Apteryx Inc. 313 S. High St. Suite 200 Akrn, OH 44308 330-376-0889 vice 330-376-0788 fax sales@apteryx.cm www.apteryx.cm XVLite User Manual Abstract Abstract Abstract This dcument cntains wrk instructins related t utilizing the dental imaging applicatin, XVLite versin 3.12 and abve. Cpyright 2004-2011 Apteryx, Inc. Apteryx is a registered trademark f Apteryx, Inc. All rights reserved. All ther trademarks and tradenames are the prperty f their respective wners. Cntrlled Dcument: Printed r dwnladed cpies are cnsidered uncntrlled and are fr reference nly. QMS_WI_TS_XVLite_UserManual Apteryx, Inc. Page 1 f 95
REVISION HISTORY Revisin Level Revisin Date Descriptin f Revisin Effective Date DRAFT 6/10/2010 Draft NA SN Revisin Authr (Initials) Apprver(s) (Initials) Dc Change Task# 1.0 8/22/2011 Initial Release 8/22/2011 SN PW 2.0 10/10/2011 Updated dcument frmatting t cmply with new dc cntrl cnventins 2.1 02/21/2012 Repl. Adv imaging Enh.Alg. with Real- Time Filters (new feature in 3.12.0.15). Changed path t access Dc Templates. 10/17/2011 SN PW 85 05/24/2012 SN/BT PW 128 Apteryx, Inc. Page 2 f 95
TABLE OF CONTENTS Revisin Histry... 2 Table f cntents... 3 1 THE USER INTERFACE... 5 1.1 General Overview... 5 2 MANAGING PATIENTS... 6 2.1 Open/Create Patients Using a Practice Management Bridge... 6 2.2 Adding/Creating a New Patient... 6 2.3 Editing Patient Infrmatin... 7 2.4 Deleting a Patient... 7 2.5 Viewing an Existing Patient s Images... 8 2.6 Viewing a Grup/Series f Images... 11 3 CAPTURING IMAGES FROM A X-RAY SENSOR/UNIT... 12 3.1 Capturing Single Images frm a X-ray Sensr/Unit... 12 3.2 Capturing a Grup/Layut Images frm an X-ray Sensr/Unit... 15 4 CAPTURING IMAGES FROM SCANNERS... 18 4.1 General Infrmatin... 18 4.2 Capturing Single Images frm a Scanner... 18 4.3 Capturing Grup/Layut Images frm Scanner... 20 5 CAPTURING IMAGES FROM AN INTRA-ORAL CAMERA... 24 5.1 General Infrmatin... 24 5.2 Capturing Single Images frm an IO Camera... 24 5.3 Capturing Grup/Layut Images frm an IO Camera... 27 6 IMAGE ENHANCEMENT... 30 6.1 General Infrmatin... 30 6.2 Accessing Image Enhancement Optins... 30 6.3 Brightness/Cntrast... 31 6.4 Sharpening... 33 6.5 Nise Remval... 34 6.6 Real-Time Filters... 35 7 LABELLING IMAGES... 38 7.1 General Infrmatin... 38 7.2 Adding and Mdifying Labels, Markers and Anntatins... 38 7.3 Calibrating Images and Adding Measurement Labels... 40 8 DISTRIBUTING IMAGES TRANSIT ADD-ON COMPONENTS... 45 8.1 General Infrmatin... 45 8.2 TransIT General Emailer Creatr... 45 8.3 TransIT Emailer Creatr... 48 8.4 FastAttach by NEA... 50 8.5 XrayView e-mailer Creatr... 55 8.6 XrayView Creatr... 60 9 PRINTING IMAGES AND IMAGE-RELATED DOCUMENTS... 65 9.1 General Infrmatin... 65 9.2 Printing a Single Image... 65 9.3 Printing Multiple Images... 65 9.4 Printing Images in a Layut/Grup/Series... 67 9.5 Dcument Templates... 69 10 APPENDIX A: COMMON FUNCTIONS AND UTILITIES... 74 10.1 Imprting Images frm an External Surce... 74 10.2 Deleting a Patient s Images... 76 10.3 Finding Images by Date... 77 11 APPENDIX B: CUSTOMIZING LAYOUT DEFINITIONS... 80 11.1 General Infrmatin... 80 11.2 Overview f the Layut Definitin Dialg Bx... 80 Apteryx, Inc. Page 3 f 95
11.3 Cmmn Layut Tasks: Changing the Capture Order... 82 11.4 Cmmn Layut Tasks: Changing the Capture Surce... 82 11.5 Cmmn Layut Tasks: Adding Tiles... 83 11.6 Cmmn Layut Tasks: Creating New Layuts Based n Existing Layuts... 83 12 APPENDIX C: CONFIGURING DOCUMENT HANDLING OPTIONS... 85 12.1 Overview... 85 12.2 Cnfiguring Dcument Template Optins... 85 13 APPENDIX D: CONFIGURING PREFERENCES... 87 13.1 General Infrmatin... 87 13.2 General Preferences... 87 13.3 Interface Preferences... 88 13.4 Sensr Preferences... 90 13.5 Imaging Optins and Preferences... 91 13.6 Print Preferences... 92 13.7 Database Preferences... 93 13.8 Advanced Preferences... 94 Apteryx, Inc. Page 4 f 95
1 THE USER INTERFACE 1.1 General Overview The imaging applicatin prvides a wizard-driven interface designed t make the image capturing and viewing prcess intuitive and simple. 1- Main Menu Bar: The main navigatin menu. Prvides wizard-driven access t functins such as: viewing images; taking X-rays frm sensrs; r acquiring images frm devices such as flatbed: scanners; intra-ral camera; and panramic/cephalmetric systems. 2 - Existing Patients List: Displays the current list f patients that exist in the patient database. 3 - Patient Search Entry Frm: Allws users t search the patient database. 4 - Tuch screen Keybard (Optinal): If selected, a keybard displays fr tuch screen mnitrs typically used in dental peratries. Apteryx, Inc. Page 5 f 95
2 MANAGING PATIENTS 2.1 Open/Create Patients Using a Practice Management Bridge The imaging applicatin prvides users numerus methds t create r pen patient recrds. Althugh patient recrds can be manually created, the mst cmmn methd emplyed by dental practices is thrugh integratin referred t as a Practice Management (PM) Bridge. PM Bridging autmates the patient creatin prcess by carrying ver patient (first name, last name, id number, SS number) and demgraphic (birth date, gender, etc.) infrmatin frm cmmn, third-party PM applicatin t the imaging applicatin. PM bridging assures that patient infrmatin in the imaging applicatin matches the infrmatin cntained in the PM applicatin. A PM bridge can be established using the fllwing methds: NameGrabber - Apteryx s patented applet. When installed, NameGrabber runs in the Windws System Tray. Users simply pen a patient s recrd in the PM applicatin by and then click n the NameGrabber icn in the system tray. The imaging applicatin is autmatically launched, the patient s infrmatin is carried ver, and the patient s recrd is pened r created. Visit www.apteryx.cm fr mre infrmatin. PM DataDrills Thru the use f Apteryx s PM data drills, the imaging applicatin can manually pull patient and related demgraphic infrmatin directly frm a third-party PM database and use it t create a patient. DataDrills are typically used in cnjunctin with NameGrabber t fill in any missing infrmatin when pulling patient data frm an applicatin. Visit www.apteryx.cm fr mre infrmatin. Integrated PM Bridge / Cmmand Line Optins The imaging applicatin ffers many ptins t pen patients using cmmand line arguments. Parameters can be sent with the applicatin s executable file t pen/create patients. Cmmand line ptins are useful t develpers fr creating a buttn within a third-party PM applicatin that autmates the prcess f pening r creating the related patients image file. Fr mre infrmatin refer t the fllwing nline knwledgebase article: OVERVIEW: Cmmand Line Parameters. In many circumstances, befre a PM bridge is implemented, a dental practice manually creates patients in the sftware. As a result, patient infrmatin may nt exactly match the infrmatin being passed via the PM bridge. After the PM bridge is implemented, the user may be presented with a Patient Des Nt Exist dialg bx when attempting t pen a patient that DOES exist in the imaging applicatin if there is a mismatch with the patient infrmatin passed. Refer t the fllwing nline knwledgebase article fr instructins t update the existing patient: HELP: Errr "Patient Des Nt Exist". 2.2 Adding/Creating a New Patient T manually create a new patient recrd: 2.2.1 Enter in the required patient infrmatin in the Search Criteria fields. The fllwing restrictins are placed n the fllwing entries: SS Number ID Number Maximum f 16 characters Can cntain characters, digits r symbls Maximum f 64 characters Can cntain characters, digits r symbls Apteryx, Inc. Page 6 f 95
2.2.2 Scrll dwn n the main navigatin if necessary and select Create Patient. 2.2.3 The Existing Patients list will refresh t display the new patient recrd. 2.3 Editing Patient Infrmatin T mdify an existing patient s recrd: 2.3.1 Enter the patient s infrmatin in ne r mre fields f the search utility r scrll dwn t find the desired patient recrd. 2.3.2 Select the patient s recrd and then select Advanced Patient Optins > Edit Patient Infrmatin n the menu bar. 2.3.3 Add/Mdify any f the prvided fields as desired and then click n OK t save the changes. 2.4 Deleting a Patient Users can delete a patient frm the database using the Delete Patient functin. Only ne patient can be deleted at a time using this functinality. T delete a patient: 2.4.1 Enter the patient s infrmatin in ne r mre fields f the search utility r scrll dwn t find the desired patient recrd. 2.4.2 Select the patient s recrd and then select Advanced Patient Optins > Delete This Patient n the menu bar. Apteryx, Inc. Page 7 f 95
2.4.3 The fllwing warning messages display. If sure, select Yes n each t cntinue with the deletin. 2.4.3.1 2.4.3.2 2.4.3.3 2.5 Viewing an Existing Patient s Images T view an existing patient s images: 2.5.1 Enter the patient s infrmatin in ne r mre fields f the search utility r scrll dwn t find the desired patient recrd. 2.5.2 Select the patient recrd and click n the View Images buttn n the menu bar. Apteryx, Inc. Page 8 f 95
2.5.3 The View Images fr which teeth? screen displays. Use ne f the fllwing ptins t preview images f related teeth: By tth number: Click n a tth number t view thumbnails f all images related t that tth. Teeth with related images are displayed in white. T view thumbnails f images assciated t multiple teeth, left-click, hld dwn, and drag the cursr t select the desired teeth. Click n Right r Left t display thumbnails f all images related t a particular side f the patient s muth. Apteryx, Inc. Page 9 f 95
By taken date: Select View Images By Date. The wizard will prgress t the View the images fr which date? screen. An All Images cllapsible list is made available t allw users t filter images by year, mnth, r day. Thumbnails f related images are made available fr selectin. View All Images: Select View Images fr All Teeth. The wizard will prgress t display thumbnails f all images in patient s database. 2.5.4 When previewing image thumbnails, the fllwing viewing ptins are available: Duble-click n any desired image layut (utlined in red) r single image thumbnail (utlined in green) t display the related image in full view. Apteryx, Inc. Page 10 f 95
Select the Slide Shw buttn t view all the related images in full view as a slideshw. 2.6 Viewing a Grup/Series f Images The imaging applicatin has the ability t display a grup f images in a single wrkspace knwn as Layuts. Layuts prvide a cnventinal methd f displaying images in the standard dental template view. Each tile in a layut identifies the related tth assciatins, image rientatin, and the rder in the capture series hwever layuts can be further custmized t specify the surce f the image (sensr, scanner, vide, etc.). Refer t Appendix B: Custmizing Layut Definitins fr additinal infrmatin. Apteryx, Inc. Page 11 f 95
3 CAPTURING IMAGES FROM A X-RAY SENSOR/UNIT 3.1 Capturing Single Images frm a X-ray Sensr/Unit Take X-ray permits users t select an x-ray sensr r unit they want t use frm a list f available sensrs befre a digital x-ray is acquired. T capture frm a sensr: 3.1.1 Enter the patient s infrmatin in ne r mre fields f the search utility r scrll dwn t find the desired patient recrd. 3.1.2 Select the patient recrd and click n the Take X-ray buttn n the menu bar. 3.1.3 The wizard advances t the Take X-rays fr which teeth? screen. Select ne r mre teeth t assciate t the image after the capture is cmplete. This will autmatically setup the tth assciatin with the image and prperly rient the displayed image nce captured. Apteryx, Inc. Page 12 f 95
3.1.4 The wizard advances t the Psitin Sensr and Activate X-ray Unit screen. 3.1.5 Nte that the last sensr utilized n the cmputer/wrkstatin will display in the area utlined in red abve. T select a different sensr, click n Switch Digital X-ray Unit r Sensr. The Capture Sensr Image selectin screen displays. Select the applicable sensr and then click n OK. Apteryx, Inc. Page 13 f 95
