Genoray makes the invisible visible ! www.genoray.

com

Digital dental Viewer TRIANA

Software Manual

The specification above can be changed to improve performance.

 Digital Dental Viewer

Software Manual

Copyright© 2011
2011/ 04 / 28
Document Ver. 2.4

Genoray Co., Ltd.

#512 Byucksan Technopia 434-6 Sangdaewon 1-Dong
Jungwon-Gu, Seongnam-City, Gyeonggi-Do, 462-716 KOREA
Tel: +82-31-740-4100 Fax: +82-31-737-8025
www.genoray.com
Copyright© 2010 GENORAY Co., Ltd.

This software is protected under the copyright and it is prohibited for

manufacture and distributorship by any other parties.

This manual is using for using Triana safely. Triana should be used by
experienced users only.
All users must be fully aware of all safety details such as emergency
situation, and how to use.

GENORAY Co., Ltd. develops device continually. Manual and specification

are subject to change without notice.
 Table of Contents
I. Introduction and Safety ............................................................................1

1.1 Introduction ................................................................................................ 1

1.2 Intended Use .............................................................................................. 1

1.3 Specification of Triana.................................................................................. 2

1.4 Warranty ..................................................................................................... 3

1.4.1 Range and terms for warranty ......................................................................... 3
1.4.2 Requirements on After Service call ................................................................ 3

1.5 Symbol....................................................................................................... 3

1.6 Main Function ............................................................................................. 4

1.7 Manufacturer and Labeling ............................................................................ 5

1.8 Install ‘Triana’ Software ................................................................................ 6

1.8.1 Recommended specification ............................................................................ 6
1.8.2 Method of Triana installation ............................................................................ 6

1.9 ConST...................................................................................................... 11

1.10 Start Triana ............................................................................................. 14

1.9 Start Triana ............................................................................................... 15

1.10 Use Mouse.............................................................................................. 16

II. Window Structure ................................................................................. 18

2.1 Main Menu ................................................................................................ 18

2.2 Tool Box................................................................................................... 18

2.3 Patient Information Window ......................................................................... 18

2.4 Main Image Window ................................................................................... 19

2.5 Condition Window ...................................................................................... 19

2.6 Condition Window ...................................................................................... 19

III. Main Image Window ............................................................................. 20

3.1 Device Tab ............................................................................................... 21

3.2 Screen Division, Comparison and Screen Print ............................................... 21

3.3 Image Window .......................................................................................... 27

3.4 Patient Tab ............................................................................................... 27

IV . Main Menu ........................................................................................ 28

4.1 Registration of Patient ................................................................................ 28

4.1.1 Registration of Patient ..................................................................................... 29
4.1.2 Patient List Window .......................................................................................... 30
4.1.3 Mount Window ................................................................................................... 31

4.2 Searching Patient ...................................................................................... 32

4.2.1 Input Condition of Searching ......................................................................... 33
4.2.2 Searching List .................................................................................................... 33
4.2.3 Registration of Patient ..................................................................................... 33
4.2.4 Functions ............................................................................................................. 34

4.3 Image Acquisition ...................................................................................... 39

4.4 Export ...................................................................................................... 39

4.4.1 File Format .......................................................................................................... 39
4.4.2 Management Option of Annotation............................................................... 40
4.4.3 Exporting Directory........................................................................................... 41
4.4.4 File Prefix ............................................................................................................. 41
4.4.5 Film Mount Style ................................................................................................ 42

4.5 Sending Image .......................................................................................... 44

4.5.1 The part for input information of image to send. ...................................... 44
4.5.2 Part for setting up specification of image to be sent. ............................. 47

4.6 Paper Printer ............................................................................................. 50

4.6.1 Print....................................................................................................................... 50
4.6.2 Orientation .......................................................................................................... 50
4.6.3 Mount Style ......................................................................................................... 51
 4.7 DICOM Printer ........................................................................................... 53
4.7.1 Preset.................................................................................................................... 53
4.7.2 Orientation .......................................................................................................... 53
4.7.3 Log ........................................................................................................................ 53
4.7.4 Mount Style ......................................................................................................... 54

4.8 Mount ...................................................................................................... 56

4.8.1 Open...................................................................................................................... 56
4.8.2 Creation................................................................................................................ 57
4.8.3 Deletion ................................................................................................................ 61
4.8.4 Information Change .......................................................................................... 61
4.8.5 Save ...................................................................................................................... 61
4.8.6 Automatic Size Adjustment. ........................................................................... 61
4.8.7 Mount Deletion ................................................................................................... 61
4.8.8 Width Control ..................................................................................................... 62
4.8.9 Pitch Control ....................................................................................................... 63
4.8.10 Left Side Lineup .............................................................................................. 64
4.8.11 Right Side Lineup ............................................................................................ 64
4.8.12 Up Side Lineup ................................................................................................ 64
4.8.13 Down Side Lineup ........................................................................................... 64
4.8.14 Set Mount Information ................................................................................... 64

