the image in the preview with the left mouse button To reduce the magnification click wi
80. image s can now be found under the patient s record that was selected in the dialog box Right click on any image tile in the layout and select Move to Patient gt Move Group to Patient from the Page 55 of 106 pat stbni itt N XrayVision User Manual 6 2 2 3 The Move Layout to Patient utility displays Select the patient from the list to which the layout is to be moved and click on the OK button The layout will now appear under the selected patient Oo To move a single image out of a layout to another patient right click on the single image and follow the steps listed The image will move to the new patient but it will NOT be deleted from the layout it was moved from The user will have to manually delete that image after it is moved 6 3 Exporting Patient Images XrayVision allows users to export images out of the software for use in patient referrals insurance claims etc Exports can be done manually or automatically An auto export will send images with predefined properties to a user specified directory with one click of the mouse 6 3 1 Manually Exporting Images Follow the steps below to manually export one or more images from a patient s file 6 3 1 1 Open the desired patient s file 6 3 1 2 Select Patient gt Patient Utilities gt Export Images from the main menu 6 3 1 3 The Export Target Path dialog box displays Export files to the following path Convert images to JPEG whenever possible U
81. ion for this calibration entry Quick Calibration Test 20 506944 to Lh x Keo 7 2 2 3 The newly added calibration factor will be listed under Quick Calibrations Users can apply it to any open image by double clicking on the selection Name Calibration lt Add Curent Calibration gt Quick Calibration Test 20 506544 set 130 Calibration 120 000000 3 Set 44 Calibration 44 00000 3 Set No Calibration 100 000000 4 7 2 3 Adding Auto Calibrations Apteryx Inc Once an image is calibrated that calibration factor can be configured to automatically apply itself to newly captured images with the same exact image size This feature is useful for sensors or any other imaging device that produces images with static dimensions oO Auto calibrations will not work for phosphor plate scanners due to dynamically changing image dimensions Page 68 of 106 APTERYX XrayVision User Manual custom software Different auto calibration entries can be created for different sensor sizes used in a dental practice To add an auto calibration 7 2 3 1 Open the Calibration control from the pop out bar on the right of the user interface and double click on lt Create New Auto Calibration From Current Image gt under the Auto Calibration section Calibrated 20 506944 Quick Calibrations double click to apply Name Calibration Add Curent Calibration gt Quick Calibration Test 20 5065944 Set 13
82. ish to change the orientation of the page landscape portrait or adjust any other printer specific settings click on the Setup Printer button oO The resulting printer options interface is specific to the printer that you have selected Click on the Print button when compete to print the images from the selected printer Page 87 of 106 ats tet N XrayVision User Manual 9 3 Printing an Entire Layout 9 3 1 To print an entire layout of images open the layout in the Layout View 9 3 2 Select File gt Print on the main menu or select the print icon r on the main toolbar 9 3 3 The Print Image s dialog box displays Printer HP LaserJet 4200 4300 PCL6 Digital Signature Test Office Information __ 9 3 4 Specify the printer that you wish to use in the Printer drop down menu O If no printers show up in the list check with your IT staff to make sure that the computer has proper access to a printer 9 3 5 Assign a digital signature Signatures are defined in the Printing portion of the Tools gt Options menu Refer to section 10 3 Options The Printing Tab 9 3 6 Type any desired notes messages that you wish to have added to the printed page in the Message box 9 3 7 If you wish to change the orientation of the page landscape portrait or adjust any other printer specific settings click on the Setup Printer button O The resulting printer options interface is specific to the
83. lations Fa Time And Date T c Time and date display preferences and formats Notifications x ML notification settings and t Language Language preferences Apteryx Inc Page 100 of 106 APTERYX custom software XrayVision User Manual 11 CUSTOMIZING THE TOOLBAR AND TOOLBOX 11 1 The Toolbar XrayVision provides users with the familiar Windows File Menu structure to perform tasks within the program The toolbar under the file menu allows users to add shortcut buttons for their most commonly used tasks pa CET ma laki Capture Capture Quick Capture Single Layout Sensor Video The default toolbar is retrofitted with options that are used quite frequently during a standard dental practice s workflow However each operatory computer in a dental practice can customize their toolbar to display their own set of commonly used options 11 1 1 Default Toolbar Options Open Patient Opens the patient record rolodex Undo Modifications to the image can be reversed or undone with this tool Capture Video Launches the Direct Video interface for IO camera acquisition General Open Interface used to open a patient s images Capture Single Opens the single image capture interface Apteryx General Enables or disables the Apteryx General Enhancement real time filter Save Used to quickly save an image or its changes Capture Layout Opens the layout captu
84. ma Correction After Gamma Correction e Normalize The process of increasing the contrast in an image by stretching the range of image intensities so that they can cover the entire range of intensity values The normalize option is only available for grayscale images Before Normalization After Normalization Apteryx Inc Page 39 of 106 APTERYX XrayVision User Manual custom software e Adaptive Normalize The Adaptive Normalize operation usually results in the best brightness contrast for an image The adaptive normalize approach uses adaptive algorithms to determine the best application of the normalize algorithm When adjusting the brightness contrast of an image the adaptive normalize operation is the recommended first attempt Before Equalization After Equalization 5 3 Sharpening and Laplace Edge Enhancement Due to the fact that most images have some degree of blurriness from focus problems or inherent limitations in the image taking process the imaging application offers two forms of image sharpening Mask Sharpening and Laplace Edge Enhancement Apteryx recommends the Laplace Edge Enhancement algorithm as the preferred method to sharpen an image This method applies an Unsharp Mask image processing filter Although each method utilizes a different approach to sharpening an image both approaches can compensate for the blurriness in an image Before Laplace Edge Enhancement After Laplace Edge Enhancem
85. mage Type Intraoral X ray IO Digital X ray Intraoral Image Type Other Miscellaneous OT Miscellaneous Image Miscellaneous Type Simulated Image E wae Hide Text Link Views Toggles the display of the associated Links actions in the various views f image information together lt No Real Time Filter gt 5 8 4 To use the image manipulation tools click on the arrow amp to expand the functions bar Click on the Link Views button if you wish to make your enhancement apply to all of the images being compared The button will turn green if the images are linked Simply click the button again to un link the images Link Views Links actions in the various views together 5 8 5 Select the Hide Text button toggle between the text being displayed above each images or being hidden mi Hide Text Aa Toggles the display of the associated image information Apteryx Inc Page 47 of 106 etsy tes XrayVision User Manual E amp Y Compare Images Compare Images Taken 04 28 1999 8 26AM Modified 04 28 1999 8 26AM Teeth lt No Associations gt Image Type Hard Copy HC Scanned X ray Ceph ES 5 8 6 To enable or disable a real time filter click on the indicator bar at the bottom of the window and click on the desired filter Refer to section 5 6 Real Time Filters for more information on Real Time Filter usage OFF Apteryx General Enhancement