3.1.6 Click n Activate Selected Unit t prceed t prepare the sensr fr capture. The sensr indicatr will turn green when the sensr is ready t capture an image. A vcal cue will als be heard if the cmputer has a sund card and speakers. 3.1.7 Prceed t sht the x-ray. The new image frm the sensr will be acquired and stred in the patient s recrd. The amunt f time it takes fr the image t appear n the screen is dependent upn the sensr manufacturer. 3.1.8 The image file is autmatically saved and stred in the patient s file. 3.1.9 Pst-capture enhancements can be applied t the newly captured image. Select Autmatic Brightness/Cntrast t have the applicatin autmatically adjust the settings OR... Brightness/Cntrast t manually apply Brightness/Cntrast, Equalize, Gamma Crrectin, r t adjust clr levels. Apteryx, Inc. Page 14 f 95
3.1.10 Additinal image enhancement utilities are available under the Advanced Tls menu ptin. Refer t the Image Enhancement sectin fr detailed infrmatin n these and ther cmmnly used image enhancement tls. 3.1.11 Pst-capture peratins can be perfrmed n the newly captured image. Select Rtate, Flip Vertically, r Flip Hrizntally t rient the image as desired. 3.1.12 T retake an image select the Retake buttn and repeat steps 3.1.7 3.1.11 t acquire an additinal image fr the teeth selected in Step 3.1.3. 3.1.13 T return t the patient list, click n the Select Patient buttn. 3.2 Capturing a Grup/Layut Images frm an X-ray Sensr/Unit A layut is a grup f free-flating tiles displayed in a single wrkspace. The grups f images can be captured and displayed in individual tiles within the selected layut. T capture a series f images frm an x-ray sensr/unit: 3.2.1 Enter the patient s infrmatin in ne r mre fields f the search utility r scrll dwn t find the desired patient recrd. 3.2.2 Select the patient recrd and click n the Take X-ray buttn n the menu bar. The wizard advances t the Take X-rays fr which teeth? screen. Select Take an Autmated X-ray Series. 3.2.3 The wizard will advance t a layut selectin screen. Select the desired layut (2 Bite Wings, 4 Bite Wings, etc.). Layuts definitins specify the surce (sensr, scanner, etc.) that the image will be acquire frm. By default, layuts are cnfigured t capture frm sensrs. If the tiles in a layut specify a surce ther than a Sensr it will need t be mdified r a similar ne created t capture frm a TWAIN device r scanner. Select Custmize Layuts and then refer t Cmmn Layut Tasks: Changing the Capture Surce (Appendix B) fr detailed instructins. Apteryx, Inc. Page 15 f 95
3.2.4 The Wizard will advance t the Layut capture screen. Nte that the first tile in the series is selected, awaiting an image capture. Additinally, nte that the related tth numbers are displayed in each tile. Warning: X-ray images will be autmatically captured in the rder set by the layut definitins. They will be riented accrding t the teeth defined in the layut tile. If the user deviates frm the rder (withut taking the prper steps), images will be placed in the wrng tile and be riented incrrectly. 3.2.5 Place the sensr in the patient s muth and psitin it t capture the teeth assciated t the tile. Click the Start buttn. 3.2.6 The Capture Sensr Image selectin screen displays. Select the applicable sensr and then click n OK. Select Cntinue t Use This Sensr if all images in the layut will be captured using the same sensr. If unchecked, the Capture Sensr Image screen will display between each capture in the series. 3.2.7 The sftware will advance and prepare the sensr fr x-ray expsure. A green Sensr Ready indicatin will display at the tp f the screen. A vcal cue will als be heard if the cmputer has a sund card and speakers. Apteryx, Inc. Page 16 f 95
3.2.8 Prceed t sht the x-ray. The new image frm the sensr will appear in the selected tile. 3.2.9 The applicatin will then advance t the next tile in the series. If Cntinue using this sensr was selected in Step 6, the sensr will autmatically be prepared and readied fr the next capture. If Cntinue using this sensr was nt selected in Step 6, the Capture Sensr Image screen will display fr the user t select the desired sensr. Click n OK t cntinue with the capture. 3.2.10 Place the sensr in the patient s muth and psitin it t capture the set f teeth assciated t the next tile. 3.2.11 Repeat Steps 8 10 until the last image in the series has been captured. 3.2.12 Click Finished when all images in the series are captured. The layut will be autmatically stred t the patient s file. Apteryx, Inc. Page 17 f 95
4 CAPTURING IMAGES FROM SCANNERS 4.1 General Infrmatin If a TWAIN-cmpliant scanner (e.g. a flatbed scanner with manufacturer-prvided TWAIN drivers) is attached t the cmputer n which the imaging applicatin is installed: The applicatin will autmatically recgnize the device and cnfigure its settings. (Befre bting up Windws, turn n the pwer t the scanner t ensure that the cmputer s perating system "sees" the device). The scanner will available fr selectin in the Capture Image device selectin screen under the Scanned X-ray (fr scanning in X-rays) r Scanned Image (fr scanning in digital images) tabs. If a phsphr plate scanner (e.g. Air Technique s ScanX ) is attached t the cmputer n which the applicatin is installed: The applicatin will require the related Apteryx imaging device extensin t be installed in rder t interface with the manufacturer s drivers. The scanner will be available fr selectin in the Capture Image device selectin screen under the Scanned X-ray r Imaging Device tabs. In this user guide, captures will be limited t capturing frm TWAIN-cmpliant scanners r phsphr plate scanners using the Scanned X-ray tab. 4.2 Capturing Single Images frm a Scanner 4.2.1 Enter the patient s infrmatin in ne r mre fields f the search utility r scrll dwn t find the desired patient recrd. 4.2.2 Select the patient recrd and click n the Acquire Images buttn n the menu bar. 4.2.3 The wizard advances t the Take X-rays fr which teeth? screen. Select ne r mre teeth t assciate t the image after the capture is cmplete. This will autmatically setup the tth assciatin with the image and prperly rient the displayed image nce captured. Apteryx, Inc. Page 18 f 95
4.2.4 The Capture Image device selectin screen will display prmpting users t select the tab that applies t the image t be captured. Select the Scanned X-ray tab. 4.2.5 Click n the Image Surce drp-dwn list and select the applicable driver fr the TWAIN-Cmpliant scanner r phsphr plate scanner. 4.2.6 Depending n the hardware, Autmatically Acquire may need t be disabled if a TWAIN driver is selected. Apteryx recmmends disabling Autmatically Acquire if a TWAIN driver is selected. Aut Acquire functinality depends n the capabilities f the flatbed scanner's TWAIN r Windws Imaging Acquisitin (WIA) drivers. Certain scanners (such as the HP Scanjet G4050) d nt wrk with Aut Acquire if Aut Size is selected, nr will they utilize the transparency adapter. If necessary, check with the hardware manufacturer t see if this functinality is supprted. 4.2.6.1 If acquiring frm a flatbed scanner (skip t Step 4.2.8 fr phsphr plate scanners): 4.2.6.2 Place the X-ray r ther media as instructed by the manufacturer. Flatbed scanners must have a trans-illuminating cver fr scanning X-rays. 4.2.6.3 Click n the OK buttn. 4.2.6.4 If this is the first time the TWAIN-cmpliant scanner is being used, the imaging applicatin will display a device settings screen t cnfigure the device. Accept the defaults by clicking the OK buttn (they can be changed at any time if necessary). 4.2.6.5 The imaging applicatin will send instructins t the scanner and autmatically scan the image and display it in the imaging applicatin. 4.2.7 If acquiring frm a phsphr plate scanner: 4.2.7.1 Click n the OK buttn. The device-specific interface will display and prmpt the user when ready. 4.2.7.2 Place the X-ray film int the phsphr plate scanner as instructed by the manufacturer. 4.2.7.3 When the scan is cmplete, select Dne n the device s interface. The imaging applicatin will then acquire the image frm the device s interface and display it in the imaging applicatin. Apteryx, Inc. Page 19 f 95
4.2.8 The image file is autmatically saved and stred in the patient s file. 4.2.9 Pst-capture enhancements can be applied t the newly captured image. Select Autmatic Brightness/Cntrast t have the applicatin autmatically adjust the settings OR... Brightness/Cntrast t manually apply Brightness/Cntrast, Equalize, Gamma Crrectin, r t adjust clr levels. 4.2.10 Additinal image enhancement utilities are available under the Advanced Tls menu ptin. Refer t the Image Enhancement sectin fr detailed infrmatin n these and ther cmmnly used image enhancement tls. 4.2.11 Pst-capture peratins can be perfrmed n the newly captured image. Select Rtate, Flip Vertically, r Flip Hrizntally t rient the image as desired. 4.2.12 T retake an image select the Retake buttn and repeat steps 4.2.7 4.2.11 t acquire an additinal image fr the teeth selected in Step 4.2.3. 4.2.13 T return t the patient list, click n the Select Patient buttn. 4.3 Capturing Grup/Layut Images frm Scanner A layut is a grup f free-flating tiles displayed in a single wrkspace. The grups f images can be captured and displayed in individual tiles within the selected layut. T capture a series f images frm a scanner: 4.3.1 Enter the patient s infrmatin in ne r mre fields f the search utility r scrll dwn t find the desired patient recrd. 4.3.2 Select the patient recrd and click n the Acquire Image buttn n the menu bar. The wizard advances t the Take X-rays fr which teeth? screen. Select Take an Autmated X-ray Series. Apteryx, Inc. Page 20 f 95
4.3.3 The wizard will advance t a layut selectin screen. Select the desired layut (2 Bite Wings, 4 Bite Wings, etc.). Layuts definitins specify the surce (sensr, scanner, etc.) that the image will be acquire frm. By default, layuts are cnfigured t capture frm sensrs. If the tiles in a layut specify a surce ther than a TWAIN Device r Scanner it will need t be mdified r a similar ne created t capture frm a TWAIN device r scanner. Select Custmize Layuts and then refer t Cmmn Layut Tasks: Changing the Capture Surce (Appendix B) fr detailed instructins. 4.3.4 The Wizard will advance t the Layut capture screen. Nte that the first tile in the series is selected, awaiting an image capture. Additinally, nte that the related tth numbers are displayed in each tile. Apteryx, Inc. Page 21 f 95
Warning: X-ray images will be autmatically captured in the rder set by the layut definitins. They will be riented accrding t the teeth defined in the layut tile. If the user deviates frm the rder (withut taking the prper steps), images will be placed in the wrng tile and be riented incrrectly. 4.3.5 When ready t scan click the Start buttn. 4.3.6 The Capture Image device selectin screen will display prmpting users t select the tab that applies t the image t be captured. Select the Scanned X-ray tab. 4.3.7 Click n the Image Surce drp-dwn list and select the applicable driver fr the TWAIN-Cmpliant scanner r phsphr plate scanner. Select Cntinue t use this surce if all images in the layut will be captured using the same device. If unchecked the Capture Image screen will display between each capture in the series. 4.3.8 Depending n the hardware, Autmatically Acquire may need t be disabled if a TWAIN driver is selected. Apteryx recmmends disabling Autmatically Acquire if a TWAIN driver is selected. Aut Acquire functinality depends n the capabilities f the flatbed scanner's TWAIN r Windws Imaging Acquisitin (WIA) drivers. Certain scanners (such as the HP Scanjet G4050) d nt wrk with Aut Acquire if Aut Size is selected, nr will they utilize the transparency adapter. If necessary, check with the hardware manufacturer t see if this functinality is supprted. 4.3.9 If acquiring frm a flatbed scanner (skip t Step 4.3.10 fr phsphr plate scanners): 4.3.9.1 Place the X-ray r ther media as instructed by the manufacturer. Flatbed scanners must have a trans-illuminating cver fr scanning X-rays. 4.3.9.2 Click n the OK buttn. 4.3.9.3 If this is the first time the TWAIN-cmpliant scanner is being used imaging applicatin will display a device settings screen t cnfigure the device. Accept the defaults by clicking the OK buttn (they can be changed at any time if necessary). 4.3.9.4 The imaging applicatin will send instructins t the scanner and autmatically scan the image and display it in the selected tile. 4.3.10 If acquiring frm a phsphr plate scanner: 4.3.10.1 Click n the OK buttn. The device-specific interface will display and prmpt the user when ready. 4.3.10.2 Place each X-ray film int the phsphr plate scanner as instructed by the manufacturer. 4.3.10.3 When all images are scanned and display in the device interface select Dne. The imaging applicatin will then acquire the images frm the device s interface and insert them int each tile in the capture windw. Apteryx, Inc. Page 22 f 95
