DDX-R Quick Start Guide

DDX-R Quick Start Guide Imaging Support 1-855-726-9995 www.scilvet.com

Contents USING DDX-R... 2 Opening a Patient File... 2 Opening a New Patient File... 3 Screen Layout... 3 ACQUIRING IMAGES ON A PATIENT... 4 ScanX Acquisition... 4 Manual Acquisition... 4 Full Mouth Series Acquisition... 6 MDX4 Acquisition... 8 Manual Acquisition... 8 Full Mouth Series Acquisition... 9 USING THE VIEWER... 11 Switching Images in the Viewport... 12 Moving Images in the Mount... 12 Removing Images from the Mount... 12 Basic Mouse Functions... 12 Icon Functions... 13 Advanced Mount Features... 16 Full Screen Viewing... 17 IMPORTING IMAGES INTO DDX-R... 18 EXPORTING IMAGES FROM DDX-R... 20 REPORT WRITER MODULE... 21 Main Icons... 21 Main Icons... 21 Use an Existing Template or Saved Report... 22 Inserting Images into an Image Box... 22 Creating a New Report... 23 Inserting a Logo... 23 Inserting Image Boxes... 24 Inserting Fields from DDX-R Data... 24 Inserting a table... 24 1

USING DDX-R To open DDX-R, double click on the DDX-R Data shortcut on the desktop. Opening a Patient File Click on Search to pull up patient list. You can search by Name, Number or Owner Last name and others by clicking on the Search for: dropdown menu. After selecting your search criteria, enter the first few characters and it will sort through the results placing them in the list. Once you have found the patient in the list you can double click to open their information. Click on the DDX-R icon to access their file to review or add images. 2

Opening a New Patient File Click on the New at the top of the page to begin the entry of patient information. You must have a Patient ID, Patient Name, Owner Last and First Name to continue. To save this click on the Save icon (Checkmark). If you need to edit patient information click on the Modify button (Up arrow). To enter the client file click on the DDX-R icon at the top left of the screen. Screen Layout Tools Library STATUS / MOUNT VIEWPORTS Viewports: These are the active display areas of any patient images. There are 6 pre-configured viewports that can be customized. Patient Information Bar: In the middle of the screen is the bar that contains patient information. Status/Mount Window: This area will contain the patient s images according to the status mount. Defaults are Cat, Small Dog and Large Dog. You can create your own mounts as well. Too/Icon Area: These buttons all control different tasks for working on your patients images. 3

ACQUIRING IMAGES ON A PATIENT ScanX Acquisition Manual Acquisition Click on single tooth acquisition to begin taking x-rays. Once you click on this your acquisition screen will appear. 1- Viewport a. See your acquired image b. Window level the image (adjust brightness and contrast) by left clicking and holding and moving the mouse up/down, left/right. c. Can use magnifying glass by right clicking and holding on the image. 2- Image Library a. Images taken will appear below with the image label at the bottom of the thumbnail. b. Can right click on the thumbnail to rotate or flip the image or to edit the properties. 3- Control Options a. Activate/Deactivate the scanner, once you enter this screen it is set to auto activate b. Once deactivated you can change the screen mode, Intraoral Standard, High and Very High offer different resolutions, erase mode will simply erase the plate without giving an image. c. Exit the scan mode and prompt to save/delete images 4- Status Lights a. Left and Right bars with turn red when a plate is running through the respective side of the scanner. 5- Image Preview will show a raw un-altered image as is moves through the scanner. 4

While the scanner is activated you can put in a plate on the right or left side to scan, putting them in at the same time can cause confusion when you need to label the images so we suggest putting one in and waiting a few seconds before putting in the second. Once an image has been read the tooth selection window will appear. There are options for large dog and small dog and cats. You can click on a tooth to select it or select multiple to have a range (i.e. 103-203). Clicking on a selected tooth (highlighted in grey) will deselect it. Once you have selected your teeth click on Ok, you will then see the image in your viewport. You will have a thumbnail of it in the library and with an image in the viewport. You can click on the image filter selection to bring up different filters and you can apply them to the image to improve image quality. 5