86. n Apteryx secure image STB Merge labels into the image Layout Options As a combined single image As an Apteryx layout file ZIP A common file format ZIP file Remove unnecessary files Sends the image in a standard file format The resulting image can be processed by a majority of other applications 8 3 2 3 Single Image Options If sending a single image specify whether to send it as a plain image JPEG format or as STB file 8 3 2 4 Layout Options If sending one or more layouts select one of the following file format options e As Combined single image JPEG format e As an Apteryx layout file A compressed zip file containing the layout STB images and related data files e A common file format ZIP file A compressed zip file that contains the layout images in JPEG format 8 3 2 5 Click OK The TransIT XrayView Information screen displays Complete the following information on each tab e General tab Complete the email Subject and Reference Number fields TransIT XrayView Information General Patient Message Password Protect Subject Reference Number Patient Jane Doe Dnum X A4100001 Cancel Apteryx Inc Page 82 of 106 APTERYX XrayVision User Manual custom software e Patient tab The tab is pre populated with the open patient s information Complete any required field if it is blank
87. n Under i Nobody The current patient Doe Jane Dnum XVA100001 Delete the files once they have been successfully imported Import As Image Type Other Miscellaneous OT Individual Files Alayout Apteryx Inc Page 49 of 106 APTERYX XrayVision User Manual custom software 6 1 2 3 The Import Images or Layout window gives the user several options for importing and categorizing images in XrayVision o Files to Add or Import This window allows users to drag and drop files into it from a Windows Explorer window or browse to a file or files by using the Browse button outlined in red above Right clicking on a file in the list will allow the user to preview or remove it from the import list o Automatically Import Files From This dialog allows users to set a directory location and file specification type XrayVision will then import any files of that type from the specified folder Example If the file specification is jpg XrayVision will add any file that has the jpg extension in the provided folder path to the list of files to be imported Once a directory and file specification has been set click on the Add Files button outlined in green above to add files to the import list o Open Under This field allows the user to specify which patient s record the image s should be imported to The Current Patient is the patient that is open on the XrayVision deskt
88. n easy to use DirectVideo and Real Time interface that allos users to capture live images from video sources such as intra oral and digital cameras The Real Time Video Extension is used for capturing images from older analog intra oral video cameras connected to computers via video card The DirectVideo Extension is more commonly used for recent technology that connects cameras via USB FireWire IEEE 1394 cameras and DirectX video capture cards In this user guide captures will be limited to capturing from an Intra Oral Camera with the more commonly used DirectVideo Extension oO By default the DirectVideo Extension is enabled To change to Real Time Video Extension older analog cameras click on Tools gt Options gt Imaging Devices and enable the Real Time Video option under the Select Video Device category 3 6 1 Select the Capture Video Image button ae from the toolbar or click File gt Acquire gt Capture Video Image 3 6 2 The DirectVideo interface displays B DirectVideo Oo If more than one camera is attached to the computer select Video Devices from the menu and then select the correct device 3 6 3 Note that the live video feed on the right hand side Place the camera in the patient s mouth and position it where desired 3 6 3 1 Capture the image using one of the following methods Press the button on the camera i DirectVideo supports a variety of intra oral camera buttons from different manufacturers
89. n the control 5 1 5 Onthe main menu click on Save to store the changes 5 2 Brightness Contrast and Gamma Correction XrayVision contains a standard Brightness Contrast and Gamma Correction utility that can be used to imporve image quality In general brightness contrast enhancement adjusts the brightness and the contrast of an image in order to try to improve the overall dynamic appearance of the image Gamma correction differs from standard brightness enhancements It dynamically adjusts each pixel to prevent was out at the extreme light and dark ends of the spectrum Usually gamma correction is used in combination with one of the other B C enhancement tools to dramatically improve the overall appearance of an image Apteryx Inc Page 37 of 106 custom software XrayVision User Manual Apteryx Inc Before Gamma Correction After Gamma Correction To apply brightness contrast or gamma correction select Enhancement gt Brightness Contrast and choose either Brightness Contrast or Gamma Corrections The enhancement window will be displayed DB Brightness Contrast Onginal image Display Operation Preview r n ing tress ff x X cancel Use one of the following image adjustment buttons to size resize or reposition the images displayed in the original and resulting image preview windows as desired O LA Select the magnify or reduce the image in the preview To magnify an im
90. ngle Image Options As a plain image As an Apteryx secure image STB Merge labels into the image Layout Options As a combined single image As an Apteryx layout file ZIP A common file format ZIP file Remove unnecessary files Sends the image in a standard file format The resulting image can be processed by a majority of other applications 8 1 2 3 Single Image Options If sending a single image specify whether to send it as a plain image i e JPEG format or as an STB file 8 1 2 4 Layout Options If sending one or more layouts select one of the following file format options e As a combined single image JPEG format e Asan Apteryx layout file A compressed zip file containing the layout STB images and related data files e A common file format ZIP file A compressed zip file that contains the images in JPEG format Oo The receiving party must have an Apteryx Imaging product to be able to view STB files 8 1 2 5 Click on OK The TransIT Emailer Information screen displays Complete the following information on each tab e General tab Complete the Subject this text will be placed in the subject field of the email and Reference Number fields TransIT Emailer Information xP General Patient Message Generel Properties Subject Reference Number Patient Jane Doe Dnum 4100001 All information is not mandatory Click on the OK butt
91. ns The XrayView e Mailer Options dialog box displays XrayView e Mailer Options O R V Send attachement as a ZIP file V Always use this quality factor JPEG Quality Factor 1 100 g co Low Quality High Quality P About Mray view Ok Cancel 2306 2002 Apiary Mk ill HONE esee Apteryx Inc Page 81 of 106 APTERYX amp XrayVision User Manual custom software 8 3 1 3 Enable Send attachment at a ZIP file to generate attachments in ZIP format If disabled the attachment will be a self extracting executable EXE file extension A Warning Some email clients may be configured to not accept EXE file extensions for security reasons If so the email client will strip out the attachment when the new message is sent or the email message may fail entirely 8 3 1 4 Accept the default or change the JPEG Quality Factor to whatever desired The higher the quality the larger the generated jpeg files will be when converted and sent Click OK when finished 8 3 1 5 Click OK on the TransIT Configurations dialog to return to the application desktop 8 3 2 Sending Images Using the XrayView e Mailer Creator 8 3 2 1 Open the image or layout that you wish to send 8 3 2 2 Select TransIT gt XrayView e Mail Creator The TranslT Item Selection dialog box displays TranslIT Item Selection What do you want to send Single Image Options As a plain image As a