4.3.11 The applicatin will then advance t the next tile in the series. If Cntinue using this surce was selected in Step 6, the device will autmatically be prepared and readied fr the next capture. If Cntinue using this surce was nt selected in Step 6, the Capture Image screen will display fr the user t select the desired device frm the Scanned X-ray tab again. Click n OK t cntinue with the capture. 4.3.12 Repeat Steps 4.3.9.1 4.3.9.4 fr flatbed scanners until the last image in the series has been captured. 4.3.13 Click Finished when all images in the series are captured. The layut will be autmatically stred t the patient s file. Apteryx, Inc. Page 23 f 95
5 CAPTURING IMAGES FROM AN INTRA-ORAL CAMERA 5.1 General Infrmatin The imaging applicatin ffers an easy-t-use DirectVide and Real-Time interface that allws users t capture live images frm vide surces such as Intra-Oral Cameras and digital cameras. The Real-time Vide Extensin is used fr capturing images frm lder analg intra-ral vide cameras cnnected t cmputers via vide card. The DirectVide Extensin is mre cmmnly used fr mre recent technlgy that cnnects cameras via USB, FireWire (IEEE 1394) cameras and DirectX vide capture cards. In this user guide, captures will be limited t capturing frm an Intra-Oral Camera with the mre cmmnly used DirectVide Extensin. By default, the DirectVide Extensin is enabled. T change t Real-Time Vide Extensin fr lder, analg cameras, click n Preferences > Imaging and then select the Vide Device Type buttn. Enable the Real-Time Vide ptin n the Vide Surce dialg bx. 5.2 Capturing Single Images frm an IO Camera 5.2.1 Enter the patient s infrmatin in ne r mre fields f the search utility r scrll dwn t find the desired patient recrd. 5.2.2 Select the patient recrd and click n the Acquire Images buttn n the menu bar. 5.2.3 The wizard advances t the Take X-rays fr which teeth? screen. Select ne r mre teeth t assciate t the image after the capture is cmplete. This will autmatically setup the tth assciatin with the image and prperly rient the displayed image nce captured. Apteryx, Inc. Page 24 f 95
5.2.4 The Capture Image device selectin screen will display prmpting users t select the tab that applies t the image t be captured. Select the Misc tab 5.2.5 Click n the Image Surce drp-dwn list and select DirectVide Capture. 5.2.6 The DirectVide interface displays. If mre than ne vide surce is attached t the cmputer, select Vide Devices frm the menu and then select the applicable device. 5.2.6.1 Nte that the live vide feed displays n the right hand side. Place the camera in the patient s muth and psitin it where desired. 5.2.6.2 Capture the image using ne f the fllwing methds: Press the buttn n the camera DirectVide cmes equipped with different capture buttn cnfiguratins designed t interact with varius cameras. Select Camera Buttns frm the menu t change the cnfiguratin t ne that applies if the camera buttn des nt trigger the capture. Step n the ft pedal (if cnfigured) Select the Capture buttn n the DirectVide interface Press the space bar n the keybard Apteryx, Inc. Page 25 f 95
5.2.6.3 Once captured, a thumbnail f the image will appear in the area belw the buttns n the DirectVide interface. When finished, click the Dne buttn. 5.2.6.4 Multiple images can be captured at ne time, if desired. Additinal thumbnails will appear belw the initial ne as images are captured. 5.2.6.5 If unsatisfied with an image, right-click n the image thumbnail and select Delete Current Image. 5.2.6.6 When finished, click the Dne buttn. 5.2.7 The DirectVide interface will clse and the image(s) will be acquired and displayed in the imaging applicatin. 5.2.8 The image file is autmatically saved and stred in the patient s file. Apteryx, Inc. Page 26 f 95
Pst-capture enhancements can be applied t the newly captured image. Select Autmatic Brightness/Cntrast will adjust the brightness and cntrast fr an image autmatically. The Brightness/Cntrast menu cntains tls that are applied manually, including: Brightness/Cntrast, Equalize, Gamma Crrectin, r t adjust clr levels. Additinal image enhancement utilities are available under the Advanced Tls menu ptin. Refer t the Image Enhancement sectin fr detailed infrmatin n these and ther cmmnly used image enhancement tls. 5.2.9 T retake an image select the Retake buttn and repeat steps 5.2.4 5.2.8 t acquire an additinal image fr the teeth selected in Step 5.2.3. 5.2.10 T return t the patient list, click n the Select Patient buttn. 5.3 Capturing Grup/Layut Images frm an IO Camera A layut is a grup f free-flating tiles displayed in a single wrkspace. The grups f images can be captured and displayed in individual tiles within the selected layut. T capture a series f images frm an IO camera: 5.3.1 Enter the patient s infrmatin in ne r mre fields f the search utility r scrll dwn t find the desired patient recrd. 5.3.2 Select the patient recrd and click n the Acquire Image buttn n the menu bar. The wizard advances t the Take X-rays fr which teeth? screen. Select Take an Autmated X-ray Series. 5.3.3 The wizard will advance t a layut selectin screen. Select the desired layut (2 Bite Wings, 4 Bite Wings, etc.). Layuts definitins specify the surce (sensr, scanner, etc.) that the image will be acquire frm. By default, layuts are cnfigured t capture frm sensrs. If the tiles in a layut specify a surce ther than a Vide Surce it will need t be mdified r a similar ne created t capture frm a TWAIN device r scanner. Select Custmize Layuts and then refer t Cmmn Layut Tasks: Changing the Capture Surce (Appendix B) fr detailed instructins. Apteryx, Inc. Page 27 f 95
5.3.4 The Wizard will advance t the Layut capture screen. Nte that the first tile in the series is selected, awaiting an image capture. Additinally, nte that the related tth numbers are displayed in each tile. Warning: X-ray images will be autmatically captured in the rder set by the layut definitins. They will be riented accrding t the teeth defined in the layut tile. If the user deviates frm the rder (withut taking the prper steps), images will be placed in the wrng tile and be riented incrrectly. 5.3.5 When ready t capture images click the Start buttn. 5.3.6 The DirectVide interface displays. Cntinue capturing images fr each tile in the layut. Additinal thumbnails will appear belw the initial ne as images are captured. If mre than ne vide surce is attached t the cmputer, select Vide Devices frm the menu and then select the applicable device. Apteryx, Inc. Page 28 f 95
5.3.6.1 Nte that the live vide feed displays n the right hand side. Place the camera in the patient s muth and psitin it where desired. 5.3.6.2 Capture the images using ne f the fllwing methds: Press the buttn n the camera Step n the ft pedal (if cnfigured) Select the Capture buttn n the DirectVide interface Press the space bar n the keybard 5.3.6.3 Once captured, a thumbnail f each image will appear in the area belw the buttns n the DirectVide interface. 5.3.6.4 If unsatisfied with an image, right-click n the image thumbnail and select Delete Current Image. 5.3.6.5 When finished, click the Dne buttn. 5.3.7 The DirectVide interface will clse and the images will autmatically be placed in each tile in the layut. 5.3.8 Click Finished when all images in the series are captured. The layut will be autmatically stred t the patient s file. Apteryx, Inc. Page 29 f 95
6 IMAGE ENHANCEMENT 6.1 General Infrmatin The applicatin s image manipulatin and enhancement tls enables users t imprve images digitally withut having t re-sht X-rays r ther images. This guide will highlight the primary enhancement tls as the intuitive nature the imaging applicatin enables the user t quickly grasp the functins and uses f the remaining tls. 6.2 Accessing Image Enhancement Optins 6.2.1 View an existing patient s images and duble-click t view it in full view. 6.2.2 Select Enhancement frm the menu bar t access the image enhancement ptins. Apteryx, Inc. Page 30 f 95
6.3 Brightness/Cntrast 6.3.1 Overview The imaging applicatin prvides a standard Brightness/Cntrast and Gamma Crrectin utility that can be used t imprve image quality. In general, brightness/cntrast enhancement adjusts the brightness and the cntrast f an image in rder t try t imprve the verall dynamic appearance f the image. Gamma crrectin is a very versatile tl when dealing with images that are captured by vide hardware. Gamma crrectin differs frm standard brightness enhancements because it dynamically adjusts each pixel t maintain its relatin t all the ther pixels, hence exaggerating density changes in an bject. Usually, gamma crrectin is used in cmbinatin with ne f the ther B/C enhancement tls t dramatically imprve the verall appearance f an image. Befre Gamma Crrectin After Gamma Crrectin 6.3.2 Applying brightness/cntrast r gamma crrectin 6.3.2.1 Frm the Enhancement menu ptins, select Brightness / Cntrast > Brightness / Cntrast r Brightness / Cntrast > Gamma Crrectin. The applicable dialg bx displays. Apteryx, Inc. Page 31 f 95
6.3.2.2 Use ne f the fllwing image adjustment buttns t size, resize, r repsitin the images displayed in the riginal and resulting image preview windws as desired: - Select t pan the image in the preview t view a specific area. Click and drag the image with the left muse buttn. - Select t magnify r reduce the image in the preview. T increase the magnificatin f an image, click n the image in the preview with the left muse buttn. T reduce the magnificatin, click with the right muse buttn. - Select t autmatically resize the image and make it fit in the viewing area. - Select t autmatically resize the image in the preview t 100% magnificatin. When clicked, the image in the preview will resize t the actual dimensins f the image. 6.3.2.3 Use the brightness and cntrast sliders OR click and drag the sliders lcated n the right side (brightness) and bttm (cntrast) f the adjustment tl t enhance the image as desired. The enhancements are adjusted in real-time in the Resulting Image Preview area. 6.3.2.4 Click OK t apply the settings t the image. 6.3.2.5 If desired, click n Und ( ) t remve the B/C enhancement applied t the image. 6.3.2.6 When dne, click G Back t return t the patient images r Select Patient t return t the patient list. A dialg bx will appear prmpting the user t save the mdificatin. Select Yes t save the change. 6.3.3 Applying Equalizatin The imaging applicatin ffers users the ability t apply equalizatin by selecting Brightness / Cntrast > Equalize. Equalize prvides a nn-linear apprach t altering the brightness/cntrast f an image. This enhancement is typically used t imprve the image quality f very lw cntrast images. Mst images span an entire range f brightness with all levels well represented. Hwever, smetimes images are t light r t dark and sme levels are verppulated leaving thers under-ppulated. The Equalize effect mdifies an image s that all levels f brightness are equally well represented within the image. The equalize ptin is nly available fr grayscale images. Befre Equalizatin After Equalizatin Apteryx, Inc. Page 32 f 95
