Quick User Guide
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CS 3D Imaging Quick User Guide
Notice This CS 3D Imaging Quick User Guide contains information on what you need to get started with the CS 3D Imaging software as quickly as possible. For more details on any of the topics covered in this guide, or for information on the full range of functionality available - see the online help. CS 3D Imaging is a digital imaging software application for analysing two-dimensional and three-dimensional digital x-ray images of the dento-maxillo-facial and ENT areas, to be used at the direction of healthcare professionals as diagnostic support. No part of this Guide may be reproduced without the express permission of Carestream Health, Inc. U.S. Federal law restricts this device to sale by or on the order of a dentist or physician.
WARNING: • 3D rendering must not be used for diagnosis. Confirmation must be done with the 2D, MPR images (MPR=Multi-Planar Reformatting). • This software has been designed to be used by dentists, ENT specialists, radiologists, and other medical professionals who have training and skills adapted to the interpretation of 3D radiological images. Their respective assistants may use the software if they have been trained on 3D imaging. This document is originally written in English. Manual Name: CS 3D Imaging Quick User Guide (SM804) Part Number: SM804 Revision Number: 01 Print Date: 2011-12 The CS 3D Imaging Software complies with Directive 93/42/EEC relating to medical equipment.
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Manufacturer Care stream Hea lth, Inc. 150 Verona Street Roche ster, NY 1 4 60 8, USA
Authorized Representative in the European Community
EC REP TROPHY 4, Rue F. Pelloutier, Croissy-Beaubourg 77435 Marne la Vallée Cedex 2, France
Minimum System Requirements Item CPU RAM Graphics board
Requirement 2.4 GHz Intel Duo Core
Nvidia/ATI based board supporting Open Glide 1.2 with 512 Mb of video RAM.
Hard Disk
Display Operating system
30 Mb free space on a local disk to install the product 1 Gb of free space on local disk to install implant Library 80 Gb free space to use the software.
17” or larger; 1024 x 768 minimum screen resolution - 32 bit color mode.
CD/DVD drive
4 Gb (recommended) 2 Gb (minimum).
Windows XP Home/Pro edition SP3 Windows Vista 32 bit Windows 7, 32 and 64 bit. A CD-ROM/DVD drive is required to install the product A CD burner is also required to export data to media.
See your computer documentation for details of your current hardware and display specifications. To obtain maximum image quality and visual comfort, position the screen to avoid direct light reflections from internal or external lighting. Always use Microsoft Windows Update to make sure that the latest security patches are correctly installed on your computer.
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Installation and Upgrade When a new version of CS 3D Imaging becomes available, the upgrade procedure is the same as the installation procedure. See SM788_CSI_QUG_Ed01 for details. Note: If you have already installed the CS Imaging Suite without installing the CS 3D Imaging application, run the installation wizard again and make sure you click the 3D Viewer check box on the Choose Components screen in the wizard.
Managing License Keys In order to provide a consistent and secure experience when accessing Carestream Dental applications, some CS 3D Imaging functionality requires activation with a license key. For more information see your Representative.
Overview Interface Overview
1 Title bar: displays selected patient name (in the center).
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2 Mode tabs: Click one of these four tabs to switch between functionality modes. 3 System icons: Update available: If your computer is connected to the internet, this icon appears when there are updates to the Implant Library available. Click this icon to display the Implant Library Update dialog box. Patient Information: click this icon to display the Patient Information window. About: click this icon to display the application About information. You can also access the Licensing module from the About window. Edit Preferences: click this icon to set application preferences. Online help: click this icon to open the online help. 4 Windows icons: standard Windows icons - minimize, restore and close. 5 View Screens: Each of the four Mode Tabs contains multiple view screens. In this example there are four (three multi-planar reformatting [MPR] views and one 3D view). 6 Gallery: Displays thumbnails of images taken with the Snapshot tool. 7 Tools panel: contains icons for Adjustments, Measuring tools and Export tools.
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Tools Panel Overview.
1 Adjustment icons: Use these icons to modify MPR settings (brightness, contrast etc), 3D settings (opacity, color palettes, planes tools etc) and Mouse settings (left button and mouse wheel). 2 Measuring tool icons: Use these icons to add and manage measuring annotations on your images. Some of these will change according to the Mode Tab you have selected. 3 Export icons: Use these icons to print images and export data. 4 Gallery control: Click to display the snapshot gallery at the bottom of the CS 3D Imaging window. Click to hide the Gallery.
Mode Tabs Overview Orthogonal Slicing This tab contains:
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Three multi-planar reformatting (MPR) View Screens (displaying planes at right angles to each other - axial, coronal and sagittal planes). These screens provide a single movable slice view in each plane. One 3D View Screen. This provides a rotatable 3D view of the entire volume.
Curved Slicing This tab enables you to plot a curve along the mandibular arch and display it as a reconstructed panoramic image. This tab also enables you to plot a nerve canal or create a Temporal Bone view. This tab contains four View Screens (once a curve has been drawn):
Axial plane View Screen. Use this to manually draw a curve along the mandibular arch. 3D View Screen. Reconstructed-panoramic View Screen or Temporal bone View Screen. These views appear once a curve is drawn on the axial plane. Trans-axial or cross-section View Screen. This is a vertical slice through the curve drawn on the axial plane that you can move along the curve.