You can keep scanning images one after another until you are finished, after an image is acquired it will show up as the latest image taken in the viewport. To view the other images taken, double-click on it in your Image library. Click on the Image Filter selection to bring up preview of the iamge taken with different image processes. When you are finished click on Exit to have the save/delete window appear. You are able to edit the name of the image if it was mislabeled. You can also put in your techniques used to acquire the image as well. Full Mouth Series Acquisition Click on the FMX Acquisition button to begin taking x-rays using the status mounts. Your next screen will look a bit different, there is still the Image Preview (1), Image Library (2), Control Options (3), Viewport (4) but now there is your Mount (5) area. This includes your Sequence (6), this allows you to follow the default sequence or create a custom sequence, and you can turn this option off/on at any time during acquisition. You can Select Mount (7) to choose between the pre-programed 6

options for canine and feline as well as create custom mounts. You images will appear on the selected Image Mounts (8) as they are taken, your highlighted mount will appear in blue, if the sequence is on it will move to the next mount in the sequence. Once an image has been scanned it will appear as it did in manual acquisition, the image preview will go down the screen and once it has been processed it will show your tooth selection window to label the x- ray, it will then place it on the selected status mount. If there is a mistake on rotation, you can right click on the thumbnail in the Library (2) and rotate or flip the image, or change the label in the image properties. Once you have made a change to the image you need to double click on it to refresh the image in the viewport. You can also do window leveling and use the magnifying view by left or right clicking on the image in the viewport. If you need to retake a view simply click on that mount again if it has move to the next mount in the sequence. You can take multiple images on a mount and be able to view them on that same mount. 7

MDX4 Acquisition Manual Acquisition Click on single tooth acquisition to begin taking x-rays. Once you click on this your acquisition screen will appear. 1- Tooth Chart a. You can select the tooth you would like to take an image of or select a range of teeth as well. 2- Rotate/Flip Options a. Using these buttons will rotate or flip the image once it has been acquired. Use this if you know you prefer the image coming up in a certain rotation. b. You can always rotate the image after wards by right clicking on it in the image library. 3- Image Library a. Images taken will appear below with the image label at the bottom of the thumbnail. b. Can right click on the thumbnail to rotate or flip the image or to edit the properties. 4- Viewport a. See your acquired image b. Can windows level the image by left clicking and holding and moving the mouse up/down, left/right. c. Can use magnifying glass by right clicking and holding on the image 5- Sensor Status a. This will show if the sensor is ready for exposure. 8

Once you have acquire an image it will appear in the viewport after a few seconds, the sensor status will change back to Ready for Exposure and you are ready to take another image. Before doing so you will want to select a new tooth or range of teeth otherwise it will have the same label as the previous image taken. This can always be fixed by right clicking on the image in the library and going to properties if it was mislabeled. Clicking on exit will bring up the save as window. You can edit the name of the image, add the technique used to acquire the image and either save or delete the image or all at once. Full Mouth Series Acquisition Click on the FMX Acquisition button to begin taking x-rays using the status mounts. Your next screen will be similar to the manual acquisition, Tooth Chart (1) and Viewport (2), the tooth chart is now linked to the Full Mouth Status Mounts (3). Clicking on a different mount will change the selection on the tooth chart and choose the appropriate rotation. You can follow the sequence for the selected mount, create a new sequence or turn the sequence off/on at any time. 9

Once the image has been acquired the image will be shown in the viewport and will appear on the status mount. If sequencing is turned on it will move to the next mount in the sequence (highlighted in blue) and show the next selection on the tooth chart as well. You can always click back on the image you just took to re-take another or click on a different mount instead of following the sequence. You will notice the rotation icons in the tooth chart change based on the selection as well, they have been pre-programed to auto rotate the image so it comes up in the correct orientation. Lastly, you can click on the filter preview icon at the top right of the image, this bring up the screen that allows you to preview different filters and apply them to your image or set them as default for your device. 10