92. nt etc to view available thumbnails or a listing of related images Grayed out options mean that there are no images of that type that are for viewing in the patient s record he All digital x rays Intraoral xrays 10 Panoramic X rays PX Cephalometric X rays DX General X rays CR L l Digital Photos XC Scanned Images HC _ Miscellaneous By Tooth Select the desired tooth number or click and drag the left to select the multiple teeth The user can choose between Adult and Deciduous teeth Apteryx Inc Page 12 of 106 XrayVision User Manual APTERYX XrayVision User Manual custom software By Date By Image Type 2 4 2 Using the Patient Index Nae Open 2 4 2 1 If the patient record has not been opened yet click on the Open Patient Patient icon and search find the patient on the Patient Index dialog box DDI aa 2 4 2 2 Thumbnails of all images are displayed on the patient s index card Expand the All Images collapsible list for options to filter images by year month or day Apteryx Inc Page 13 of 106 APTERYX XrayVision User Manual custom software 2 4 2 3 To open a single image double click on the image thumbnail to display it on the application s desktop 2 4 2 4 To open multiple images select each thumbnail with the left mouse button and click Open Patient to display the selected
93. nt icon on the main toolbar The Print Image dialog box displays Printer HP LaserJet 4200 4300 PCL6 Digital Signature Test Office Information _ Specify the printer that you wish to use in the Printer drop down menu i If no printers show up in the list check with your IT staff to make sure that the computer has proper access to a printer Assign a digital signature Signatures are defined in the Printing portion of the Tools gt Options menu Signatures are discussed in section 10 3 Options The Printing Tab of this manual Type any desired notes messages that you wish to have added to the printed page in the Message box If you wish to change the orientation of the page landscape portrait or adjust any other printer specific settings click on the Setup Printer button O The resulting printer options interface is specific to the printer that you have selected Click on the Print button when complete to print the image from the selected printer Page 85 of 106 APTERYX XrayVision User Manual custom software 9 2 Printing Multiple Images 9 2 1 Open the relevant images layouts to view them on the application desktop 9 2 2 Select on File gt Print Multiple Images on the main 9 2 3 The Select Images dialog box displays 9 2 4 Click on any image that you wish to print to add it to the Select Images list on the left side of the window as shown below
94. o Screen Clicking this button will make the image fit within the exact size of the window QD A R Zoom In and Zoom Out Clicking these buttons will Zoom in and out from the image nl Brightness and Contrast This tool allows the user to click and drag on the image to adjust the brightness and contrast Dragging left and right adjusts the contrast and dragging up and down adjusts the brightness ah Gamma The gamma tool is similar to standard brightness adjustment but it is more powerful enhancement Gamma dynamically changes image pixels so that there is always a relative brightness difference between them This ensures that changes in density within the image will be maintained as opposed to all pixels becoming white or black To adjust the gamma click on the icon to activate Single left click and hold the mouse and move the cursor left and right to adjust the gamma Moving left will increase the gamma and right will decrease the gamma ES Spot Magnifier The spot magnifier tool will Zoom in to a user specified areas of the image by clicking and holding the left mouse button Right clicking with this tool will create a zoomed area that will remain displayed until the user clicks on the image again Double clicking allows the user to change the size and magnification level of the zoomed area al _Spot Enhancer The spot enhancer functions in the same way as the spot magnifier above but it stretches the histogram of the selected area f
95. of Apteryx provided document templates typically indicates the document type i e Referral letter treatment plan etc and number of images the template can handle 9 4 3 3 XrayVision will then launch Microsoft Word embedding the image and patient information outlined in green in the sample shown below into a new word document Smith Joshua SS 123 453 7689 ID 18123456 DOB 10 10 2003 Sex M Click here andtype recipient s address Thank youso much for refering Click here to enter patient sname to my office for a Click here to enter procedure evaluation ORAL EXAMINATION Click here to enter examiniation notes GINGIVAL TISSUE Click here to enter tissue notes PROBE DEPTH MEASUREMENTS Click here to enter measurement notes MOBILITY Click here to enter mobility notes FURCATION INVOLVEMENT Click here to enter furcation notes RADIOGRAPHIC EXAMINATION Click here to enter examiunition notes OCCLUSAL EVALUATION Click here to enter occlusal evaluationnotes TMJ Click here to enter TMJ notes DIAGNOSIS Click here to enter diagnosis notes TREATMENT PLAN RECOMMENDATIONS D 1 Click here to enter treatmentnotes Click here to enter notes Click here to enter your office name Click here to enter your name Click here to enter vour address Click here to enter your telephone and fax numbers Click here to enter your email address 2r WLLL Related Teeth 1
96. omizes the different application options Real Time Filter Indicator This is displayed as a colored bar on the right side of the status bar to indicate whether or not a real time filter is enabled Left clicking on the bar allows the user to change which filter is enabled turn the filter off or adjust filter options Refer to section 5 6 Real Time Filters for more information about Real Time Filter usage Me ApterxGeneral Enhancement faa Se Patient Indicator The patient indicator displays the patient that the user is currently working with If more than one patient record is open the user can left click on the indicator to change to a different patient Nobody Doe Jane Doe John Doe Jane Page 7 of 106 custom software Apteryx Inc XrayVision User Manual Current Magnification Indicator The current magnification indicator displays the magnification of the image currently being viewed Notes The notes indicator appears in black when notes are associated with an image otherwise it is grayed out To access the notes or edit the notes of an image you can click on this indicator with the mouse button Modified Indicator The modified indicator displays the magnification of the image currently being viewed HID Indicator Allows the user to hide and unhide labels by left clicking on the indicator Page 8 of 106 athe ated S XrayVision User Manual 2 MANAGING PATIENTS 2 1 Open
