new features in examine version 8 -...

EXAMINEPRO v8 17/12/2015 page 1 of 29

New features in

EXAMINEPRO version 8


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Contents

Contents ...................................................................................................................................................................................... 3

List of procedures ........................................................................................................................................................................ 3

IMPORTANT NOTICES .................................................................................................................................................................. 4

New in EXAMINEPRO v8 5

Version 8 primary benefits .......................................................................................................................................................... 5

Optionally revert to previous appearance with classic icons ...................................................................................................... 5

General changes .......................................................................................................................................................................... 5

Default settings changes ............................................................................................................................................................. 5

Miscellaneous Setting and Maintenance changes ...................................................................................................................... 5

X-Ray Dürr VistaScan changes ..................................................................................................................................................... 5

X-Ray Schick USB ......................................................................................................................................................................... 6

X-Ray Sirona ................................................................................................................................................................................. 6

X-Ray Gendex GXPicture.............................................................................................................................................................. 6

Export picture as JPG ................................................................................................................................................................... 6

Overview of the EXAMINEPRO screen elements ........................................................................................................................... 7

New Iconset (overview of capabilities) ....................................................................................................................................... 8

Reverting the screen layout ...................................................................................................................................................... 11

Using the filter script ................................................................................................................................................................. 14

The Filter Script Layout ........................................................................................................................................................ 15

Working with the positioning guide .......................................................................................................................................... 17

New tools to create and modify a desktop ............................................................................................................................... 18

Overview of the toolbox icons and examples ...................................................................................................................... 19

The 3D Viewer .......................................................................................................................................................................... 22

The 3D Viewer screen .......................................................................................................................................................... 24

3D Volume view .......................................................................................................................................................... 24

2D Stack view .............................................................................................................................................................. 24

Curved MPR ................................................................................................................................................................. 25

Show image full screen after acquisition .................................................................................................................................. 26

Macro Text ................................................................................................................................................................................ 27

Synchronisation ......................................................................................................................................................................... 28

Viewports remembering last images ......................................................................................................................................... 29

List of procedures

To revert to the previous look and feel, with the classic icons .............................................................................................. 5

To check disk usage ............................................................................................................................................................... 8

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To revert to the icons from your previous version of EXAMINEPRO ..................................................................................... 12

To load the version 8 appearance preset ............................................................................................................................ 13

To activate the filter script ................................................................................................................................................... 14

To modify the contrast and intensity, and apply the windowing ........................................................................................ 16

To use the holder set and how to position the sensor in the mouth of the patient ........................................................... 17

To activate the desktop panel options................................................................................................................................. 18

To align screen elements ..................................................................................................................................................... 19

To align screen elements next to each other ....................................................................................................................... 20

To create screen elements with the same size .................................................................................................................... 20

To import a 3D image .......................................................................................................................................................... 22

To use Curved MPR .............................................................................................................................................................. 25

To change the connection method for a Dürr VistaScan from Direct DLL to ScanEasy ....................................................... 28

To enable viewports remembering the last image .............................................................................................................. 29

IMPORTANT NOTICES

If you install version 8 in a practice that currently uses version 6, you will need to upgrade ALL workstations to version 8 (you cannot have mixed versions). This is because version 8 uses a new filtering technique for images and if users develop images in version 8, any version 6 PC will only show them as RAW images.

Use the following website to update the key: http://keygenv8.imagelevel.com (with the normal Login).

Calibration Disclaimer: the measurements shown within EXAMINEPRO are only guidelines. EXAMINEPRO should not be used as a definitive measuring tool.

http://keygenv8.imagelevel.com/

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NEW IN EXAMINEPRO V8

This information covers the new features of EXAMINEPRO version 8.

Version 8 primary benefits

It has been rebuilt from the ground up to provide you with greater capabilities

It can run on multiple devices (tablets).

It launches faster than previous versions

It has many new features such as:

o real time filtering for better image quality

o an add-on 3D Viewer

o a positioning guide for intra-oral images.