6.4 Sharpening 6.4.1 Overview Mst images have sme degree f blurriness (frm fcus prblems r inherent limitatins in the image taking prcess). The imaging applicatin ffers an autmatic image sharpening that can be applied t cmpensate fr the blurriness in an image. Befre Laplace Edge Enhancement After Laplace Edge Enhancement 6.4.2 Applying sharpening r Laplace edge enhancement 6.4.2.1 Select Advanced Tls > Sharpening t use the sharpening. The Sharpen Image dialg bx displays. 6.4.2.2 Use ne f the fllwing image adjustment buttns t size, resize, r repsitin the images displayed in the riginal and resulting image preview windws as desired: - Select t pan the image in the preview t view a specific area. Click and drag the image with the left muse buttn. - Select t magnify r reduce the image in the preview. T increase the magnificatin f an image, click n the image in the preview with the left muse buttn. T reduce the magnificatin, click with the right muse buttn. Apteryx, Inc. Page 33 f 95
- Select t autmatically resize the image and make it fit in the viewing area. - Select t autmatically resize the image in the preview t 100% magnificatin. When clicked, the image in the preview will resize t the actual dimensins f the image. 6.4.2.3 The mask size and sharpening factr wrk hand-in-hand in determining the degree f sharpening that is applied t the image. 6.4.2.4 The Sharpening Factr specifies the magnitude f the sharpening peratin. Use the slider t manually adjust the degree f image sharpening as desired. 6.4.2.5 Select a predefined Mask Size OR select t manually enter a custm Width and Height. The mask size specifies hw large the area shuld be when sharpening a prtin f the image. The larger the area, the wider the blurriness is cnsidered t be. 6.4.2.6 Click OK t apply the settings t the image. 6.4.2.7 When dne, click G Back t return t the patient images r Select Patient t return t the patient list. A dialg bx will appear prmpting the user t save the mdificatin. Select Yes t save the change. 6.5 Nise Remval 6.5.1 Overview Nise in an image can be caused by a number f factrs such as dust, scratches r image static. A median nise remval/reductin algrithm is prvided in the imaging applicatin. In mst cases, median nise reductin results in the best image quality. It is imprtant t nte that excessive nise reductin leads t a lss f detail. Befre Nise Remval After Nise Remval Apteryx, Inc. Page 34 f 95
6.5.2 Applying Median Nise Remval 6.5.2.1 Select Advanced Tls > Remve Nise. The Nise Reductin (Median) dialg bx displays. 6.5.2.2 Use ne f the fllwing image adjustment buttns t size, resize, r repsitin the images displayed in the riginal and resulting image preview windws as desired: - Select t pan the image in the preview t view a specific area. Click and drag the image with the left muse buttn. - Select t magnify r reduce the image in the preview. T increase the magnificatin f an image, click n the image in the preview with the left muse buttn. T reduce the magnificatin, click with the right muse buttn. - Select t autmatically resize the image and make it fit in the viewing area. - Select t autmatically resize the image in the preview t 100% magnificatin. When clicked, the image in the preview will resize t the actual dimensins f the image. 6.5.2.3 Select a predefined Mask Size OR select t manually enter a custm Width and Height. The mask size specifies hw large the area shuld be when sharpening a prtin f the image. The larger the area, the wider the area f nise is cnsidered t be. 6.5.2.4 Click OK t apply the settings t the image. 6.5.2.5 When dne, click G Back t return t the patient images r Select Patient t return t the patient list. A dialg bx will appear prmpting the user t save the mdificatin. Select Yes t save the change. 6.6 Real-Time Filters Real-Time Filters are sets f image enhancements applied t any image that is pened, but the enhancement is nt saved upn the image thus preserving the authentic image. Accrdingly, the filters can be turned n and ff. Apteryx, Inc. prvides several default Real-Time Filters that can be applied t btain different results. Even thugh varius wrkstatins can apply their wn real-time filters, the images in the shared database are nt mdified when clsed. Apteryx, Inc. Page 35 f 95
6.6.1 Enabling r disabling a Real-Time Filter 6.6.1.1 View a layut/prgressin r image and select Real-Time Filters and chse frm the fllwing ptins: Apteryx General Enhancement By default, applies Nrmalize; Median Blur (5x5 Mask Size); and Sharpen (21x21 Mask Size); and Gamma Crrectin. These ptins may be mdified by accessing the Image Filter Optins. Custm Image Enhancement By default, applies a Median Filter (3x3 Mask Size); Sharpen (7X7 Mask Size); Adaptive Nrmalize; and Gamma Crrectin. These ptins may be mdified by accessing the Image Filter Optins. General End Enhancement Applies Adaptive Nrmalize (1,1), Sharpen (mask size varies n the size f the image), Gamma (.7,.7,.7), Median Nise Remval, Adjust Levels (0,128,225). Nne Turns ff the Real-Time Filter feature t display unfiltered, raw images. 6.6.1.2 Once selected, the bttm f the imaging applicatin will indicate that the Real-Time Filter is enabled. 6.6.2 Adjusting Real-Time Filter Optins The imaging applicatin prvides the ability t adjust the default settings f varius image real-time filter ptins. T mdify a real-time filter: 6.6.2.1 Select Real-Time Filters > Image Filter Optins and chse the applicable real-time filter ptin t mdify. Apteryx, Inc. Page 36 f 95
6.6.2.2 The filter s Enhance Optins dialg bx displays. Mdify any f the available settings as needed and then click OK. Apteryx, Inc. Page 37 f 95
7 LABELLING IMAGES 7.1 General Infrmatin Unlike ther systems, the imaging applicatin prvides users with a set f temprary labels (marker and anntatins) that can be assciated with an image. A variety f different labels, markers and anntatins can be applied t an image t highlight prblem areas, add date and time infrmatin, define and identify earlier prcedures perfrmed, r add general ntes. Labels are nt part f the image when added. They are flating bjects that can be mved, mdified, resized r deleted at any time. 7.2 Adding and Mdifying Labels, Markers and Anntatins The fllwing example f hw t add an Ellipse t an image effectively demnstrates hw t add ther types f labels, markers, and anntatins available in the imaging applicatin. The Ellipse Label cmmand will place an ellipse n an image. Placing an ellipse n an image is useful in bringing attentin t a designated area. Users have cntrl f the ellipse s prperties. 7.2.1 View an existing patient s images and duble-click t view it in full view. Apteryx, Inc. Page 38 f 95
7.2.2 Select Labels frm the menu bar t access the labeling ptins. 7.2.3 Select Ellipse Label frm the menu bar. 7.2.4 Hver the cursr ver the image and nte that it changes int a crss-hair indicatr. 7.2.5 Place the stem f the indicatr in the desired psitin n the image, Click and drag the muse t the psitin where the label shuld be displayed. Release the muse buttn t place the label in the designated lcatin. 7.2.6 Duble-click n the label t access the Ellipse Prperties dialg bx: 7.2.6.1 Select the desired Pen Size, Pen Clr, and Fill Clr. 7.2.6.2 If desired, select Freeze Label n the bttm-left f the dialg bx t fix the psitin f the label. The label will nt be able t be mved arund n the image. 7.2.6.3 When satisfied, click n OK. Apteryx, Inc. Page 39 f 95
7.2.7 The mdified prperties will then be applied t label. 7.3 Calibrating Images and Adding Measurement Labels 7.3.1 Overview Befre measurements are added in an image, the image shuld first be calibrated. In general, images are calibrated by taking a measurement f an bject f a knwn size r length in an image (as shwn in the image belw) and then prviding the actual length r size f the bject t determine the images calibratin factr fr a subsequent measurement t be perfrmed. This methd is useful in calibrating images frm Cephalmetric systems. Apteryx, Inc. Page 40 f 95
Sensr images can be mre accurately calibrated by using the actual dimensins f the sensr s active area rather than an bject f knwn length. The active area f the sensr can be determined by referring t the hardware s dcumentatin r cntacting the manufacturer. Apteryx, Inc. des nt guarantee the accuracy f any calibratin/measurement perfrmed in the imaging applicatin. 7.3.2 Calibrating an Image The Ellipse Label cmmand will place an ellipse n an image. Placing an ellipse n an image is useful in bringing attentin t a designated area. Users have cntrl f the ellipse s prperties. 7.3.2.1 View an existing patient s images and duble-click t view it in full view. Apteryx, Inc. Page 41 f 95
7.3.2.2 Select Labels frm the menu bar t access the labeling ptins. 7.3.2.3 Select Calibrate Measurement frm the menu bar. The cursr will change int a crsshair with a gear abve it. 7.3.2.4 Place the calibratin crsshair at the starting pint f the bject f knwn length; single-click n the left muse buttn; mve the crss-hair t the end-pint f the bject; and then duble-click n the left muse buttn. Nn-linear calibratins can be created by left-clicking n mid-pints while mving the muse frm pint t pint. Duble-click n the left muse buttn at the final end-pint. Apteryx, Inc. Page 42 f 95
7.3.2.5 A 'Calibrate Measurements' pp-up screen will appear. Type in the crrect length f the bject. Click OK. 7.3.2.6 This image is nw calibrated and any measurement perfrmed will be based ff the calibratin. 7.3.3 Adding a Measurement Label Fllw the steps belw t perfrm a measurement and create a measurement label. 7.3.3.1 Once a calibratin is applied, the cursr changes t a crsshair with n gear, ready t take a measurement. 7.3.3.2 Place measurement crsshair at the starting pint f the bject t be measured; single-click n the left muse buttn; mve the crss-hair t the end-pint f the bject; and then duble-click n the left muse buttn. Nn-linear measurements can be created by right-clicking n end-pints while dragging the muse with the left buttn held dwn. Release the left muse buttn at the final end-pint. 7.3.3.3 A measurement label will be placed n the image displaying the measurement. Duble-click n the measurement label t access the Measurement Prperties dialg bx. Apteryx, Inc. Page 43 f 95
7.3.3.4 The Measurement Prperties dialg bx displays t allw users t frmat the label. Custmize the measurement label prperties (clr, line, unit, measurement psitin, etc.) then click OK t exit. The Measurement Sample View sectin in the dialg bx abve des nt display the actual measurement, but rather a sample f what the measurement will lk like. The Measurements tab is where t find the actual measurement. 7.3.3.5 T remve the measurement label, if desired, click n the label and then select Delete Label. 7.3.3.6 T add additinal measurement labels t the calibrated image, select Measurement Label frm the menu bar and repeat Steps 7.3.3.2 7.3.3.4. 7.3.3.7 When dne, click n the G Back buttn t return t the full view f the image. Since labels have been added t the image, the user will be prmpted t save the changes. Click Yes t save the mdificatin. Apteryx, Inc. Page 44 f 95
8 DISTRIBUTING IMAGES TRANSIT ADD-ON COMPONENTS 8.1 General Infrmatin The imaging applicatin allws the additin f TransIT Cmmunicatin Extensin Devices (TransIT CEDs), additinal cmpnents that expand the sftware s capabilities t include the sending f patient images, claim frms, etc. t referral dctrs, insurance cmpanies, etc. The cmmnly used TransIT CEDs are described in the fllwing sectins. 8.2 TransIT General Emailer Creatr 8.2.1 Overview The mst cmmnly used TransIT add-n cmpnent, the General Emailer enables users t spawn their email client applicatin (e.g. Micrsft Outlk) and autmatically attach patient images and files t a new email message. The General Emailer requires Outlk/Outlk Express r ther MAPI clients. 8.2.2 Cnfiguring the TransIT General Emailer Creatr The TransIT General Emailer cmpnent will attempt t use the default email applicatin set up in Windws. Refer t Micrsft Supprt s Online Knwledgebase Article KB 154359 fr instructins t specify Micrsft Outlk r Outlk Express as the default email applicatin. 8.2.2.1 View an existing patient s images; duble-click n the desired image t view it in full view; and then Select Send n the menu bar. 8.2.2.2 The Select TransIT Methd dialg bx appears. Click n Access TransIT Optins. 8.2.2.3 The TransIT Cnfiguratins dialg bx displays. Select General Emailer Creatr and click n Edit Optins. 8.2.2.4 The General Emailer Optins dialg bx displays. Apteryx, Inc. Page 45 f 95