97. on to invoke your email application Apteryx Inc Page 76 of 106 pnehbe ni tS XrayVision User Manual e Patient tab The tab is pre populated with the open patient s information Complete any required field if blank F TransIT Emailer Information as General Patient Message General Properties First Name Jane Last Name Doe Se 55 Number ID Number XVA100001 DOB Sex Message tab Enter a message for the recipient of the email The message entered will appear in the body of the email TransIT Emailer Information EE _ General Patient Message General Properties k Cancel 8 1 2 6 Click OK when the TransIT Emailer Information tabs have been completed The imaging application proceeds to spawn Outlook Outlook Express create new email is created with the image attached i AHAT a z Untitled Message Plain Text a a tie J Mesiage Insert Ceptions Ponmat Tent Perey E 7 z A 3 A T g Attach fiir Y Fait Up E i z iE E Ef Alah Aem F High Importance Paste i Hames j 3 a r gf Signature Low bepoutance Cipher G Batir Tert meians Tag a Znam MiaiTips could net be retnirard Foam So Biaptersccom Tus Cha ubed Aarne Oe Jane sanni ray Penaral LEAI Iae es EE Patient Information Naiwei kime Die iD Number Wvalijgdl Teeth lt Whole Mo
98. op This option is selected by default Importing under Nobody allows the user to import images into XrayVision for viewing and enhancing without associating the images with a specific patient in their database This permits the staff to look at referral photos without having to create a patient record for them Oo If the Delete the files once box is checked the original image files will be removed from the target directory once the import is complete Otherwise it will copy the image and leave the original image where it is e Import As This section allows the user to specify an XrayVision Image Type for the imported images as well as whether the images should be saved individually or in a layout format If A Layout is selected the user will need to select which layout format they want the images to be imported into via the drop down menu Import Images Or Layout Files To Add Or Import _ Show preview Filename Modified Date Created Date C Patient Images patient_image_1 JPG 4 21 149 37 AM 4 21 149 50 AM C Patient Images patient_image_1 JPGXVTAG 4 21 149 37AM 4 21 149 50 AM C Patient Images patient_image_2 JPG 21 4 21 149 37 AM 4 21 14 9 50 AM C Patient Images Thumbs db y 4 21 149 33 AM 4 21 149 50 AM To add files drag and drop ther auto4mport parameters below additional options Double click _ lI 4 Bite Wings f Automatically Import Files Directory File Specification e C Pa
99. out file in a patient s record This note can be seen on any interface from which the user can open images via their thumbnail representations in XrayVision Descriptions are designed for keywords or short annotations e g Emergency Visit Extraction etc that can aid users when they are attempting to open images related to specific procedures Oo Image Notes are designed for longer descriptions and annotations about an image Users should utilize notes as opposed to the image description for lengthier text entries To add notes to an image select Image gt Notes or right click on the image and select Image Related Information gt Notes This can also be accessed by clicking on the NOTES indicator in the bottom right corner of the status bar 7 4 1 Single Image Descriptions 7 4 1 1 To add a description to a single image right click on it and select Image Related Information gt Description 8 Descriptions can also be accessed by clicking Image gt Description on the main menu Real Time Image Filters Real Time Image Filter Options Image Operations Gi Tooth Information Image Related Information i Image Information Save k Gy Extended Image Information f Print Eza m Taken Date Move to patient Lal Notes Delete This Image Description epa tet ELLEI DICOM Image Information History
100. patient s images Select one or more of the desired images and click on the Delete button Delete Patient Images Joshua Teeth lt No Associations gt 6 6 5 Multiple warning messages will be displayed to make absolutely sure that you want to go through with the image deletion If sure select Yes on each warning to continue with deletion i If an image is already open on the application desktop it can be deleted by right clicking on the image and selecting Delete Current Patient Image from the pop up menu To delete an image in a layout right click on the image in the tile and select Delete Layout Image Selecting Delete Patient Layout will delete the entire layout Apteryx Inc Page 62 of 106 APTERYX custom software 7 LABELING IMAGES XrayVision provides users with a large set of temporary labels markers and annotations that can be associated with an image A label can either be merged onto an image or it can float above the image without ever becoming permanent XrayVision User Manual A variety of labels can be applied to an image to highlight problem areas add date and time information define and identify performed procedures or add general notes Labels can be accessed from the Labels menu at the top of the XrayVision window Labels TransIT Tools Window Help fe 7 if Angle Measurements Arrows Bisecting Lines Callouts Ellipses Four Point Bisection Freehand Lines Gr
101. r Payor Patient insured Message Fields marked in bold blue font are required OK Cancel o Select the Browse button shown in red below to launch and select the patient s insurance company from the Select NEA Player dialog box after specifying the location of the FastAttach application Find FastAttach Please specify the location of the FastAttach application EN Seach o Click OK to return to the Payor tab o Click the Add button to store the entered information as a quick entry for future use e Patient tab The tab is pre populated with the open patient s information Complete any required field if it is blank Transl FastAttach Information a General Provider Payor Patient insured Message First Name Jane Last Name Doe SS Number A ID Number XVA100001 DOB mm dd yyyy Fields marked in bold blue font are required Ok Caneel Apteryx Inc Page 80 of 106 APTERYX amp XrayVision User Manual custom software Insured tab If the patient is not the insured person e g a dependant or spouse enter the insured person s information and select the applicable relationship If the patient is the insured person select the Same as patient button to auto populate the fields TranslIT FastAttach Information _ General Provider
102. r a comprehensive list of all the articles available in the Apteryx Imaging Knowledgebase Apteryx Inc Page 105 of 106 custom software XrayVision User Manual 13 ADMINISTRATIVE OPTIONS amp TECHNICAL SETUP This guide was designed to give everyday users of our program an in depth look at the tools and functions available to them during their workflow We have also created a guide for Administrators and IT Specialists to aid them when configuring advanced options related to the following Security settings and permissions Secure Logging and Audit Trail Configuration Database Management and Utilities XV Sync settings Customizing Layout Definitions Hardware Options Setting Default Options Toolbars amp Toolboxes on All Computers XML notification configuration for web servers Please visit the Apteryx website to download the XrayVision Administrative Options guide Apteryx Inc Page 106 of 106
103. r right hand corner which indicates that the option can be changed 11 2 2 1 11 2 2 2 W220 11 2 2 4 11 2 2 5 To change swap a toolbox option click on the black triangle of the toolbox button or click and hold down the left mouse button for about two 2 seconds Select the desired command and graphic from the selection options Please refer to section 11 Customizing the Toolbar and Toolbox if you need assistance using the Command and Graphic Selection Screen Repeat this process to swap out any additional Toolbox options desired Once the Toolbox options have been customized as desired it can be locked to prevent additional changes Select Tools gt Options from the main menu The Options dialog box displays Select the Interface tab and enable the Lock toolbox option under the Miscellaneous heading and click OK to save the changes Page 104 of 106 APTERYX XrayVision User Manual custom software 12 THE APTERYX IMAGING KNOWLEDGEBASE The Apteryx Imaging Knowledgebase is an online resource of technical support articles available to all of our customers It is a self service support channel that gives users the ability to search for e HOWTO articles common user tasks e HELP articles resolutions for common user issues e OVERVIEW articles general information regarding features functions and components of the imaging application Visit http www apteryx com knowledgebase fo