Optionally revert to previous appearance with classic icons

To revert to the previous look and feel, with the classic icons

See Change the screen layout in EXAMINEPRO v8 (page 11)

General changes

Updated and modernised icon images

Updated screen layout customisation

Default settings changes

Xray modules disabled by default

Hide image(s) instead of delete is now enabled

LossLess (JPEG) DICOM Compression is now enabled by default

Fade Effect is now disabled

Grading values are now set to 1, 2, 3

Miscellaneous Setting and Maintenance changes

Force Single CPU is now disabled by default

Display the patient information dialog (ObjectData) when required patient information is missing has now been disabled

X-Ray Dürr VistaScan changes

Scan Easy Mode is not the default selection

Clear Jobs Folder First is now enabled by default

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X-Ray Schick USB

New Interface method (COM) is now enabled by default

X-Ray Sirona

SIDIIN Module is now enabled by default

Device Interface (SIDIIN) has now been changed to C:\Sidexis by default

X-Ray Gendex GXPicture

Launch daemon on Windows Startup has now been disabled by default

Ask to add it to the startup folder (if not yet done) is now disabled by default

Export picture as JPG

Images are now exported in JPG format by default

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Overview of the EXAMINEPRO screen elements

Launch EXAMINEPRO to see the following screen:

These are the different options in the menu. In most cases the options are also available through the Iconset.

These screen ‘boxes’ are called Viewports. You can activate a Viewport and load a patient image.

For analysis and diagnoses purposes you can have up to 5 Viewports on your screen (you can compare up to 5 images of the same patient).

This is the Status Bar, showing the patient and practitioner name.

The Iconset provides quick access to functions. Click an icon to access the function.

The Imaging library contains all the images from a particular patient. Read the patient information on the Status bar and view the patient images in the Status Mount.

The Windowing slider is one of the most powerful features of EXAMINEPRO. It allows you to limit the number of gray scales in your image.

The Pseudo Colour slider allows you to convert the gray scales from the image into pseudo colours.

The Histogram of the image represents the distribution of the pixels. It shows the amount of pixels per gray scale. You will be able to improve the images.

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To check disk usage

At the bottom of the screen is a disk usage bar:

If the bar is green, you have sufficient space to store the images.

An orange or red bar indicates that it is time to look for an extension of your hard disk/server.

New Iconset (overview of capabilities)

The iconset displays an overview of EXAMINEPRO capabilities. When an image is loaded into a Viewport, you will see the relevant icons in an active state:

Icon Purpose Related Former icon

Activate the Image Library, which contains all the images of the selected patient.

Working with the image library

Change the order of the images

How to search for images

Activate the Status Mount.

NOTE: If the icon has a green glow it means that there are a number of Status Mounts defined.

A status mount

Working with the status mount in acquisition mode

Activate the Annotations. Working with annotations

Choose the shape of the Region of interest.

Press and HOLD the left mouse button until the icon expands.

Working with region of interest

Choose the number of Viewports.

Press and HOLD the left mouse button until the icon expands.

A viewport

Working with viewports

Manipulating the Viewport

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Activate the Zoom Window. Working with the zoom window

Save the image. Saving an image

Overview of the specific Extra Info and Keywords

Delete the active image.

How to recover a deleted image Working with the image library

Activate the histogram. How does the histogram work?

Rotate the active image

Flip the vertical or horizontal

Print the images. Printing images

Printing the Status Mount

Launch the acquisition mode so that you can use your acquisition device.

An important function in EXAMINEPRO

Acquiring an image


Acquire through the Status Mount. A status mount


Activate the WDM Video Still Capture module so that you can use your camera to take photos.

Working with the Video Still Capture module

Activate the WDM Streaming Video module. Working with the WDM Streaming Video module

Activate one of the optimization profiles in order to enhance the quality of the images.

Press and HOLD with your left mouse button until the icon expands:

Working with the optimize feature

The optimize module

Reload the original saved image (this image can always be retrieved).

Activate the devices that use the TWAIN interface. Working with the TWAIN module

Activate the Full Screen status screen. The Full screen Status mount

HT17 How to export the Full Screen Status Mount

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Launch the Reporter module. This is a separate module that you will only see if it is activated for your system. Contact your dealer for more information.

If the icon has a green glow it means that there are documents for that patient in the Reporter module.

Working with the Reporter Module

Launch the Dicom network module.

Dicom module

Launch the Dicom print module.