V. Toolbox .............................................................................................. 65

5.1 Manipulator ............................................................................................... 65

5.1.1 Basic Mode.......................................................................................................... 65
5.1.2 Magnification/Reduction Mode ...................................................................... 65
5.1.3 Movement Mode ................................................................................................ 65
5.1.4 Magnifying Glass Mode ................................................................................... 65
5.1.5 Fit window ........................................................................................................... 65
5.1.6 Reset ..................................................................................................................... 65
5.1.7 Image Deletion ................................................................................................... 66
5.1.8 Info ........................................................................................................................ 66

5.2 Process.................................................................................................... 67
5.2.1 Right-handed Screw ......................................................................................... 67
 5.2.2 Left-handed Screw ............................................................................................ 67
5.2.3 Rotating Vertically ............................................................................................. 67
5.2.4 Rotating Horizontally........................................................................................ 67
5.2.5 Image Reversion ................................................................................................ 67
5.2.6 Reset ..................................................................................................................... 67
5.2.7 Filter 1, Filter 2 ................................................................................................... 67

5.3 Annotation ................................................................................................ 68

5.3.1 Basic Mode.......................................................................................................... 68
5.3.2 Ellipse ................................................................................................................... 68
5.3.3 Letters .................................................................................................................. 68
5.3.4 Polygon ................................................................................................................ 68
5.3.5 Arrow .................................................................................................................... 69
5.3.6 Paint ...................................................................................................................... 69
5.3.7 Pencil .................................................................................................................... 70
5.3.8 Seal ....................................................................................................................... 70

5.4 Measurement ............................................................................................ 72

5.4.1 Basic Mode.......................................................................................................... 72
5.4.2 Magnification Mode........................................................................................... 72
5.4.3 Movement Mode ................................................................................................ 72
5.4.4 Calibration ........................................................................................................... 72
5.4.5 List......................................................................................................................... 74
5.4.6 Internal, External Implant ................................................................................ 76
5.4.7 Angle Measurement .......................................................................................... 77
5.4.8 Distance ............................................................................................................... 77

5.5 3D ........................................................................................................... 78

5.6 Others ...................................................................................................... 78

5.6.1 Basic ..................................................................................................................... 78
5.6.2 Copy ...................................................................................................................... 78
5.6.3 T-Pos ..................................................................................................................... 79

5.7 Favorite Tools ........................................................................................... 79

5.7.1 Favorite tools property .................................................................................... 79
VI. 3D Image Window ............................................................................... 81

6.1 CBCT Tab Screen Composition .................................................................... 81

6.1.1 Screen Tab........................................................................................................... 81
6.1.2 Screen Editor Button ........................................................................................ 81

6.2 3D Window Screen Composition .................................................................. 82

6.2.1 Main Menu ........................................................................................................... 82
6.2.2 Toolbox ................................................................................................................ 82
6.2.3 Patient info window .......................................................................................... 82
6.2.4 Main Image Tap .................................................................................................. 82

6.3 Toolbar .................................................................................................... 83

6.3.1 Selection .............................................................................................................. 83
6.3.2 Move...................................................................................................................... 83
6.3.3 Enlargement/Reduction ................................................................................... 83
6.3.4 Polarizations ....................................................................................................... 84
6.3.5 Annotation Info .................................................................................................. 84
6.3.6 Arrow .................................................................................................................... 85
6.3.7 Distance Measurement .................................................................................... 85
6.3.8 Angle Measurement .......................................................................................... 86
6.3.9 Profile ................................................................................................................... 87
6.3.10 Nerve Insertion ................................................................................................ 87
6.3.11 Implant insertion.............................................................................................. 89
6.3.12 Bone density measurement ......................................................................... 89
6.3.13 Re-slice Volume ............................................................................................... 90
6.3.14 Curve .................................................................................................................. 90
6.3.15 Stitch .................................................................................................................. 91