USING THE VIEWER Once images are saved you can view them in the library and on the status mount. To view an image in the viewport first select which viewport you want to see it with and double click on an image to place it there. Once the image is placed in the viewport you can double click on it again to view it full screen. Once full screen you can use the arrows on the left or right to sort through your images. You can change between mounts by selecting it from the drop down menu at the top of the mounts window. You can also select the number of viewports you have on your screen at a time. The icon will have the number of current viewports, and if you notice the diagonal lines at the bottom left corner, this means that if you click and hold it will expand to show the other options for viewports. Clicking on one of the options will change the number of viewports on the screen. 11

Switching Images in the Viewport To select another image in a viewport you have selected, double click on the new image from the library or status/mount. This will place the new image in that same viewport. To clear the viewport you can go to the Edit menu and select Clear Viewport, or you the shortcut CTRL + DEL. Moving Images in the Mount Dragging an image from the library and dropping in a mount is quite simple. To begin the drag and drop left click and hold on the image you want to move and drop it on the mount. You can also move images on the mount to a different location, drag and drop works for this as well. Removing Images from the Mount To remove an image from the mount you must first select it by left clicking and then you can right click on the image to bring up a menu. In the menu you must select Remove from Status. If you drag and drop the image to the trashcan it will be deleted from that patients file. *** If you chose to delete an image a prompt will always appear to confirm this action. If you chose yes it will be placed in your recycle bin, it may still be recovered up until the recycle bin is emptied. Basic Mouse Functions With an image placed in the viewport, pressing down on the left mouse button and holding it will enable you to use Real Time Contrast and Brightness. Moving the mouse up and down or left to right to reach to optimal image quality you are looking for. Once completed you can click on the Save button to create a copy of that image with the changes you made. With the same conditions, pressing down on the left mouse button and holding will activate the magnifying glass lettering you zoon in wherever the mouse is pointed. This works in the viewports as well as with the image displayed in full screen. 12

Icon Functions This is the icon to open the x-ray acquisition module using the status mounts. This is the icon to open the x-ray acquisition where you select your image to be displayed from the tooth chart. This icon will enable the annotations menu. With this you can create notes, symbols Pointer Tool Places arrows on the image Text Tool Used to create text on the image, once you left click and hold you can drag out the size of the text box and release once you have the desired size. Note Tool- Similar to the Text Toll however this will create a text box with a yellow background, similar to a Post-it note. Size- This is used to modify the size of the object or text you have created Colour- There are four colour options, Red, Green, Blue and Colour Swatches. Clicking on the colour swatches will bring up another menu to select from several other colours. The Filters icon is used to modify images. It will bring up another menu where you can select from several different options to improve image quality. Having the correct factors from your x-ray generator will prevent you from having to do this regularly. This icon is for selecting automatic filter scripts. There are several different options to choose from. Left clicking and holding down on the bottom right corner will expand the menu to show those options. You can create or own or modify the existing filters by going to Options Setup and then Optimize. 13

The Filter Selection icon will open a new screen and show your selected image with filters applied to them. This will help decide what filters will help improve your image. You can chose to apply it once or favorite the filter to have it always be applied to your images. This icon is used to undo changes made to an image, click on this Reload button to go back to the original image. These Icons are used to change the orientation of the images. Rotate Image, Horizontal Mirror and Vertical Mirror. This icon is used to save modifications to an image by creating a copy of the active image. A prompt will come up to give you an option to rename the copy you are creating. Clicking reload on you original image will undo the changes but not for the saved copy. This icon is for selecting the Region of Interest Rectangle. This will allow you to draw a rectangle around a section of an image, click on the icon again to have your selected area appear. You can now save this new image to keep a copy of it as well. This icon with enable the Zoom Window, a new window will appear that displays the area of the image that you are pointing the mouse at. There filters to choose from at the bottom of the window and at the top you select the zoon factor you wish to use. This icon is used to access the Reporter Tool, this will give you access to the Reporter module where you can create reports with patient information and attach their images to your document. 14