Dicom module

Apply an auto contrast to the image. Working with Filters

Apply the sharpen filter to the image Working with Filters

Apply a noise reduction filter to the image. Working with Filters

Apply the cosmetic module. Cosmetic module

Apply filters to your image. Working with Filters

Exit EXAMINEPRO.

EXAMINEPRO can be configured NOT to close, which speeds the process of launching EXAMINEPRO through EXACT.

You can hide unused icons.

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Reverting the screen layout

EXAMINEPRO v8 appearance:

Would you rather use the classic icons and layout from your previous version?

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To revert to the icons from your previous version of EXAMINEPRO

1. From the EXAMINEPRO menu, select Options > Setup:

2. Select the Style tab in the Setup to see the options to change the look and feel of the program.

3. On the Select style tab, choose Presets

4. Select the Classic preset from the dropdown menu to re-display the classic icons and the appearance of the

previous version of the application:

5. Select Save Changes.

6. Select Exit to exit the Setup screen:

You will see a prompt to restart EXAMINEPRO in order to apply style changes:

7. Select OK to restart with the Classic appearance preset:

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To load the version 8 appearance preset

Repeat the above procedure but select the Default style:

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Using the filter script

You can apply filters to EXAMINEPRO images to improve their quality.

The filter script is a new feature introduced in EXAMINEPRO v8.

It enables you to

List the filters that apply to a selected image.

Quickly produce the best possible image by trial and error by doing the following:

o Applying, activating and de-activating filters

o Changing the order of filters

o Immediately seeing the result of applied filters

From v8 the filter script saves in a separate file from the image and applies every time the image is loaded, which offers greater flexibility in the filter usage.

To activate the filter script

1. Load an image in the Viewport.

2. Either

o Select CTRL-F

– or –

o Select Display > Set current viewport to > Show filter script

You’ll see the Filter Script screen:

(See below for description)

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The Filter Script Layout

In the image histogram the contrast, intensity and windowing options are only applied on the display of the image.

To apply these modifications to the filter script you need to use the option 'Apply real-time values to filter script'.

Filter Script Example:

Filter script: this tab will show you the applied filters. You will be able to manage the filters, change the order in which the filters will be applied, remove the filter from the script, activate or de-activate the filters.

RAW Mih data: an image in EXAMINEPRO consists of 3 files.

The .mih file contains the information the the image like applied filters.

This tab will show you the contents of the .mih file (the filters applied to the image).

This option is an expert option.

The list of filters applied to the image.

Move the selected filter up.

Changing the order of the applied filters can significantly change the image quality.

Move the selected filter down.

Remove the selected filter from the filter script.

De-activate a filter (useful in trial-and-error).

Activate a filter (useful in trial-and-error).

Show the original script for the image (some images come with a filter script).

Apply real-time values to filter script (definitively apply the changes made to the contrast, intensity and windowing).

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To modify the contrast and intensity, and apply the windowing

1. Make the changes to contrast, intensity and windowing as follows:

Intensity : 6, contrast -70 and windowing w:84-253.

2. Choose to apply real-time values to filter script if you are happy with the modification made to the contrast,

intensity and windowing.

The changes will then be added to the filter script - you’ll see the line INTCONWINDOWING 006,-070,084,253

The filter script is an important tool that creates visibility on the applied filters. It helps professionals create a better quality image. Since the filter scripts is a separate file, it is now easy to Undo and Redo different filters.

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Working with the positioning guide

The positioning guide offers a visual aid on how to position the intra-oral sensor.

The new guide integrates in the teeth scheme, so depending on the tooth selection you will see an image on how to position the sensor in the patient mouth. You also have the option to play a short instruction video.

The positioning guide is not yet complete - our goal is to have examples for every tooth selection.

Example use of the positioning guide:

To use the holder set and how to position the sensor in the mouth of the patient

In this example we select tooth 13 and the positioning guide shows how to use the holder set and how to position the sensor in the mouth of the patient:

If we select tooth 18 a different image shows the way to position the sensor for this tooth.

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New tools to create and modify a desktop

To activate the desktop panel options

In the menu, choose Display > Desktop Panels > Position/size controls

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Overview of the toolbox icons and examples

Controls for positioning the toolbox.

It is also possible to drag and drop the toolbox manually.