Accept the default r change the JPEG Quality Factr t whatever desired. The higher the quality the larger the generated jpeg files will be when cnverted and sent. Enable the Mask SS numbers ptin t suppress the transmissin f SS numbers. Click OK when dne. 8.2.2.5 Click OK n the TransIT Cnfiguratins dialg t return t the Select TransIT Methd dialg bx. 8.2.3 Sending Images Using the TransIT General Emailer Creatr 8.2.3.1 On the Select TransIT Methd dialg bx, select General Email Creatr. The TransIT Item Selectin dialg bx displays. Single Image Optins : If sending ne r mre single images, specify whether t send them as a plain image (i.e. JPEG frmat) r as an STB files the Single Image Optins sectin. Layut Optins: If sending ne r mre layuts, select ne f the fllwing file frmat ptins: As a cmbined, single image (i.e. JPEG frmat) As an Apteryx layut file (i.e. a cmpressed zip file cntaining the layut, STB images, and related data files A cmmn file frmat ZIP file (i.e. a cmpressed zip file cntaining the images in JPEG frmat). Apteryx, Inc. Page 46 f 95
8.2.3.2 Click n OK. The TransIT Emailer Infrmatin screen displays. Cmplete the fllwing infrmatin n each tab: General tab: Cmplete the Subject and Reference Number fields. Patient tab: The tab is pre-ppulated with the pen patient s infrmatin. Cmplete any required field if blank. Apteryx, Inc. Page 47 f 95
Message tab: Enter a message fr the recipient f the email. The message entered will appear in the bdy f the email. 8.2.3.3 Click OK when the TransIT Emailer Infrmatin tabs have been cmpleted. The imaging applicatin prceeds t spawn Outlk/Outlk Express create new email is created with the image attached. 8.2.3.4 Add the email infrmatin f the recipient and prceed t send the attached image/layut in Outlk/Outlk Express. 8.3 TransIT Emailer Creatr 8.3.1 Overview The Emailer Creatr mdule enables the sending f emails frm within the imaging applicatin. Multiple patient images and files can be sent directly thrugh a dental Apteryx, Inc. Page 48 f 95
practice s Internet Service Prvider (ISP). Outlk/Outlk Express is nt required with this extensin. 8.3.2 Cnfiguring Emailer Optins: Fr the TransIT Emailer cmpnent t functin an utging SMTP mail server must be cnfigured. The Emailer is nly cmpatible with utging mail servers that DO NOT require authenticatin r encryptin (e.g. SSL) fr transmissin. Cntact yur ISP fr utging SMTP server infrmatin and transmissin requirements. 8.3.2.1 View an existing patient s images; duble-click n the desired image t view it in full view; and then select Send n the menu bar. 8.3.2.2 The Select TransIT Methd dialg bx appears. Click n Access TransIT Optins. 8.3.2.3 The TransIT Cnfiguratins dialg bx displays. Select Emailer Creatr and click n Edit Optins. 8.3.2.4 The General Emailer Optins dialg bx displays. Cmplete the Outging SMTP Server and Prt fields. Click t enable the ptin This SMTP server requires a user name and passwrd. Cmplete the User Name and User Passwrd fields. Accept the default r change the JPEG Quality Factr t whatever desired. The higher the quality the larger the generated jpeg files will be when cnverted and sent. Click OK when dne. Apteryx, Inc. Page 49 f 95
8.3.2.5 Click OK n the TransIT Cnfiguratins dialg t return t the Select TransIT Methd dialg bx. 8.3.3 Sending Images Using the TransIT Emailer Creatr: 8.3.3.1 On the Select TransIT Methd dialg bx, select Email Creatr. The TransIT Item Selectin dialg bx displays. Single Image Optins : If sending ne r mre single images, specify whether t send them as a plain image (i.e. JPEG frmat) r as an STB files the Single Image Optins sectin. Layut Optins: If sending ne r mre layuts, select ne f the fllwing file frmat ptins: Cmbined, single image (i.e. JPEG frmat) Apteryx layut file (i.e. a cmpressed zip file cntaining the layut, STB images, and related data files A cmmn file frmat ZIP file (i.e. a cmpressed zip file cntaining the images in JPEG frmat). 8.3.3.2 Click n OK t generate and send the email via the utging SMTP server. 8.4 FastAttach by NEA 8.4.1 Overview The FastAttach mdule enables users t submit patient images and claims t NEA's FastAttach web-based service. 8.4.2 Cnfiguring FastAttach Optins: 8.4.2.1 View an existing patient s images; duble-click n the desired image t view it in full view; and then select Send n the menu bar. Apteryx, Inc. Page 50 f 95
8.4.2.2 The Select TransIT Methd dialg bx appears. Click n Access TransIT Optins. 8.4.2.3 The TransIT Cnfiguratins dialg bx displays. Select FastAttach by NEA and click n Edit Optins. 8.4.2.4 The FastAttach Optins dialg bx displays. Select the buttn shwn in red abve t find/specify the lcatin f the NEACOMM applicatin. Accept the default r change the JPEG Quality Factr t whatever desired. The higher the quality the larger the generated jpeg files will be when cnverted and sent. Click OK when dne. 8.4.2.5 Click OK n the TransIT Cnfiguratins dialg t return t the Select TransIT Methd dialg bx. Apteryx, Inc. Page 51 f 95
8.4.3 Submitting Patient Images/Claims Using FastAttach by NEA: 8.4.3.1 On the Select TransIT Methd dialg bx, select Fast Attach by NEA. The TransIT Selectin dialg bx displays. Click OK t cntinue. 8.4.3.2 The TransIT Fast Attach Infrmatin dialg bx displays. Cmplete the fllwing infrmatin n each tab: General tab: Select the applicable date range f service using the calendars. Enter the ptinal Payr Reference Number and Claim Amunt. Apteryx, Inc. Page 52 f 95
Prvider tab: Enter the required dental practice infrmatin. Click the Add buttn t stre the entered infrmatin as a quick entry fr future use. Payr tab: The Payr Name is the insurance cmpany the patient is insured thrugh. Apteryx, Inc. Page 53 f 95
Select the Brwse buttn, shwn in red abve, t launch and select the patient s insurance cmpany frm the Select NEA Player dialg bx. Click OK t return t the Payr tab. Click the Add buttn t stre the entered infrmatin as a quick entry fr future use. Patient tab: The tab is pre-ppulated with the pen patient s infrmatin. Cmplete any required field if blank. Apteryx, Inc. Page 54 f 95
Insured tab: If the patient is nt the insured persn (e.g. a dependant r spuse), enter the insured persn s infrmatin and select the applicable relatinship. If the patient is the insured persn, select the Same as patient buttn t aut-ppulate the fields. Message tab: Enter any additinal infrmatin t relay t the Insurance Cmpany regarding the claim and/r attachments. 8.4.3.3 Click OK t frward the image and claim infrmatin t NEA s FastAttach cmmunicatin applicatin. 8.5 XrayView e-mailer Creatr 8.5.1 Overview The XrayView e-mailer Creatr creates a ZIP file r self-extracting executable (XrayViewMailer.zip r XrayView.exe) cntaining a patients images. The XrayView e- Mailer Creatr then calls up a user s email client applicatin (e.g. Micrsft Outlk) and attaches the file in a new email message. Email recipients that receive the attachment can then detach, run the file, and view the prvided images within an XrayView interface. XrayView e-mailer Creatr supprts the transmissin f Apteryx s unmdifiable, Secure Tagged Blck (STB) file frmat, guaranteeing image authenticity. 8.5.2 Cnfiguring the XrayView e-mailer Creatr Optins The XrayView e-mailer cmpnent will attempt t use the default email applicatin set up in Windws. Refer t Micrsft Supprt s Online Knwledgebase Article KB 154359 fr instructins t specify Micrsft Outlk r Outlk Express as the default email applicatin. 8.5.2.1 View an existing patient s images; duble-click n the desired image t view it in full view; and then select Send n the menu bar. Apteryx, Inc. Page 55 f 95
8.5.2.2 The Select TransIT Methd dialg bx appears. Click n Access TransIT Optins. 8.5.2.3 The TransIT Cnfiguratins dialg bx displays. Select XrayView e-mail Creatr and click n Edit Optins. 8.5.2.4 The XrayView e-mailer Optins dialg bx displays. Enable Send attachment as a ZIP file t generate attachments as a ZIP file. If disabled, the attachment will attach a self-extracting executable (*.EXE file extensin). Warning: Sme email clients may be cnfigured nt t accept *EXE file extensins fr security reasns. If s, the email client will strip ut the attachment when the new message is sent. Accept the default r change the JPEG Quality Factr t whatever desired. The higher the quality the larger the generated jpeg files will be when cnverted and sent. Click OK when dne. 8.5.2.5 Click OK n the TransIT Cnfiguratins dialg t return t the Select TransIT Methd dialg bx. Apteryx, Inc. Page 56 f 95
8.5.3 Sending Images Using the XrayView e-mailer Creatr 8.5.3.1 On the Select TransIT Methd dialg bx, select XrayView e-mail Creatr. The TransIT Item Selectin dialg bx displays. Single Image Optins : If sending ne r mre single images, specify whether t send them as a plain image (i.e. JPEG frmat) r as an STB files the Single Image Optins sectin. Layut Optins : If sending ne r mre layuts, select ne f the fllwing file frmat ptins: Cmbined, single image (i.e. JPEG frmat) Apteryx layut file (i.e. a cmpressed zip file cntaining the layut, STB images, and related data files A cmmn file frmat ZIP file (i.e. a cmpressed zip file cntaining the images in JPEG frmat). 8.5.3.2 Click OK. The TransIT XrayView Infrmatin screen displays. Cmplete the fllwing infrmatin n each tab: General tab: Cmplete the Subject and Reference Number fields. Apteryx, Inc. Page 57 f 95
Patient tab: The tab is pre-ppulated with the pen patient s infrmatin. Cmplete any required field if blank. Message tab: Enter infrmatin fr the recipient f the email. Apteryx, Inc. Page 58 f 95
Passwrd Prtect tab: If desired, enable the Passwrd prtect the image ptin and enter a passwrd in the Passwrd field. The recipient will need t be prvided the passwrd in rder t access the files in the attachment when sent. 8.5.3.3 Click OK when the TransIT XrayView Infrmatin tabs have been cmpleted. The imaging applicatin prceeds t spawn Outlk/Outlk Express create new email is created with the image attached. 8.5.3.4 Add the recipient s email infrmatin and prceed t send the attached image/layut in Outlk/Outlk Express. Apteryx, Inc. Page 59 f 95
8.6 XrayView Creatr 8.6.1 Overview The XrayView Creatr creates a self-extracting executable (XrayView.exe) cntaining a patients images and infrmatin that can be saved n varius remvable media (e.g. USB flash drive, external hard disk, etc.) and prvided t ther dentist/practices fr referrals, etc. Recipients that are prvided the file can then run the file and view the prvided images within an XrayView interface. XrayView Creatr supprts the transmissin f Apteryx s unmdifiable, Secure Tagged Blck (STB) file frmat, guaranteeing image authenticity. 8.6.2 Cnfiguring the XrayView Creatr Optins 8.6.2.1 View an existing patient s images; duble-click n the desired image t view it in full view; and then select Send n the menu bar. 8.6.2.2 The Select TransIT Methd dialg bx appears. Click n Access TransIT Optins. 8.6.2.3 The TransIT Cnfiguratins dialg bx displays. Select XrayView Creatr and click n Edit Optins. 8.6.2.4 The XrayView Optins dialg bx displays. Enable an applicable ptin in the Nn-blank Disk Handling sectin: Fail if target disk is nt blank If enabled, the XrayView.exe file will nt be created in the specified destinatin unless the destinatin is blank. This ptin is useful if the destinatin cntains XrayView files that a user may nt want t verwrite. The user can nly write t the destinatin if the media is blank. Apteryx, Inc. Page 60 f 95