6.4 Main Image Window ................................................................................... 92

6.4.1 Tasks tab.............................................................................................................. 92
6.4.2 Operation Toolbox............................................................................................. 92
6.4.3 Operation view ................................................................................................... 92
6.4.4 Panel Composition............................................................................................ 93
6.4.5 Task (view screen mode) ................................................................................. 94
6.5 Dental task View ........................................................................................ 97
6.5.1 View-dependent Toolbar .................................................................................. 98
6.5.2 Axial panel ........................................................................................................... 98
6.5.3 Cross-Section panel ......................................................................................... 99
6.5.4 Longitude panel ............................................................................................... 101
6.5.5 3D panel ............................................................................................................. 102
6.5.6 Panoramic panel .............................................................................................. 104

6.6 MPR Task View. ....................................................................................... 106

6.6.1 Video Toolbox................................................................................................... 107
6.6.2 How to view every side of image................................................................. 108
6.6.3 How to use cursor ............................................................................................ 110
6.6.4 Volume output ................................................................................................... 111

6.7 Curve view .............................................................................................. 112

6.7.1 Task View Toolbox ........................................................................................... 113
6.7.2 How to draw the curve .................................................................................... 114
6.7.3 Curve View configuration ............................................................................... 115
6.7.4 Curve adjustment ............................................................................................. 115
6.7.5 Curve management .......................................................................................... 115

6.8. Stitch features ........................................................................................ 117

6.8.1 Brain storming .................................................................................................. 117
6.8.2 Understanding user interface about Stitch function. ............................. 119
6.8.3 Icon explanation .............................................................................................. 120
6.8.4 Explanation of 6 degrees of freedom custom icon ................................ 121
6.8.5 Add Child Volume ............................................................................................ 122
6.8.6 child-volume matching method (Using custom icons) ......................... 124
6.8.7 Save the stitches as the volume ................................................................. 125
6.8.8 Complete of stitches volume ....................................................................... 127
6.8.9 Cancelation of stitches .................................................................................. 127
I. Introduction and Safety

1.1 Introduction

Triana is picture archiving and communication system used for 2D/3D visualization of
medical image files obtained from CT, Cephalometric / Panoramic X-ray system & etc.
Triana can operate on any hardware platform which meets the minimum requirements
that Intel Pentium Dual-Core 2.5GHz with Windows XP operating system.

1.2 Intended Use

Triana is intended for use as a software package software which obtains medical
images from CT, Cephalometric / Panoramic X-ray system & etc., stores those and
provides 3D visualization, 2D analysis, various MPR(Multi-Planar Reconstruction)
functions for further rapid and precise diagnosis.

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1.3 Specification of Triana

Intel Pentium Dual-Core 2.5GHz(E5200) or higher (2D)

CPU
Intel Core 2 Quad Q9500(2.8GHz) or higher (3D)
RAM 1GB or higher (2D/3D)
10GB or higher (Client)
HDD 100GB or higher (2D Server)
500GB or higher (3D Server)
Onboard chipset or higher (2D)
VGA
Geforce 9800 gx2 or higher (3D)
ODD DVD-Multi
10/100/1000Mbps (2D)
NETWORK
100/1000Mbps (3D)
OS Windows XP or higher
MONITOR 1024*768 resolution or higher
Fully compliant with OpenGL 2.0,
GRAPHIC
Directx 9.0c or later compatible
REQUIREMENT
500MB or higher
DICOM COMPLIANCE DICOM 3.0
COMPRESSION Lossless compression
IMAGING ARCHIVE DCM, BMP, JPG, PNG
VOLUME RENDERING MPR Rotating, Curve, Zoom, stitch, etc.
Adjust the Window width and level for contrast windowing
WINDOWING
parameters.
ROI/VOI 2D region and 3D volume of interest selection tools
2D/3D MEASUREMENT 2D and 3D analysis with various rendering function
IMPLANT PLANNING Implant simulation function

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1.4 Warranty

1.4.1 Range and terms for warranty

GENORAY guarantee this software without any expense for the mal-function or
disorder occurred under standard transportation and operation within 1 year from
sales.
Defect on its appearance is out of the range of warranty.

1.4.2 Requirements on After Service call

When the malfunction or disorder appeared, stop operating and check again the
related article of this “User’s Guidebook.” If you are not solving the problem, please
contact us.
GENORAY Co., Ltd. is not responsible for indirect harm.
GENORAY Co., Ltd. cannot warrant for defect or harm after warranty period.

1.5 Symbol

This symbol is information about the special matters that require attention
while using this software.

This symbol is warning the situation or environments which might bring

danger to the patients or users.

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1.6 Main Function

Triana helps analysis of 2D image and 3D Reconstruction through the easily & simple
user interface. The main functions of Triana are such as below.