Snap to grid: when the icon has a red glow the screen elements will snap to the grid. This can be de-activated by clicking on the icon

Align screen elements to grid

To align screen elements

Align left, align right, align top and align bottom.

The alignment performed against the first selected box (the second box will move to align with the first).

For example, to align two boxes along their top edges:

1. Select the first box

2. CTRL-click to select the second box:

3. Select the Align Top icon

4. The two boxes are then aligned along their top edges:

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To align screen elements next to each other

For example, align two screen elements next to each other.

1. Select the first box

2. CTRL-click to select the second box.

3. Select the Alongside icon to position the two boxes next to each other

To create screen elements with the same size

The first selected box determines the size of the second selected box.

1. Select the first box that has the desired size.

2. CTRL-select the second box.

3. Select the Same Size icon

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The second box resizes to the same size as the first:

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The 3D Viewer

The 3D Viewer is integrated into EXAMINEPRO v8 (and later) as an optional utility for viewing 3D images directly from the EXAMINEPRO image library.

For purchasing information about the 3D Viewer module please contact your distributor.

Features

The 3D viewer is capable of generating multiplanar (MPR), volume (3D) and X-ray reconstructions.

It has the essential tools for a careful and in-depth medical image analysis.

You are able to magnify or reduce an image and rotate the 3D image around its centre for better viewing.

The stack overview allows you to navigate through images or different slices in a reconstruction.

Requirements

Before you can use the 3D viewer you will need to import the CT slices in the program.

To import a 3D image

1. Select File > Import CT Images:

A 3D image comprises several files, each of which is a slice that is used to build up the 3D image.

2. Select the files that make up the 3D image and click the Import button.

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Once the slices are imported, the 3D viewer can reconstruct the 3D image.

The image is integrated into EXAMINEPRO and ready to be viewed with the 3D Viewer.

3. Double-click the image to launch the 3D Viewer.

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The 3D Viewer screen

There are three different views, as described below.

3D Volume view

This view allows you to combine the volume view (right window) with 3 views (axial, sagital and coronal).

You can rotate the image in the volume view.

2D Stack view

This view allows you to see the slices that comprise the 3D image.

You can scroll through the different slices and analyse the image slice by slice

Select an icon to display 4, 9 or 12 slices on your screen.

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Click to save the status and to make a screenshot that can be saved in the patient's library.

See previous section (3D Viewer) for details information on the different buttons.

Curved MPR

Use this to reconstruct a panoramic image based on the polygon that is drawn on a slice. You can even

reconstruct multiple images based on the polygons that are drawn on the slice in the left screen.

To use Curved MPR

1. Load the image in the 3D viewer and select the Curved MPR tab.

2. Move the slider down in order to see the correct slice you want to use as a basis for the panoramic image.

3. To start the reconstruction, click the first point of the polygon.

4. Click further to position the other points of the polygon.

5. To end, double click on the last point.

The panoramic image reconstructs automatically.

??? Click this button to remove all the polygons that were drawn on the image.

6. Optionally examine multiple polygons. Choose the number of polygons that you want to examine:

o 1 polygon

o 2 polygons

o 4 polygons

This screenshot shows the 2X2 selection where you can see the reconstruction of 4 polygons.

???

7. An interesting capability is to create a paraxial cell:

After you have drawn the polygon, right-click to show the following menu:

???

8. Choose Create Paraxial cell and this will draw on the image.

???

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Show image full screen after acquisition

In version 8 it is possible within EXAMINEPRO to develop an image and then show the image full screen directly after acquisition.

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Macro Text

When creating macro buttons it’s possible to add text to the button from within the Macro setup window.

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Synchronisation

From version 8 it is possible to synchronise settings between all workstations by just updating one workstation.

For example…

To change the connection method for a Dürr VistaScan from Direct DLL to ScanEasy

1. Configure one workstation with the required setup.

2. Send the configuration to the global library.

3. Configure other workstations to synchronise their settings every X minutes (default is 15 minutes) from the global library.

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Viewports remembering last images

From version 8, when swapping between patients, it is possible for EXAMINEPRO to remember the last images that were loaded for that patient, and to load them automatically.

To enable viewports remembering the last image

Enable here in the General Settings:

new features in examine version 8 -...

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