104. re interface Print Opens the image printing interface Quick Sensor Readies the sensor that was last used for single image capture 11 1 2 Customizing the Toolbar XrayVision allows users to add any function that is available via the main menu onto the toolbar Follow the steps below to add a custom toolbar button for a specific function oO Adding new toolbar buttons requires the user to first make note of the menu path for the desired command For example the images below illustrate how to add a button to rotate images 90 counter clockwise The menu path to the command is Image gt Rotate gt 90 counter clockwise Apteryx Inc Page 101 of 106 APTERYxX N XrayVision User Manual 11 1 2 1 Select Tools gt Customize Toolbar from the menu The Customize Toolbar dialog box displays Reset To Default F Capture Layout Images Quick Sensor Capture A Capture Video Image lt Separator gt 11 1 2 2 Click the Add Insert New Button to add a new button to the toolbar or select a button from the list and click Edit Selected to change an existing button s functionality Separators can be added to increase space between buttons Simply click on a button and choose Insert Separator to add one above the selected button slot Any number of separators can be added to the toolbar to space buttons out as desired 11 1 2 3 The Command and Graphic Selection
105. re are several options that can be used to manipulate them e Edit Selected Shot This option allows the user to change the tooth associations of the shot as well as the sensor s orientation in the mouth if desired Page 26 of 106 custom software XrayVision User Manual 3 9 9 3 5 6 Apteryx Inc e Delete Selected Shot This option will delete the currently selected shot from the series list e Move Selected Shot Up Down These options will move the selected shot up or down in the series order Click OK when you have finished adding and manipulating shots in the series XrayVision will generate a one time use layout based upon the shots that were selected in the previous window To begin capturing images click the Capture Series button in the upper left corner of the window O If no hardware was chosen in the Layout Imaging Extension Preference dropdown on the previous screen the user will then be prompted to select a hardware Once you have completed the layout capture click the Done button at the top of the window highlighted in red below O For more information about retaking images and other interaction during layout capture refer to section 4 Interacting with Layouts 7 enem ae 20 140408 bee ae Ww J J g gt l amean gt ee S o o me E 20 1454 78 70 1404 78 Page 27 of 106 APTERYX XrayVision User Manual 3 6 Intra Oral Camera Capture XrayVision offers a
106. rieved From info apteryx com to Send Co Subject Attached XrayViewMailer ZIP 154 KB Patient Information Name Jane Doe ID Number XVA100001 Teeth lt Whole Mouth gt Image Type Scanned X ray Image Subtype Panoral General Message Information Generated by Apteryx General Emailer TransiT CED Version 10 0 Build 2 Apteryx Inc Application ID XrayVision lt Unknown Version gt Search Token TransiTEmailSearchToken 8 3 2 7 Add the email address of the recipient s and proceed to send the attached file through Outlook Outlook Express Apteryx Inc Page 84 of 106 custom software XrayVision User Manual 9 PRINTING IMAGES AND IMAGE RELATED DOCUMENTS XrayVision has built in print functionality that allows users to print images and related information directly to a local or networked printer Additionally users have the access to a library of customizable Document Templates that can be used to generate referral letters treatment plans etc in Microsoft Word Oo Many of the printing preferences are located under the Printing tab in the Tools gt Options menu Please refer to section 10 3 Options The Printing Tab for more information about these advanced options 9 1 Printing a Single Image 9 1 1 9 1 2 LLa Apteryx Inc Open the image to view it on the application desktop Select File gt Print on the main menu or select the pri
107. rior endo card with Limage Four Vertical Images Clinical Report 4 Treatment Plan Dual Image 4 Full Mouth Series Treatment Plan 1 image Endo anterior 4x6 card 4 Quad Image 4 Endo anterior formal 4 Recall Exam Bitewings 4 Endo posterior 4x6 card 4 Referral 4 9 4 4 3 The images open on the application desktop will be listed in the Select the images to print section Select each image in the order they should be embedded in the document When selected the order number displays on the Order column Ordered images can be deselected by clicking on the desired image 9 4 4 4 In the Select the document you wish to create section choose the desired multiple image document template to generate Oo The listed document templates are not necessarily multiple image templates The naming convention of Apteryx provided document templates typically indicates the document type i e Referral letter treatment plan etc and number of images the template can handle 9 4 4 5 Click OK to continue 9 4 4 6 XrayVision will proceed to launch Microsoft Word embedding the images and patient information into a new Word document Apteryx Inc Page 91 of 106 APTERYX N A XrayVision User Manual 10 CONFIGURING OPTIONS XrayVision is a highly customizable application that can be fine tuned to suit a user s needs These options can be accessed by clicking on Tools gt Options The options are grouped into related
108. s The General Tab cccccccccssccssecccseeceuceceuceceeecaeecsueeceueesaueesaeeseueessusecsueesaeeseueessneess 92 10 2 Options The Interface Tab ccccccccccccsecccseeceececeuceceeeccaeecsueeceueecaueesaeeseeessuseseeeseesseeeessaeess 93 10 9 Op ons The Prn ng TaD seisein aanenceasenanetenantetacnenestiee sosenscesjored ste AoE ERAAN 96 10 4 Options The Tooth Control Tab cccccccccsececeececeeeeseeeeeeeeseeeeseeeeseeesseeeseeeeseeeeseesseeesaeeees 98 10 5 Options The Time Date Tab cc cccccccccccsscceceeeeeceeeeeseeeesseeeeseeeeeseueeeseueessaeeessaeeessneeeseeeeas 99 10 6 Options The Language Tab cccccccccsscccssceceececeeeeceeeceuceceuceceueesaeeesseessaeessusesaueesseeeseeeseas 100 11 CUSTOMIZING THE TOOLBAR AND TOOLBOX ccccccccccccccceececeeeeeeeeeaeeeeeeeeseeeeseeeeseeeeaeesaeees 101 TET Re TOODA sar e E a oun ve Sec arte E E E E E EA 101 Ee De TODO mern a a A EAE E E A E E EE A 103 12 THE APTERYX IMAGING KNOWLEDGEBASE ccc ccceccccecceceeeeeceeeeeceeeeeseecesseeeeseeeeeseeeesaeeeeas 105 13 ADMINISTRATIVE OPTIONS amp TECHNICAL SE UP aannnnnnennnnnnnnnnennnnnnnnnnnnnnnnnnrrnnrnerrnnrrenrnennnne 106 Apteryx Inc Page 4 of 106 APTERYX XrayVision User Manual custom software 1 THE USER INTERFACE 1 1 General Overview XrayVision uses a standard Windows application interface It is designed to provide as much screen re
109. se special exporting for directly captured images i e those captured via a direct capture extension 6 3 1 4 Select the browse button shown in red above to specify the target directory for export 6 3 1 5 Select the Convert images to JPEG whenever possible option if desired Images exported in JPEG format are compatible with any image viewing application 6 3 1 6 Select the Use special export for directly captured images option if desired This option is used when handling images captured using direct capture extensions such as a conebeam CT CBCT 6 3 1 7 Click on OK to continue The Select Patient Images Files dialog box displays lal Sl 3K cancel Linea Digital Intraoral X rays IO Apteryx Inc Page 56 of 106 APTERYX XrayVision User Manual 6 3 1 8 To export one or more specific images simply left click on the images until they are highlighted and then click the Select button To export all images click on the Select All button on the right side 6 3 1 9 The imaging application will proceed to export the selected images to the specified directory 6 3 2 Auto Exporting Images XrayVision s auto exporting functionality requires an initial configuration before it can be utilized Once the auto export is created a toolbar or toolbox button can be created for it so that uses can send images out of the software with one click To configure an auto export 6 3 2