Prmpt and then wipe disk befre cpy If enabled, the user will be prmpted with a warning that the destinatin will be erased befre the XrayView.exe file is created. This ptin is useful if the destinatin lcatin has limited disk space. Cpy t target anyway If selected, any pre-existing XrayView files will be verwritten withut warning. Accept the default r change the JPEG Quality Factr t whatever desired. The higher the quality the larger the generated jpeg files will be when cnverted and sent. Click OK when dne. 8.6.2.5 Click OK n the TransIT Cnfiguratins dialg t return t the Select TransIT Methd dialg bx. 8.6.3 Distributing Images Using the XrayView Creatr 8.6.3.1 On the Select TransIT Methd dialg bx, select XrayView Creatr. The TransIT Item Selectin dialg bx displays. Single Image Optins : If sending ne r mre single images, specify whether t send them as a plain image (i.e. JPEG frmat) r as an STB files the Single Image Optins sectin. Layut Optins: If sending ne r mre layuts, select ne f the fllwing file frmat ptins: Cmbined, single image (i.e. JPEG frmat) Apteryx layut file (i.e. a cmpressed zip file cntaining the layut, STB images, and related data files A cmmn file frmat ZIP file (i.e. a cmpressed zip file cntaining the images in JPEG frmat). Apteryx, Inc. Page 61 f 95
8.6.3.2 Click OK. The TransIT XrayView Infrmatin screen displays. Cmplete the fllwing infrmatin n each tab: General tab: Cmplete the Subject and Reference Number fields. Frm tab: Enter the dctr and dental practice infrmatin. Select the Add FROM Entry buttn t stre the infrmatin as a quick entry fr future use. Apteryx, Inc. Page 62 f 95
T tab: Enter the recipient s infrmatin. Select the Add T Entry buttn t stre the infrmatin as a Quick Entry fr future use. Patient tab: The tab is pre-ppulated with the pen patient s infrmatin. Cmplete any required field if blank. Apteryx, Inc. Page 63 f 95
Message tab: Enter infrmatin fr the recipient f the email. Encryptin tab: If desired, enable the encryptin ptin t encrypt the image and enter a passwrd in the Passwrd field. The recipient will need t be prvided the passwrd in rder t access the files in the attachment when sent. 8.6.3.3 Click OK when the TransIT XrayView Infrmatin tabs have been cmpleted. 8.6.3.4 Fllw the prmpts t generate the XrayView files in the destinatin specified. Apteryx, Inc. Page 64 f 95
9 PRINTING IMAGES AND IMAGE-RELATED DOCUMENTS 9.1 General Infrmatin The imaging applicatin has built in print functinality that allws users t print images and related infrmatin directly t a lcal r netwrked printer. In additin, users have access t a library f custmizable Dcument Templates that can be used t generate referral letters, treatment plans, etc. in Micrsft Wrd. 9.2 Printing a Single Image 9.2.1 View an existing patient s images; duble-click n the desired image t view it in full view; and then select Print n the menu bar. 9.2.2 The Wizard advances t the print utility. 9.2.2.1 Select the desired printer ff the Printer drp-dwn list. 9.2.2.2 Cmplete the Dctr s Infrmatin text bx, if desired, that shuld be printed with the image. 9.2.2.3 Cmplete the Message text, if desired. 9.2.3 Select Print Image ff the menu bar t print the image t the select printer. 9.3 Printing Multiple Images 9.3.1 View an existing patient s images and then select Print Multiple Images ff the menu bar. Apteryx, Inc. Page 65 f 95
9.3.2 The Wizard will advance t an image selectin screen. 9.3.2.1 The Images T Chse Frm sectin n the right displays the current images in the patient s recrd. Click n each desired image t add t the print jb. 9.3.2.2 Each image that is added t the print jb will display in the Selected Images sectin n the left. If the wrng image is selected, click n it nce t remve it. 9.3.2.3 When ready t prceed with the print jb, click n OK. 9.3.3 The Wizard advances t the multiple image print utility. 9.3.3.1 Select the desired printer ff the Printer drp-dwn list. 9.3.3.2 Cmplete the Dctr s Infrmatin text bx, if desired, that shuld be printed with the image. Apteryx, Inc. Page 66 f 95
9.3.3.3 T the right, the Number f Images Per Page sectin indicates the way the images will be printed n a grid and the ttal number f pages. 9.3.3.4 Click n the buttn t recnfigure the layut f the print jb. Use the muse t select the desired number f clumns and rws fr the image grid. 9.3.3.5 Cmplete the Message text, if desired. 9.3.4 Select Print Image ff the menu bar t print the images t the select printer. 9.4 Printing Images in a Layut/Grup/Series The imaging applicatin gives users the ability t print an entire layut r t select specific images in the layut fr printing. 9.4.1 Printing an Entire Layut 9.4.1.1 View an existing patient s images and then duble-click n the desired layut thumbnail t view the entire layut in full view. 9.4.1.2 Select Print > Print Layut/Prgressin ff the menu bar. 9.4.1.3 The Wizard advances t the print utility. Apteryx, Inc. Page 67 f 95
Select the desired printer ff the Printer drp-dwn list. Cmplete the Dctr s Infrmatin text bx, if desired, that shuld be printed with the image. Cmplete the Message text, if desired. 9.4.1.4 Select Print Image ff the menu bar t print the layut t the select printer. 9.4.2 Printing One r Mre Images frm a Layut 9.4.2.1 View an existing patient s images and then duble-click n the desired layut thumbnail t view the entire layut in full view. 9.4.2.2 Select Print > Print Layut/Prgressin ff the menu bar. 9.4.2.3 The Wizard advances t the layut print utility. The Images T Chse Frm sectin n the right displays the current images in the patient s recrd. Click n each desired image t add t the print jb. Each image that is added t the print jb will display in the Selected Images sectin n the left. If the wrng image is selected, click n it nce t remve it. When ready t prceed with the print jb, click n OK. Apteryx, Inc. Page 68 f 95
9.4.2.4 The Wizard advances t the multiple image print utility. Select the desired printer ff the Printer drp-dwn list. Cmplete the Dctr s Infrmatin text bx, if desired, that shuld be printed with the image. T the right, the Number f Images Per Page sectin indicates the way the images will be printed n a grid and the ttal number f pages. Click n the buttn t recnfigure the layut f the print jb. Use the muse t select the desired number f clumns and rws fr the image grid. Cmplete the Message text, if desired. 9.4.2.5 Select Print Image ff the menu bar t print the images t the select printer. 9.5 Dcument Templates 9.5.1 Overview The imaging applicatin prvides a library f dcument templates (e.g. referral letters, treatment plans, clinical reprts, image cards, etc.) that a user can select t autmatically spawn a dcument in Micrsft Wrd. Each template is embedded with cdes that Apteryx, Inc. Page 69 f 95
insert an pen patient s image(s) and select patient infrmatin (Name, ID number, SS Number, etc.) int a new dcument. Macrs must be enabled in Micrsft Wrd in rder t allw the executin f the Visual Basic cdes embedded within the dcument templates. Apteryx, Inc. recmmends setting the macr security level t Medium. The medium security setting permits a user t allw r disallw macrs when wrking with dcuments. Refer t Micrsft s help dcumentatin fr further instructins. 9.5.2 Spawning Single Image Dcument Templates 9.5.2.1 View an existing patient s images; duble-click n the desired image t view it in full view; and then select Advanced Optins > Dcument Templates n the menu bar. 9.5.2.2 The first time the Dcument Template feature is utilized, the user is presented with the Dcument Template Optins dialg bx t cnfigure dcument handling settings. Refer t Appendix C: Cnfiguring Dcument Handling Optins fr detailed instructins. 9.5.2.3 The Spawn Dcument dialg bx displays. Select the desired single-image dcument template t generate and click OK. The naming cnventin f Apteryx-prvided dcument templates typically indicates the dcument-type (i.e. Referral letter, treatment plan, etc.) and number f images the template can handle. Apteryx, Inc. Page 70 f 95
9.5.2.4 The imaging applicatin will then prceed t launch Micrsft Wrd, embedding the image and patient infrmatin (utlined in green in the sample shwn belw) int a new wrd dcument. 9.5.2.5 Additinal fields (highlighted in yellw in the sample abve) can be manually typed in by the user t cmplete the dcument. Click n each field t enter the required infrmatin. 9.5.3 Spawning Multiple Image Dcument Templates 9.5.3.1 View an existing patient s images and then select Spawn Multiple Image Dcument ff the menu bar. 9.5.3.2 The first time the Dcument Template feature is utilized, the user is presented with the Dcument Template Optins dialg bx t cnfigure dcument handling settings. Refer t Appendix C: Cnfiguring Dcument Handling Optins fr detailed instructins. Apteryx, Inc. Page 71 f 95
9.5.3.3 The Wizard will advance t an image selectin screen. The Images T Chse Frm sectin n the right displays the current images in the patient s recrd. Click n each desired image t add t the print jb. Each image that is added t the print jb will display in the Selected Images sectin n the left. If the wrng image is selected, click n it nce t remve it. When ready t prceed, click n OK. 9.5.3.4 The Spawn Dcument dialg bx displays. Select the desired single-image dcument template t generate and click OK. The listed dcument templates are nt necessarily multiple-image templates. The naming cnventin f Apteryx-prvided dcument templates typically indicates the dcument-type (i.e. Referral letter, treatment plan, etc.) and number f images the template can handle. Apteryx, Inc. Page 72 f 95
9.5.3.5 The imaging applicatin will then prceed t launch Micrsft Wrd, embedding the images and patient infrmatin (utlined in green in the sample shwn belw) int a new wrd dcument. 9.5.3.6 Additinal fields (highlighted in yellw in the sample abve) can be manually typed in by the user t cmplete the dcument. Click n each field t enter the required infrmatin. Apteryx, Inc. Page 73 f 95
10 APPENDIX A: COMMON FUNCTIONS AND UTILITIES 10.1 Imprting Images frm an External Surce Digital images captured frm digital cameras r ther external surces are nrmally stred by the user in a knwn lcatin n the lcal hard drive. The imaging applicatin prvides standard functinality that allws users t imprt and assciate external files t a patient recrd: This feature can be used t manually imprt ne r mre images (JPEGs, GIFs, TIFFs, etc.) int a patient recrd as single images r int a layut/grup. T imprt images: 10.1.1 Enter the patient s infrmatin in ne r mre fields f the search utility r scrll dwn t find the desired patient recrd. 10.1.2 Select the patient recrd and click n the View Images buttn n the menu bar. 10.1.3 The View Images fr which teeth? displays. Select View Images Fr All Teeth. Apteryx, Inc. Page 74 f 95
10.1.4 A screen displaying thumbnails f the patient s images displays. Select Imprt Images. 10.1.5 The Open dialg bx will display. Brwse t the knwn lcatin/directry where the image(s) is stred and click n it nce. T select mre than ne, hld dwn the cntrl buttn and select each additinal image. Click n Open when dne. Apteryx, Inc. Page 75 f 95
10.1.6 The Mve files t patient dialg bx displays. Enable the ptin t delete the riginal file after the mve, if desired. Click the Yes buttn t prceed with the mve. 10.1.7 If the ptin t delete the riginal file after the mve has been selected, the Delete Original Files dialg bx displays. Click Yes t delete the image(s) if desired. 10.1.8 The imprted image(s) will display in the imaging applicatin cmplete and will be autmatically stred t the patient s file. 10.2 Deleting a Patient s Images Fllw the steps belw t remve ne r mre images frm a patient s file: 10.2.1 Enter the patient s infrmatin in ne r mre fields f the search utility r scrll dwn t find the desired patient recrd. 10.2.2 Select the patient s recrd and then select Advanced Patient Optins > Delete Patient Images n the menu bar. Apteryx, Inc. Page 76 f 95