This Print Classic icon with allow you to print from 1 to 6 images of a patient. Once selected it will bring you to a new window where you can have a preview of the options you select. Double click on an image from the library to put it on the page to be printed. You can select different borders, print with or without annotations, the number of images per page and how many copies. If you image has comments in it they will be printed along with you image. If you have not done this yet you can right click on an image in the library and select Image Properties to be able to write additional comments for this image. You can use Setup Printer to make sure yours is selected, then simply click on Print to complete your work and print the page(s). The Image Library icon is important to have selected so that you can view your patients images. If it is not open the icon will appear orange, if it is open the icon will be red. With the image library you can drag and drop images to the status mount and/or double click on an image to place it in a selected viewport. In the patient library you will see the patients file number (1013 in this example) and the quantity of images it contains in parentheses. Also located in the library are two buttons, these will access either the Global Library or the Patient Library. The selected option will be highlighted. The Global Library can be accessed from any patient, this is to be used for storing images you wish to compare with other studies. Right clicking on an image in the library will give you the option to move or copy the image to the Global Library, holding down CTRL and clicking on images will allow you to select multiple images at a time. In either of these libraries you can create folders to organize your images. Right clicking inside the white space will show a menu allowing you to add a new folder, delete, rename and refresh the library. Creating folders in a patient library cannot be access by other patients, only folders created in the Global Library can be accessed by any patient. To create folders in patients files automatically follow these next steps. 15

Click on Options Setup, then in General Settings, click on the Display Settings tab. In this new window you must click on Image Library Settings. Then at the bottom of the page there is Default folders tab, this will have Video set by default. Here you can remove the video folder, and add other folders by name if you wish. Create these folders on existing records will create the folders you add for every patient including the already create folders. Ask for confirmation before creating these folders will prompt you to allow or prevent these folders being created for each new patient you add. After making any changes in this menu click on Save Changes before you exit. This icon will allow you to Exit the program and return to the DDX-R Data screen. Advanced Mount Features On each mount there are a couple features to point out. The top of the frame will have the corresponding teeth numbers (110-109 in this example). To the right of those number will be left and right arrows, these will appear if there are multiple images on the particular frame. Clicking on an arrow will cycle through those images. 16

You can also left click and hold the mouse button on the image, this will expand the frame and show all the images that it includes. Also at the top of the frame is a red rectangle, this is showing that this image is an original image. Copies of images do not have this red rectangle. Full Screen Viewing To view images full screen simply double click on it and it will appear in a new window. Double clicking on this image again will return to previous screen. You can use the left and right arrows at the sides of the image to move between the different mounts for this patient. You can also move between them at the top left of the image, the left and right arrows move between frames, and the up and down arrows move between the images for that particular frame. 17

IMPORTING IMAGES INTO DDX-R There are two ways to import images into your patient s library. To import a single image use Import Picture, or if you have multiple images to import use Import Picture Directory. Using Import Picture vs Import Picture Directory allows you more control over that image, including control over the date, name and attributes. Import Picture Directory will allow you to import large amounts of images at the same time. Access Import Picture from the File menu, you will have another window appear where you can navigate to the folder containing the image. To see an image before importing you can double click on it and it will be displayed in the window pane of the right. You can specify that the image is original by placing a check in the box. Specifying 16-bit Grayscale will allow you to manipulate the image in DDX-R. You can also change the name of the image to be imported and the time by selecting either Use file date/time or Use Customer date/time which you can specify. 18

Import Picture Directory will allow you to import several images at a time as well as give you the ability to assign it to a specific mount. At the top left of the menu is where you will browse your folders to find the directory that contains the images. To select images you must place a check in the OK? column for that image. The column will change to gray for grayscale images and yellow for colour images. You can also double click on the images shown on the right side of the screen to select them. Before importing be sure to choose the correct mount for the images to be placed in, the number inside the frames will be the order in which they will be placed in the mount. You can change this by selecting a different sequence already made or you can create a new one. Once you images are selected simply click on Import or Import and Exit to proceed. 19

EXPORTING IMAGES FROM DDX-R Similar to importing images, exporting images has two ways to accomplish this. Export Image and Export Image Directory. To export an image simply select it from the viewport and then Export Image under the File menu and it will bring up a new window. Here you will select the location you would like to save the image by navigating the directories on the left of the window. The directories will then appear in the center window as larger icons. Next you will need to select the desired format at the bottom of the screen under Save as type. Once you have these selected simply click on Save to complete the export and close the window. The Export Picture Directory will allow you to select several images at a time for export. You can chose a location to export them or click on email to open your mail program with the images attached. To change the destination folder click on the small square at the end of the path ( ) to open a window where you can select the destination manually. 20