110. settings that are available under various tabs The following sections describe the Options tabs that may be utilized by day to day users of the XrayVision program Options under the following tabs are covered in the XrayVision Administrative Options guide The Patient Tab The Image Tab The Safety Tab The Database Tab The Sync Tab The Notifications Tab Options under these headings should be configured by a system administrator or other high level user in the office Capture hardware options have also been moved to the XrayVision Administrative Options manual 10 1 Options The General Tab The General tab contains settings that govern how the software should operate Options include the following General Jh e al control settings options and preferences General Preferences T p l Startup Actions E Display Open Patient dialogue When opening patients from other applications proceed directly to Open Patient Images Prompt for which database to use when starting the program Enter zero 0 for infinte unde and redo operations Display warning messages when capturing under nobody Prevent image capture under nobody V Display user cancelled messages Safety Cache TM auto saving network C other safety options and Measurement Units Measurements should initially be displayed in Millimeters w Database access and caching options Sync Microsoft Word Synchronization and To Stor
111. ssociate to the image and then click on OK This will automatically setup the tooth association with the image ES Modify Tooth Associations pez ASG BF We dts ae S BP BAD BD 2a A BE Dw DB Be BO 31 BF Select MAAT ANUE 10 11 12 13 214 15 O16 All 31 30 29 28 27 26 24 2s 22 21 20 WH AS SOG HGTT FRR G Clear All Associations Click OK when complete Page 29 of 106 custom software XrayVision User Manual 4 INTERACTING WITH LAYOUTS 4 1 The Layout Capture Window The layout capture window contains several different functions that can be used to add and manipulate images in layout tiles This portion of the guide will provide an overview of these options Simulator Simulator 12 13 14 19 20 21 14 15 16 17 18 19 4 1 1 Capture Buttons The buttons at the top of the Capture Layout window are used for image acquisition rs Capture Series y dG Take Retake a Take Retake From Ka Auto Import y Capture Series This button begins the automated series capture The large yellow numbers on the layout tiles indicate the order in which they will be captured If no preferred imaging extension is set for the layout the user will be prompted to select an available imaging device For more information about setting a preferred extension for a layout refer to XV_AdministrativeOptions section 4 2 Layout Options section of the
112. stance 1 947 in 4544 cm 49 447 mm Percentage OK 7 2 1 4 This image is now calibrated and any measurement performed on the image will be based off that calibration 7 2 2 Adding Quick Calibrations Once an image is calibrated the calibration factor can be stored and applied to other images It can be used on images captured before or after the calibration factor was created The calibration will be available on all other network computers once the software is restarted To add a new calibration to the Quick Calibrations list 7 2 2 1 First open an image that has been previously calibrated according to section 8 2 1 Open the Calibration control from the pop out bar on the right side of the user interface and double click on lt Add Current Calibration gt under the Quick Calibration section Apteryx Inc Page 67 of 106 APTERYX custom software XrayVision User Manual Curenity Na Cablnation Quick Calibrations ldoublescick to anol mami Name Calibration Add Curent Calibration gt Set 130 Calibration 130 000000 Set 44 Calibration 44 000000 Set No Calibration 100 0200000 2 uOHeIqNe Fy Auto Calibrations automatically applied after capture Name Image Size E Create New Auto Calibration From Current Image gt 7 2 2 2 The Quick Calibration Dialog box displays Enter a name of the calibration and click on OK Quick Calibration Please enter informat
113. stom software APTERYX XrayVision User Manual The stack of papers icon uy at the bottom right corner of tile 1 above indicates that there is more than one file associated with that tile Think of these files as cards ina deck In order to move any image to a different tile it must be moved to the top of the deck Left clicking on the stack of papers icon will launch the Tile Image Selection window Select the image form the display that you wish to move to the top of the file stack and click OK The selected file will now be visible on the tile allowing the user to drag and drop it onto another tile Simulator 3 4 5 28 29 30 2014 05 05 2014 05 05 2014 05 05 2014 05 05 i The stack of papers icon will display in any layout viewing interface if there is more than one image associated with a layout tile In order to delete or enhance any of these associated files they must be moved to the top of tile s stack Apteryx Inc Page 35 of 106 APTERYX XrayVision User Manual custom software 4 2 4 Exporting and Deleting from Layout View Users can export or delete images from within the layout viewing window by using the appropriate buttons e Exporting ey Sends the selected image out of the software to a user defined directory Refer to section 6 3 Exporting Patient Images for more information about how to export an image e Deleting E Permanently deletes an image file from within th
114. th the right mouse button ha i Select to automatically resize the image and make it fit in the viewing area 5 4 1 3 Click OK to apply the settings to the open image Click Save to store the changes Apteryx Inc Page 42 of 106 APTERYX amp XrayVision User Manual custom software 5 5 Image Macros Image Macros allow users to create a customized sequence of enhancements filters that can be applied to images 5 5 1 Creating Adding a customized image macro 55 124 Open a patient image 5 5 1 2 From the menu select Enhancements gt Image Macros gt Edit Macros Image Macros Original Image Add Macro z Delete Macro i Hename Naci MaA E Resulting Image Preview 5 5 1 3 Click Add Macro and enter a name The new macro name will be displayed under the Macros section 5 5 1 4 Click on the macro name just added to highlight select it Doi leo Click Add Command to add and customize a desired filter Repeat this process to add a sequence of filters to the macro 5 9 1 6 The macro will trigger the filters in the order displayed under Macro Commands To change order select the desired command and use the Move Up or Move Down button to place it in the desired position 5 0 1 0 Click Test Macro to preview the resulting image If satisfied click OK to exit 5 5 1 8 Once the macro is created a user can customize their toolbar to include a button for the new image macro