Custom Slicing The tab enables you to focus on specific regions of interest to create a Temporal-Mandibular Joint (TMJ) or Ear view. This tab contains up to seven view screens once a view (TMJ or Ear) has been created:
Axial plane View Screen - this view is always displayed in the top half of the tab workspace. Once you have clicked on a tool (TMJ or Ear) in the Tools panel, you can click and drag on the Axial plane view to set the position of your custom views. Two Custom View Screens - these appear either side of the axial view when you draw custom view axes on the Axial plane. Note: these are empty the first time you use this tab. Two Trans-axial plane View Screens- these appear either side of the 3D views when you draw custom view axes on the Axial plane. These are movable vertical slices displaying cross-section views along your Custom view axes. Two 3D View Screens of your Custom view regions.
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Oblique Slicing The Oblique Slicing tab provides the same views as the Orthogonal Slicing tab, but with the added function of rotatable MPR planes. For more information on how to use the Mode Tabs, see the online help.
View Screens Overview Each of the four Mode Tabs (Orthogonal Slicing, Curved Slicing, Custom Slicing and Oblique Slicing) contain different View Screens according to the functionality provided on the selected tab. The View Screens are independent viewing frames with their own toolbars. You can use these toolbars to print a snapshot of the view and to control how the View Screen functions.
1 Toolbar in the Sagittal plane MPR View Screen.
Launching the CS 3D Imaging Application You can launch the CS 3D Imaging application by:
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Double clicking
Clicking and dragging a DICOM file (.DCM) onto
Clicking and dragging a DICOM file onto the open CS 3D Imaging application window.
on your desktop
Taking and Managing Measurements WARNING:
The CS 3D Imaging Software cannot manage your device's acquisition settings. It is the role of the acquisition device to provide calibrated data. Drawings and measurements made in the software are done under the responsibility of the user.
To measure anatomical detail in CS 3D Imaging, you can draw a measuring annotation (line or angle) on top of an image and compare the dimensions of the annotation with the underlying image. Note: you cannot draw on the 3D views.
Drawing a Measurement Line on an Image To draw a measurement line on an image, follow these steps: 1
Make sure the image view that you want to draw on is visible.
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Click in the Tools panel. The icon is displayed in blue to show that you have switched it on.
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Click in the image where you want the line to start and drag to the line’s end point.
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Double click to set the line’s end point. A new line is drawn on the image and the calculated length of the line is displayed alongside (in SI units) :
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Drawing a Measurement Angle on an Image To draw a measurement angle on an image, follow these steps: 1
Make sure the image view that you want to draw on is visible.
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Click in the Tools panel. The icon is displayed in blue to show that you have switched it on.
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Click in the image where you want to set the end point of the first straight line.
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Drag your mouse pointer and click again to set the apex.
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Drag your mouse pointer again and double click to set the end point of the second straight line. A new angle is drawn on the image and the size of the angle is displayed alongside (in degrees).
Managing Measurement Annotations Existing measurement annotations (lines and angles) can be managed using the Measurement section of the Tools panel. Each new annotation you add is automatically added to this panel. To manage your measurement annotations, follow these steps: 1
Click on a Mode Tab that contains images with existing measurement annotations. The Measurement panel automatically appears in the Tools panel.
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Use the icons in the Measurement panel to manage your measurements: A Hide/Unhide all measurements. B Delete all measurements. C Delete this measurement. D Dimensions of measurement. E Type of measurement indicator. F Adjust measurement color (click on the colored square). G Hide/Unhide this measurement.
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Printing an Image Using Film Composer For the purpose of communication, you can print images in CS 3D Imaging using the Film Composer. This allows you to print images either to a printer or to a PDF file.
Printing an individual image To print an individual image, follow these steps: 1
Click in the toolbar of the View Screen that you want to print. A snapshot of the image is added to the Gallery.
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Click in the Export section of the Tools panel. This launches the Film Composer and copies all the images in the CS 3D Imaging Gallery into the Film Composer Gallery.
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In Film Composer, click on the template tab and select a single image template from the list by double-clicking on it (for example use “A4 black - Single View”).
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Click and drag the image you want to use from the Film Composer Gallery and drop it into the frame in the middle of the page design.
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Click printer.
to print to PDF or
to print to your default
WARNING: Printed image sizes vary according to the selected Film Composer template. Do not take measurements from a printed page.
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Exporting Methods This section describes the most common methods of exporting images and data from CS 3D Imaging.
Exporting a Snapshot of Your Workspace To create a snapshot image of your entire workspace, follow these steps: 1
Click in the Export section of the Tools panel. This creates a snapshot image of your workspace (and also adds it to the Gallery).
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Click in the Exports panel section of the Tools panel. This opens the folder on your computer where all snapshot images are stored as .TIFF files. Note: The Snapshot folder also contains all View Screen snapshots as .DCM files.
Exporting a 3D Volume to a CD or USB Key To export the entire 3D volume to a CD or a USB key, follow these steps: 1
Make sure you have writable media available (blank CD in your CD drive or a good quality USB key plugged into your computer).
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Click
or
in the Export section of the Tools panel.
To switch between these icons click
.
These export icons copy the current patient data and a copy of the 3D Imaging software onto your chosen media.
For more information on using CS 3D Imaging see the online help. 10