10.2.3 The Delete Patient Image Files dialg bx pens, displaying thumbnails f all the patient s images. Select ne r mre f the desired images and click n the Delete buttn. 10.2.4 The fllwing warning messages display. If sure, select Yes n each t cntinue with the deletin. 10.2.4.1 10.2.4.2 10.3 Finding Images by Date 10.3.1 Overview Occasinally, users may need t perfrm a search fr an image that was inadvertently captured under the wrng patient. The Find Images by Date utility gives users the ability Apteryx, Inc. Page 77 f 95
t search the entire patient database fr all images captured within a specified date range. 10.3.2 Perfrming a Search 10.3.2.1 Select Preferences ff the main menu bar. After the wizard advances, select Database and then click Find Images By Date. 10.3.2.2 The Find Images by Date dialg bx displays. Use the Frm and T calendars t specify an applicatin date range t perfrm a search. Click n the OK buttn t prceed with the search. 10.3.2.3 The Fund Images dialg bx displays if there are images in the patient database that match the search criteria. Apteryx, Inc. Page 78 f 95
Select a patient n the left clumn t preview their related images. If the desired image is fund, click Open t view it OR click n Mve t Anther Patient t transfer the image t the crrect patient. 10.3.2.4 If Mve t Anther Patient was selected in the previus step, The 'Mve Layut t Patient' utility displays. Select the patient frm the list t which the layut is t be mved and click n the OK buttn. Apteryx, Inc. Page 79 f 95
11 APPENDIX B: CUSTOMIZING LAYOUT DEFINITIONS 11.1 General Infrmatin A layut is a patented methd f displaying a series f images in a single wrkspace. The imaging applicatin cmes equipped with pre-defined layuts that a dental practice can use t capture patient images fr bitewings (2 and 4 BWXs), full muth series (18 and 22 FMXs), anterirs (upper and lwer), etc. Each layut has a series f free-flating tiles that are arranged t be a representatin f the anatmical lcatin f grups f teeth in a muth. Each tile in a layut identifies the surce f the image (sensr, scanner, vide, etc.), its rientatin, related tth assciatins, and its rder in the capture series. 11.2 Overview f the Layut Definitin Dialg Bx The Layut Definitin dialg bx is where users can custmize their wn layuts by creating new r mdifying the definitins in an existing layut t meet their needs. 11.2.1 Accessing Layut Definitins 11.2.1.1 Select any patient recrd and click n the Take X-ray buttn n the menu bar. The wizard advances t the Take X-rays fr which teeth? screen. Select Take an Autmated X-ray Series. 11.2.1.2 The wizard will advance t a layut selectin screen. Click n the Custmize Layuts buttn. The Layut Definitins dialg bx will display. 11.2.2 The Layut Definitins Interface 11.2.2.1 All existing layuts are listed in the Layuts sectin (utlined in blue abve). 11.2.2.2 If a layut is selected, it will display in edit mde in the large preview windw (utlined in green abve). Apteryx, Inc. Page 80 f 95
11.2.3 Layut Optins Users can cnfigure general layut ptins when creating a new layut r editing an existing layut (selecting the Layut Optins buttn). The layut ptins dialg bx is displayed in Edit Layut mde belw. Users can define/redefine the fllw general layut ptins: Layut Type Users can select between a grid-type with static tiles ( a layut with free-flating tiles ( ). Grid-Size If the grid is selected as layut type, the user can specify the amunt f rws and clumns in the grid. ) OR Backgrund Clr Users can select the drp-dwn t specify a different clr fr the layut backgrund. This is an inside-ut viewed layut This ptin can be enabled t define the layut as being viewed frm inside ut. Images acquired will be autmatically flipped inside-ut in this mde. 11.2.4 The Layut Definitins Tlbar There is a cllectin f buttns belw the preview windw that can be used t cnfigure the layut/tiles f a selected layut as desired. Sme buttns will remain grayed ut until a tile r tiles are selected. Refer t the table belw fr a quick descriptin f each. Recvers lst tiles (caused by mdificatins that cause tiles t disappear frm preview). Adjusts height f selected tiles t equal length. Aligns the center f selected tiles. Generates a duplicate f the selected tile. Frces tiles t snap t a defined grid Adjusts height & width f selected tiles t equal length. Aligns the righthand edge f selected tiles. Rtates the selected tile. Flips entire layut hrizntally (inside-ut view) Evenly spaces selected tiles hrizntally. Aligns the tp edge f selected tiles. Adds a new tile t the layut. Apteryx, Inc. Page 81 f 95
Sets layut tile surce (vide, sensr, etc.) Evenly spaces selected tiles vertically. Aligns the middle f selected tiles. Adds a vertical tile t the layut. Adjusts width f selected tiles t equal length. Aligns the lefthand edge f selected tiles. Aligns the bttm edge f selected tiles. Adds a hrizntal tile t the layut. 11.3 Cmmn Layut Tasks: Changing the Capture Order Each tile in a layut identifies the surce f the image (sensr, scanner, vide, etc.), its rientatin, related tth assciatins, and its rder in the capture series. T change the capture rder: 11.3.1 Select the desired layut t edit. The layut/tiles display in the preview windw. 11.3.2 Select the Order buttn t enable the tile rdering functin. 11.3.3 Nte that the current capture rder f each tile displays in the tp-left crner f each tile. 11.3.4 With the rdering functin nw enabled, click n each tile in the rder desired fr capturing. The tile numbers will be rerdered as the user selects each tile in the series. 11.3.5 Select the Save buttn t stre the changes. 11.4 Cmmn Layut Tasks: Changing the Capture Surce Each tile in a layut identifies the surce f the image (sensr, scanner, vide, etc.), its rientatin, related tth assciatins, and its rder in the capture series. T mdify the capture surce f a layut: 11.4.1 Select the desired layut t edit. The layut/tiles display in the preview windw. 11.4.2 Select the surce buttn ( ) frm the tlbar belw the preview windw. 11.4.3 The Take Frm dialg bx displays. Apteryx, Inc. Page 82 f 95
11.4.4 Select the desired surce frm the prvided drp-dwn list: Prmpt User Fr Surce If selected the user will be prmpted t select a surce during the layut capture prcess. Nwhere If selected, the user will nt be prmpted fr any surce. Scanner If selected, the layut will be setup t acquire phsphr plates scanners, etc. Sensr If selected, the layut will be ready t acquire frm x-ray sensrs. File If selected, the layut will be setup t acquire images frm the lcal hard drive, netwrk, r media device attached t the cmputer. Clipbard If selected, the layut will be setup t acquire an image stred in the cmputer s memry via the <cpy> functin. TWAIN Device - If selected, the layut will be setup t acquire frm devices, such as dcument scanners, that have the manufacturer s TWAIN drivers installed n the cmputer. Vide Surce - If selected, the layut will be setup t acquire frm a vide surce, such as an intra-ral r extra-ral camera, using the DirectVide r Real-Time Vide extensin. Aut-Imprt - If selected, the layut will be setup t acquire using the Aut-Imprt utility. 11.4.5 Click OK when dne. Select the Save buttn n the Layut Definitins dialg bx t stre the changes. 11.5 Cmmn Layut Tasks: Adding Tiles Each tile in a layut identifies the surce f the image (sensr, scanner, vide, etc.), its rientatin, related tth assciatins, and its rder in the capture series. T add an additinal tile t a layut: 11.5.1 Select the desired layut t edit. The layut/tiles display in the preview windw. 11.5.2 Frm the tlbar belw the preview windw, select t add a hrizntal tile OR t add a vertical tile t the layut. 11.5.3 Refer t The Layut Definitins Tlbar sectin abve fr additinal functins that can be perfrmed t further cnfigure the tile as needed. 11.6 Cmmn Layut Tasks: Creating New Layuts Based n Existing Layuts The imaging applicatin gives users the ability t create a layut frm scratch r t create a new layut based n an existing layut. Basing a new layut n an existing ne is a useful if needing t create a duplicate layut fr different hardware. Fr example, if a user has an existing 4 Bitewing Layut n the Layut Definitin screen that is set t capture frm a sensr, a duplicate layut can be easily created and set t capture frm their intra-ral camera, if needed. T create a new layut based n an existing layut: Apteryx, Inc. Page 83 f 95
11.6.1 Select the New Layut buttn. The New Layut dialg bx displays. 11.6.2 Enter a descriptive name fr the new layut in the Layut Name field. 11.6.3 Click n the Based On drp-dwn list t select the desired layut the new ne being created will be based n. When creating a new custm layut frm scratch, using the Layut Type f grid is limited cmpared t free-flating. Accrdingly, free-flating is the preferred Layut Type fr creating a custm layut. Apteryx, Inc. Page 84 f 95
12 APPENDIX C: CONFIGURING DOCUMENT HANDLING OPTIONS 12.1 Overview The imaging applicatin prvides a library f dcument templates (e.g. referral letters, treatment plans, clinical reprts, image cards, etc.) that a user can select t autmatically spawn a dcument in Micrsft Wrd. Each template is embedded with cdes that insert an pen patient s image(s) and select patient infrmatin (Name, ID number, SS Number, etc.) int a new dcument. Macrs must be enabled in Micrsft Wrd in rder t allw the executin f the Visual Basic cdes embedded within the dcument templates. Apteryx, Inc. recmmends setting the macr security level t Medium. The medium security setting permits a user t allw r disallw macrs when wrking with dcuments. Refer t Micrsft s help dcumentatin fr further instructins. 12.2 Cnfiguring Dcument Template Optins 12.2.1 The first time the Dcument Template feature is utilized t spawn single image dcument templates r multiple image dcument templates in Micrsft Wrd, the user is presented with the Dcument Template Optins dialg bx t cnfigure dcument handling settings. 12.2.2 By default, dcuments are created as temprary dcuments that will be deleted nce Micrsft Wrd is clsed. Select Save the dcuments in the dcument in fllwing flder t specify a specific lcatin n the cmputer t stre spawned dcuments. Apteryx, Inc. Page 85 f 95
12.2.3 Click n the brwse buttn (utlined in red abve). The Select Path dialg bx displays. 12.2.3.1 Use the directry tree t find and select the apprpriate flder. 12.2.3.2 Click OK t return t the Dcument Optins dialg bx. 12.2.4 Select the desired naming scheme t use fr any Wrd dcument spawned frm the imaging applicatin. 12.2.5 Select the ptin t Autmatically handle images that may be t big fr MS Wrd. If enabled, large images will be autmatically resized t fit within the dcument s designated area fr embedded images. 12.2.6 Befre Micrsft Wrd can be used t create dcuments; the lcatin f the applicatin must be cnfigured. T specify the lcatin f Micrsft Wrd n the cmputer, click the brwse buttn (utlined in green abve) t manually search fr the Micrsft Wrd executable (typically called WINWORD.EXE) OR click the Search buttn t have the sftware find the executable. 12.2.7 Click OK t save the changes and cntinue with the prcess. Apteryx, Inc. Page 86 f 95
13 APPENDIX D: CONFIGURING PREFERENCES 13.1 General Infrmatin The imaging applicatin is a custmizable applicatin that can be fined tuned t suit a user s needs. These ptins can be accessed by clicking n Preferences n the main menu bar. The fllwing sectin describes the available ptins n the Preferences screen. 13.2 General Preferences Select General ff the menu bar t display ptins related t the general functinality r perability f the imaging applicatin. Time Frmat : Use 24 hur clck - Time reads ut in military time. 9:50 PM wuld be 21:50 Date Frmat : Zer pad the hur - Places a "0" in frnt f the hur. S 9:50 PM wuld read 09:50 PM Include secnds - Places secnds at the end f the time. 9:50 PM wuld read 9:50:45 PM Put date befre mnth - Places the date befre the mnth as they d in Eurpe. Instead f August 14th it wuld read 14th August Use the full year - Instead f placing "00" it wuld read "2000" Zer pad the date - Places a "0" in frnt f the date if it is less than 10 Include weekday (lng frmat nly) - Includes the day f the week (e.g. Mnday, Tuesday, etc.) in lng frmat. Apteryx, Inc. Page 87 f 95