115. the images related to the selection Users can switch between adult and deciduous tooth formats by right clicking on the pop out window Oo This option will only be available if a patient is open in the software AA 21 20 18 i8 17 B C The Brightness Contrast control offers a real time B C adjustment tool that can be utilized for diagnostics in real time without having to modify the original image Refer to section 5 1 Brightness Contrast B C Control for more detailed information about using this enhancement Calibration The Calibration control window allows users to store calibration factors from image measurement Calibration factors can be stored as quick calibrations which are manually applied to other images or as an auto calibration automatically applied to images that match the dimensions of the original calibrated image Refer to section 7 2 Calibrating Images and Adding Measurement Labels for more detailed information about calibrating and measuring images 1 1 5 Status Bar The status bar at the bottom right of the user interface displays information about the current state of the program Some features include Apteryx Inc Tool Tips And Status Indicators This field is displayed at the left of the status bar It provides a description of the operation associated with the toolbar or toolbox button that the cursor is currently hovering over It also provides the current status of an operation Cust
116. the main screen The New Patient dialog box appears New Patient Last Name First Name SS Number 9600s ID Number 3 m 1 a DOB Sex 2 2 1 2 Enter in the required patient information The following restrictions are placed on the following entries e SS Number o Maximum of 16 characters o Can contain characters digits or symbols e ID Number o Maximum of 64 characters o Can contain characters digits or symbols Oo Patient information entry requirements can be configured by accessing Tools gt Options and selecting the Patient Definition Requirements button on the General tab 2 2 1 3 Click on the Add button to create the new patient record The title bar will refresh to show the new patient record is open Coe Jane gt DICOM Ex ArayVisic Save 2 3 Opening an Existing Patient Record To open an existing patient record 2 3 1 Select Patient gt Open Patient from the menu on the main screen or select the Open as Open Patient _ e _ icon from the toolbar The Patient Index dialog box appears Apteryx Inc Page 10 of 106 APTERYX XrayVision User Manual custom software is Patent index Fest Nome Last Maen 7 Cem Search E Astpanents i Open Parent 1D Number SS Number Search Syntax d Adi Patent x Comet 2 3 2 Scroll down to find the patient record or enter distinguishing patient information in one or more
117. tient Images HH a V Automatically import file 5x5 Group FH Li Open Under Delete the files once thi i LJ L Checkup Import As J Individual Files A layout lt Please Select A Layout gt 6 1 2 4 Click OK when done The images will be imported and displayed on the application desktop Refer to section 4 1 The Layout Capture Window for more information about moving and retaking images in a layout 6 1 3 Open File Direct This option is used to locate and import an image file from a known location on the computer and associate the file to a patient 6 1 3 1 With the patient record open click on File gt Open or click on the Open icon _ on the main toolbar to display the Open Patient Images dialog box 6 1 3 2 Click on the Open File Direct button outlined in red below Apteryx Inc Page 50 of 106 APTERYX N XrayVision User Manual E Open Patient Images By Date By Image Type By Tooth ale All Images cM 1999 lt No image selected 6 1 3 3 The standard Windows Open dialog box will display Browse to the known location directory where the image s are stored and click on it once To select more than one image hold down the lt Ctrl gt button on the keyboard and click each additional image Then release the lt Ctrl gt button 6 1 3 4 Click on Open when done Look in J Patient Images 1 patient_image_2 patient image 1 JPG
118. tients in the database Select the pstierts that are to be merged Mutele ertres are selected by holding down the lt C gt key on your keyboard while you click on the entry wth your lef mouse UNON Donea Last Name fra Name SSrurn Oruzn 008 Sex ai Jodus 318 Smith Josh 7 Select the entry that should be used as the resuling merged paters Last Nome Fest Nome SSoum Deum DOs Sex Ymen dosh P Seth Joshua 18 2 6 1 3 While holding down the lt Ctrl gt key left click on each patient record to be merged 2 6 1 4 The selected entries will display in the bottom frame Select entry to be used for the resulting merged patient and then click Merge 2 6 1 5 Select Yes to confirm the merge action Select Done when you have finished merging patients 2 7 Deleting a Patient Users can delete a patient from the database using the Delete Patient function Only one patient can be deleted at a time using this functionality To delete a patient perform the following 2 7 1 Click Patient gt Close All Patients The Delete Patient function requires that all open patients be closed 2 2 Select Patient gt Delete Patient from the main menu 2 3 The Select Patient dialog box displays Find and select the patient that you wish to delete in the list and then click on OK iB tee bane WHA SOO Bite kin ABODE Apteryx Inc Page 16 of 106 custom software XrayVision User Manual 2 4 You will recei
119. to Include Viewer If enabled the QuickView image viewing application will be included on the burnt CD DVD or in the specific export directory QuickView give recipients the ability to view files exported in Apteryx s unmodifiable Secure Tagged Block STB file format as well as files that have been password protected see below 6 4 1 6 In the Export Target section enable Export to CD DVD option Additionally select the applicable drive letter for the CD DVD drive from the Prompt for drive drop down list If you wish to export the images to a directory select the Export to directory option and then specify a directory folder where you wished to send the images Apteryx Inc Page 59 of 106 APTERYX XrayVision User Manual custom software 6 4 1 7 If desired enable the Encrypt the images option to add password protection to the image and define the password in the field provided The recipient will need to provided with the password in order to access the files on the CD DVD when received 6 4 1 8 Click OK to save the changes 6 4 2 Burning Patient Images to CD DVD 6 4 2 1 Insert a blank CD DVD into the drive oO If you configured the export options to send the files to a specified directory the following steps will also apply 6 4 2 2 Open the desired patient s file 6 4 2 3 Select Patient gt Patient Utilities gt Create Patient CD DVD or Disk 6 4 2 4 The Select Patient Images dialog box displays
120. urther than zooming in to it This exaggerates differences in density within the circle S Other Enhancement Tools This menu contains other options that are not used as frequently as the functions on the main button bar Filters such as emboss and invert can be accessed in this menu A Reat Navigations Arrow This tool turns the mouse cursor into a hand allowing the user to click and drag on a zoomed image to navigate to different areas without zooming back out Page 46 of 106 XrayVision User Manual 5 8 Compare Images The Compare Images function allows a user to view up to four 4 images in a side by side comparison window Any of the functions listed in the Full Screen View section above can then be applied to one or all of those images 5 8 1 To compare multiple images open an image and right click on it Select Compare Images a new window will appear showing images for the patient 5 8 2 Select the images to be compared by left clicking on their thumbnails The images will appear on the left side under the Select Images heading oO If you select a layout thumbnail you will be prompted to select images from within the layout that you wish to add to the comparison 5 8 3 Click OK and the images will appear side by side E Compare Images Taken 2014 02 06 9 13AM Taken 2014 02 28 12 01PM Modified 2014 02 06 10 13AM Modified 2014 02 28 12 01PM Teeth 5 6 7 8 9 10 11 12 Teeth 12 13 14 19 20 21 I