Now you can select which images you want by either selecting them individually and clicking Add, using CTRL and clicking on different images will allow you to select more than one at a time and then click Add. Clicking Add All will of course add all of the images from that folder. Add All + Sub Folders will choose all images in the patients file and add them. To get a preview of the image simply double click on it and it will appear on the right. Before exporting your images you can also select the format under the image preview. Below that you can select Estimate to determine the full size of the export you have selected. Email will attach all the images you have selected and open the mail program you have, it will use the patients name as the subject of your email (if you do not have a mail program you will receive an error). Export will place all of the images you selected in the destination folder. Click on Exit to return to previous screen. REPORT WRITER MODULE DDX-R includes a tool which allows you to create reports for your patients. You can select from preformatted reports, or create your own. The report will automatically pull the information from the patient to be entered on the report. You can also add your patient s x-rays and/or images, add your signature and then print to paper or export to PDF format for export or email. Main Icons Displays the mounts with your images. These mounts can be modified for your purposes. Displays Image Library Displays Print Screen Email Button will open your default email software and send the report as PDF format. If you do not have a program installed it will not function. Create a New Report, you can also do this by selecting File and then Load Load an already create report, you can also do this by selecting File and then Load Save your report, you can also save by selecting File and then Save Exit the Report Module 21

Use an Existing Template or Saved Report Once you have selected the Report Module icon, it will open a new module with pre-loaded templates. You can choose these templates from the list on the right side of the screen. You can also click on Switch to saved documents at the bottom right to continue working on a previous report. You can also load a report by selecting File from the menu at the top left, then select Load. You can create new templates by clicking on New from the File menu as well. Once you have clicking on Switch to saved documents the window on the right will change and instead list Switch to Templates. Click on New, the right window with close and you will have a blank page for creating a new report. Click on Close, the right window with close and allow you to use the full screen for working on the already loaded report. Inserting Images into an Image Box Click on either Image Library or Mount to bring up your images. Select an image box where you want to insert an image, then double click on an image from the Library or Mount to insert it into the image box. To save your work click on Save and it will bring up a window on the right You can specify the name of your saved document by editing the field at the bottom or by clicking on a on an existing saved report in the box at the top. Clicking on Save will save the report with the name displayed in the box above the Save button. 22

Creating a New Report Click on File to access the menu where you can find New. Alternatively you can click on New on the right if the menu for templates or saved documents is open. You can save your report as a template, you will be able to access it from any patient by clicking on File and Save As Template Specify the name for your report at the bottom right and Save. Click on Save to have this copy only accessible by this patient. In the window at the bottom right it will always stamp the date before your saved file, you can always edit this yourself. To rename a report you have modified click on Save As, this works for reports and templates. You can also select if you want to use a specific template by default by activating it at the bottom for the window. Inserting a Logo Click on Insert and then External Image This will open a new window where you can browse for the location of the image you want to insert. You can insert images in several different formats. Once you have found your image, click on Open to insert it. The image will be placed where your cursor is sitting in the report. It will be displayed in full size so you can resize it using the dotted frame at the corners of the image. You can right click on an image to format it, this will allow you to wrap text around the image or position it on the left or right. 23

Inserting Image Boxes Click on Insert and then Image to place an image box onto your page. It will appear where your cursor is, similar to inserting a logo. Inserting Fields from DDX-R Data Click on Insert and then Fields, this will bring up more option to select from. Selecting Data will bring up all of the fields from the DDX-R Data screen. Selecting one of these fields to insert into your report will pull that information directly from your patient information. If text does not appear in the field it means that information was not entered in DDX-R Data. For example, selecting Name will bring up your patients name in the red brackets (The Brackets will not show if your print or save your report as PDF). Inserting a table While using the Report Module you cannot create text boxes. You can alternatively insert tables where you can insert your text. You are able to manipulate the table like text box. Click on Table and then Create Table. A new window will appear giving you different options for your table. Once your parameters are entered, click on OK to create the table. 24