Label Prperties : 13.3 Interface Preferences Click the Set Default Label Prperties t set the default frmatting f cmmn labels and markers such as Angles, Arrws, etc. A related prperties dialg bx will appear allwing users t cnfigure pen size, pen clr, fill clr etc. D nt prmpt fr label prperties after creating a label If selected, the label prperties dialg bx will be suppressed with adding labels, markers, r anntatins. The defaults set here will always be applied. Switch t pinter mde after creating a new label If selected, the muse will return t pinter mde rather than remaining in the mde f the selected label. The Interface Preferences screen cntains settings that cntrl the appearance f the user interface and infrmatin displayed. Miscellaneus : Display backgrund bitmap If disabled, the backgrund image f the applicatin will be remved. Display ImageBar hrizntally Displays the Imagebar hrizntally acrss the user interface. The ImageBar feature is typically enabled in NameGrabber, Apteryx s practice management bridging applicatin, t display a patient s images in a flating bar. If utilizing a bridging mechanism built int a practice management applicatin, the imagebar feature can be enabled within the imaging applicatin by selecting any patient n the main interface and then clicking n Advanced Patient Optins > Imagebar ff the menu bar. Use time/date frmat fr layut tile dates If disabled, the date displayed belw layut tiles will appear in the YYYY/MM/DD frmat. Apteryx, Inc. Page 88 f 95
Patient Infrmatin : Hide as much patient infrmatin as pssible - This ptin will hide SS numbers frm the pen patient index. Display patient names in uppercase - Patient names are displayed in uppercase frmat when enabled. D nt display entire patient list If enabled the patient list n the main screen des nt present an index f all patients. Only patients that match the search criteria as it is being entered will be displayed. Keybard Layut : Indicates what keybard style and type are t be used fr the n-screen keybard that can be displayed n the varius screens thrughut the applicatin. The default ptin, QWERTY/Standard is the standard U.S. setting. Select ne f the varius internatinal keybards supprted by the applicatin. The Blck and Standard settings indicate the key arrangement that is t be used when the keys are displayed. The Standard setting displays the keys in the standard keybard cnfiguratin while the Blck frmat rearranges the keys s that they may be easier t use in sme wall munted displays. Layuts And Prgressins : Select Change Grup View t select a viewing preference (Layuts vs. Prgressins) fr image grups/series. Tltips : Tltips prvide a descriptin f the peratin assciated with a buttn that the cursr is hvering ver. By default, the applicatin is enabled t display all tltips. List Fnt Size : Select an apprpriate value ff the drp list t increase the fnt size f the Patient List n the main screen. Adult Tthcntrl Frmat : allws users t set up the way the adult tth cntrl palettes are displayed. Optins include: British Internatinal - 4 quadrants, 8 tth frms (1-1, 1-2, 1-3, etc.) Universal Teeth numbers 1-32 Deciduus Tthcntrl Frmat : allws users t set up the way the adult tth cntrl palettes are displayed. Optins include: British Palmer - 4 quadrant, 5 tth by letter (1-a, 1-b, 1-c) Internatinal - 4 quadrants, 5 tth by # (5-1, 5-2, 5-3) Universal Letters A-T Apteryx, Inc. Page 89 f 95
13.4 Sensr Preferences Users can access the specific settings f installed sensr extensins, add new sensr definitin r cnfiguratin files, and cnfigure general sensr capture settings that apply t all sensrs. Users can als cnfigure audible indicatrs fr sensr readiness and failure. Digital X-ray Sensr Settings : Lists the currently installed sensr extensins. Dubleclick an entry t access the sensr extensin settings fr pst-capture filtratin and ther sensr-specific settings. Digital Sensr Additin Depending n the manufacturer s specificatins, a sensr definitin r cnfiguratin file (calibratin, crrectin, r Gain file) may need t be added fr the digital x-ray system. Select Add Sensr t add new sensr definitins t the sftware. Nt all digital x-ray systems require the additin f sensr files fr their digital sensrs. Please cnsult the dcumentatin that came with the system t see if the system requires sensr definitin files t be laded int the sftware. Audible Indicatrs The available ptins enable an audible vice that will say "Sensr Ready" r "Sensr Failure" when interacting with the sensrs. Users can select a male, female, r cartn vice by clicking n the apprpriate buttn. Althugh the imaging applicatin prvides default sensr ready and sensr failure WAV files, user can cnfigure their wn by selecting the applicable brwse buttns t lcate and select a different file. Layut Capture Pause : When capturing a layut/prgressin, pause between sensr captures - This ptin shuld be enabled when a sensr system times ut t fast r if a certain sensr system needs mre time t "reset itself" befre it is prepared t capture the next tile in a layut. Enter the amunt f time t pause in the text field prvided. Apteryx, Inc. Page 90 f 95
Advanced Optins : Display B/C adjustment dialg immediately after single x-ray capture Enable this ptin t allw brightness/cntrast adjustments after single x-ray captures. Ignre Always Prmpt tiles When capturing a layut/series, this ptin indicates the system shuld ignre the Always prmpt fr device/sensr tile ptin in layut definitins. Images will still be captured fr the tile, but the prmpt will be verridden. Activate single x-ray captures immediately If enabled, the sensr will autmatically be activated during single image captures withut the user having t click n the Activate Selected Unit buttn. This ptin is useful t users with ne r mre sensrs, frm the same manufacturer, that utilize the same hardware drivers. 13.5 Imaging Optins and Preferences Users can access the specific settings f installed extensins fr imaging devices such as digital panramic/cephalmetric imaging systems; phsphr plate devices; transparency/ flatbed scanners; and ther TWAIN devices. Additinally, user can cnfigure general capture settings that apply t all imaging devices. Default Scanner Reslutin - Allws users t set the default reslutins f the images acquired fr Periapicals, Bite-Wing Series, Full Muth Series, Cephalmetric, and Panral. These settings nly apply t images captured frm a flatbed scanner. JPEG Image Quality - JPEG quality factr is an image cmpressin technique that reduces the size f a file t save space n the hard drive. Images can be cmpressed by as much as 90%, hwever, the mre an image is cmpressed the mre image detail is sacrificed. Apteryx, Inc. recmmends leaving the settings t the highest quality feasible. Layut Stamp Creatin Select Create real stamp representatins f layuts/prgressins t displays image thumbnails r stamps f the layut as ppsed t just gray bxes that represent a layut. Aut Taken Date Labels : Autmatically place taken date labels - Optin adds a taken date label when a layut is viewed in the imaging applicatin. The label is nly applied t images captured after the ptin is enabled. Display taken dates in layuts If enabled, taken dates will display belw each tile in a layut. Image Acquisitin Optins : Twain Devices - Select this buttn t access the TWAIN Device Cnfiguratin ptins fr any imaging device attached t the system. TWAIN devices require the manufacturer-specific TWAIN drivers t be installed in rder fr it t be recgnized by the imaging applicatin. Image Device Extensins - Select this buttn t access and cnfigure apteryxsupplied extensins fr imaging devices such as digital pan/ceph imaging systems and phsphr plate devices. Duble-click an available imaging device entry t access the extensin settings fr pst-capture filtratin and ther devicespecific settings. Select Vide Device Type - By default, the DirectVide Extensin is enabled. Select this buttn t change t Real-Time Vide Extensin fr lder, analg cameras. Apteryx, Inc. Page 91 f 95
13.6 Print Preferences Users can cnfigure general printing preferences such as page indents; image fnt sizes; and image size. Additinally, user can cnfigure what patient infrmatin t include n the printed image. Page Indents - Specify the left/right; tp; and bttm page indentatins. All measurements are specified in inches. Fnts Users can specify the fnt type (Arial; New Times Rman; etc.); frmat (Bld/italicized); and text size is t be applied t Header; Image Infrmatin; and Message fnts. T change a fnt, click n the apprpriate fnt buttn. Image Size : - Permit the user t specify hw large an image shuld appear when it is printed directly t a printer. Full Page - Indicates that an image shuld be printed as large as pssible n the page. Real Size - Indicates that the image shuld be printed s that measurements may be taken frm the printed image. The Real Size setting may crp ff a prtin f the image if the printed image is larger than the printable are n the printer. Due t variances in image capture frm imaging devices, measurements in Real Sized images are nt guaranteed t be accurate. % f Page Size - Indicates the maximum percentage f the page that shuld be used when printing the image. The image will be apprpriately scaled while maintaining the aspect rati within this percentage f the page. Printed Image Infrmatin - Indicates what image infrmatin (if any) shuld appear when an image is printed directly t a printer. This infrmatin is printed directly belw the image. Apteryx, Inc. Page 92 f 95
13.7 Database Preferences The imaging applicatin allws users t cnfigure database ptins such as which patient database (lcal r netwrked) shuld be used by the applicatin; what frmat images shuld be stred; caching ptins; and database synchrnizatin ptins fr XV Sync. Users additinally have access t database utilities and Practice Management data drill ptins. Database Directry - Indicates which lcal r netwrked patient database shuld be used by the applicatin. If this ptin is nt changed by the user, then the sftware will utilize the lcal patient database. Database Caching - This ptin requires mre memry but can significantly reduce netwrk lag ver slw r heavy netwrks. Enabling the Use Database caching ptin will help reduce delays when lking up patient ver Wide Area Netwrks (WANs). Database Synchrnizatin The Enable T Stre database ptin, when enabled, autmatically adds all newly acquired images t an index called the TStreDB. This feature shuld nly be used in cnjunctin with XV Sync, the remte database synchrnizatin applicatin prvided by Apteryx, Inc fr users with tw (2) r mre dental ffice lcatins. Fr mre infrmatin n XV Sync, cntact Apteryx Supprt at 877- APTERYX (877-278-3799). Image File Frmat - Allws users t cnfigure the file type images shuld be saved in. If selected the user will be can change the strage frmat t: STB - Apteryx Secure file frmat Apteryx s prprietary 16 bit image strage frmat that guarantees image authenticity. JPEG - Standard file frmat The space-saving strage frmat that uses the highest pssible quality setting. Image authenticity is sacrificed with this frmat. Update Patient Database - A patient's image database keeps track f the images, tth infrmatin, and image types f the patient. The applicatin autmatically checks t see if a patient's image database becmes ut f date and will autmatically update the database. Shuld a patient's image database hpelessly becme ut f synch (i.e. incrrect times and dates n different cmputers), a user can select Update Patient Database t run the utility and rebuild the patient index. Apteryx, Inc. Page 93 f 95