121. uths Taken Date April ds 1999 Image Type Scanned x ray imag Sulstygas Parnaral General Mesage Infonmation Senerated by Apteryx General Eoailer Transit COO Version 10 0 Build 2 Apteryx linc Application IID Aray viin Unknown Version Search Token Trans Temailsearchtoken Apteryx Inc Page 77 of 106 non N XrayVision User Manual 8 1 2 7 Add the email information of the recipien s t and proceed to send the attached image layout in Outlook Outlook Express 8 2 FastAttach by NEA The FastAttach module enables users to submit patient images and claims to NEA s FastAttach web based service This add on requires that users already have the NEA FastAttach claims software configured on any computer attempting to use the XrayVision module 8 2 1 Configuring FastAttach Options 8 2 1 1 Select TransIT gt Component Options 8 2 1 2 The TranslT Configurations dialog box displays Select FastAttach by NEA and click on Edit Options 8 2 1 3 The FastAttach Options dialog box displays FastAttach Options BST a Fatfitaeh Pith View Outgoing lt Not Specified gt Attachments Z Use NEA Fast amp ttach web service interface iW Always use this quality factor FastAttach JPEG Quality Factor 1 100 NEA D 100 lt Fastattach CED copiant ameaga Low Quilty High Quality l Images should be resized to have a maximum dimension 1024x800 8 2 1 4 Select the button sho
122. utton to have the software attempt find the executable automatically When found the path will display in the provided field 9 4 1 2 Click OK to save the setting and return to the application desktop 9 4 2 Configuring Document Handling Options By default documents are created as temporary files that will be deleted once Microsoft Word is closed To change these settings 9 4 2 1 Select Tools gt Documents gt Options from the main menu The Document Template Options dialog box displays Document Naming Scheme Generate a temporary filename and automatically delete it when the application doses a Save the documents in the following folder using the specified format The documents should be saved in the following folder Use the the following for the format of the filename Date MM DD YYYY HH MM DOC Oi Date YY YY44M DD HH MM DOC I Patient Name Lastname FirstName MM DD YY HH MM DOC i Patient Name FirstName Lastname MM DD YYY HH MM DOC Microsoft Word Microsoft Word can be found in the following directory C Program Files x86 Microsoft Office Office 14 WINWORD EXE 7 Automatically handle images that may be too big for MS Word 9 4 2 2 Select Save the documents in the document in following folder to specify a specific location on the computer to store spawned documents 9 4 2 3 Click on the browse button outlined in red above and navigate to a directory where you would like the documents
123. uttons under the Signatures window Printer HP LaserJet 4200 4300 PCL6 Printed Header and Footer Options These options allow users to assign variables to printed pages that will display in either the header or the footer Variables such as the printed date the computer that the image was printed from etc are filled in automatically by the software at the time the image is printed There are several dropdown menus that can be utilized for different printing scenarios Users can also change the fonts of the header and footer by using the buttons on the top right of the section Printed Information By using checkboxes in this section users can define what patient and image information that they wish to have printed on the page Single Image Printing Options Image Print Size This option allows users to define whether they want the image to print out as large as possible on the page or if they wish to print it at its real size Minimum Image Page Coverage Percentage This option specifies the minimum amount of page space that is allocated for the image when it is printed out The default value is 50 but it can be adjusted up or down Right Justify Cephalometric Printouts This option will align Cephalometric x rays on the right hand side of the printed page Page 97 of 106 custom software XrayVision User Manual Multiple Print Format This option allows the user to define how many images to print
124. ve several warning messages to make absolutely sure that you wish Apteryx Inc to delete the patient record Once the patient record is deleted it cannot be recovered Oo The patient record will be moved to the local computer s Recycle Bin The option to move items to the Recycle Bin must be enabled Page 17 of 106 APTERYX XrayVision User Manual 3 CAPTURING IMAGES IN XRAYVISION 3 1 Imaging Devices XrayVision supports image acquisition from a multitude of hardware manufacturers in the dental industry Many imaging devices use Apteryx extensions to communicate with the software These extensions can be downloaded from our updates website at http www apteryx com apteryx updates site under the Imaging Devices heading If no extension is available for your hardware a TWAIN driver can also be utilized in TWAINs have their own unique interface but will return captured images into XrayVision You will need to consult with the manufacturer of your hardware to see if they have any available TWAIN drivers for your device Oo For a list of Apteryx compatible imaging hardwares please visit our webpage at http www apteryx com supported hardware 3 2 Capturing Single Images The Capture Single function permits users to acquire one image from any available hardware based on tooth selection To capture a single image e Add create a new patient or open an existing patient record fa e Click File gt Acquire
125. window appears In the Categories drop down menu select the corresponding file menu category that houses the command you wish to add a button for Command And Graphic Selection Commands s phic _ Limit list to popular graphics Crop gt Border Color Crop gt To Selection Mask Duplicate Object Back Duplicate as Secure 16bit Image Duplicate as Secure Image Extract Color gt All Extract Color gt Blue N Object Flip Horizontal Icon Extract Color gt Green Extract Color gt Red Flip gt Horizontally j Flip gt Vertically Object Flip Vertical FloaterView D Full Screen View Histogram o History banal Object Forward Image Information Invert Label View Object Mirror Horizontal Notes Eg Resize Reduce gt Reduce Resize Reduce gt Resize Rotate gt 180 Object Mirror Vertical a y Object Rotate CW Copy selected command and graphic to clipboard Select the current command s default image Apteryx Inc Page 102 of 106 XrayVision User Manual APTERYX amp custom software 11 1 2 4 Select the Command from the list on the left You can then select a graphic for the button from the list of images on the right To use the default graphic for that command click the Select the current command s default image button at the bottom of the box 11 1 2 5 You
126. wn in red above to find specify the location of the NEACOMM application 8 2 1 5 Accept the default settings or change the JPEG Quality Factor The higher the quality setting the larger the generated jpeg files will be when converted and sent Click OK when done 8 2 1 6 Click OK on the TransIT Configurations dialog to return to the application desktop 8 2 2 Submitting Patient Ilmages Claims Using FastAttach by NEA 8 2 2 1 Open the image or layout that you wish to send 8 2 2 2 Select TransIT gt Fast Attach by NEA The TransIT Selection dialog box displays Click OK to continue r TransIT Item Selection x ig What do you want to send Single Image Options As a plain image As an Apteryx secure image STB Merge labels into the image Layout Options As a combined single image As an Apteryx layout file ZIP A common file format ZIP file Remove unnecessary files Sends the image in a standard file format The resulting image can be processed by a majority of other applications nf el Cancel Apteryx Inc Page 78 of 106 XrayVision User Manual APTERYX custom software 8 2 2 3 The TransiT Fast Attach Information dialog box displays Complete the following information on each tab e General tab Select the applicable date range of service using the calendars Enter the optional Payor Reference Number and Claim Amount

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