 2D Analysis: Triana helps analysis of 2D image through the easily & simple user
interface.
 3D Reconstruction: Triana gathers the images from modality and it processes to
create the 3D reconstructed data. And, Triana provides various analysis function
such as ‘Curve’, ‘3D Zoom’ & etc. This helps further precise diagnosis.
 Implant Simulation Function: Implant simulation function helps planning for
precise diagnosis and effective advice.
 Image Printing & Saving (Data Base Construction) : Triana saves & prints the
image more easily. This helps further effective treatment.
 DICOM 3.0 Support: By supporting the DICOM 3.0, Triana provides best function
in digital environment.

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1.7 Manufacturer and Labeling

1) Product name: Picture archiving and communication system

2) Model: TRIANA
3) Intended use :
Triana is intended for use as PACS software which obtains medical images
from Diagnostic computed tomography limited view field X-ray system,
Cephalometric / Panoramic X-ray system of GENORAY. Triana displays the
post-enhancement image on the screen. Triana stores those and provides 3D
visualization, 2D analysis various MPR(Multi-Planar Reconstruction) functions
for further rapid and precise diagnosis.
4) 5)
6) GENORAY Co., Ltd
Longitudinal
Address: #512 Byucksan Technopia 434-6 Sangdaewon 1-DONG,
Jungwon-Gu,
Section Line Seongnam-CITY, Gyeonggi-DO, 462-716 Korea
Tel: +82-31-740-4100 Fax : +82-31-737-8025
7) Obelis s.a.
Address: Boulevard General Wahis 53, 1030 Brussels, BELGIUM
Tel: +32-2-732-59-54 Fax : +32-2-732-60-023

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1.8 Install ‘Triana’ Software

1.8.1 Recommended specification

For using 2D For using 3D

OS Microsoft Windows XP(sp2), Vista, 7
HDD 10GB or higher (Client)
100GB or higher (2D Server)
500GB or higher (3D Server)
Monitor 1280 * 1024 or higher
CPU 2.5GHz or higher 2.8GHz or higher
RAM 2GB or higher 4GB or higher
Network 10/100/1000Mbps 100/1000Mbps

1.8.2 Method of Triana installation

① Run the ‘setup.exe’ file.

② After running the ‘Setup.exe’ file, screen appears as below.

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③ Click the ‘next’ button for start of installation

④ Select the Server or Client. Click the ‘Browse…’, set the location of program.
After completion of setting, click the ‘Next’ button

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⑤ Select the ‘Database Type’ and click the ‘Next’ button.
(Generally, Select the Microsoft SQL Server Database.
If, PC is used alone, select the Microsoft Access Database.)

⑥ Check the disk space. And then, choose the drives for image saving.
(That image is acquired from modality)

If possible, avoid the system driver(‘C’ driver).

⑦ After the installation settings is complete, click the ‘Install’ button.

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⑧ Installation is progressing like as below.

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⑨ When click the ‘Finish’ button, installation is complete.
(At this time, if you checking the ‘Launch Triana’, Triana is running.)

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1.9 ConST
This program is setting for ‘Triana’

After install completion, click the ‘ConST’ in the window start menu for below item setting.

 Server setting
(In case of choosing the ‘Server’ & ‘Microsoft SQL server 2005 DB’)

 Server Connection Information File For Client : This items is not using at this time

 SQL Server Information

- Server Name: Input the IP address & DB Instance Name of PC that used Microsoft
SQL server 2005. When install the Server, IP address is 127.0.0.1. When install the
Client PC, input the IP address of Server PC. Instance Name is input the GENORAY.
(ex: “127.0.0.1\GENORAY”) This is setting for ‘Using the SQL DB server with
GENORAY name relevant to IP address.
- UID: This is ID that access for GENORAY SQL DB Server
- Password: This is password of UID
- Database: This is database name that actually used in GENORAY SQL DB Server
- Test: After completing above setting, users confirm the access of GENORAY SQL DB
Server through this button.

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 Data Folder Information
- Image: Setting the saving location of study that included image and mount information.
- Parameter: There are Parameter needed for CT scanning and calibration data needed
for PX, CX, and OX shooting.
- Test: Access of Image & Parameter folder can be confirmed.

 SQL Database Utility

- Backup database: The function of database backup
- Restore database: Restore the database selected backup database

 Trouble shoot
- Encryption not supported on the client: Click the ‘Test’ button in ‘SQL Server
Information’ items, error message can be appeared like this items (Encryption not
supported on the client). At this time, problem can be corrected by clicking this button.
-

Local Setting Files: Location of the file that recorded all settings of ConST.
This is located above screen of ConST. It is not change after first installation.

If you are not experienced user, please do not change the setting value.

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 DICOM setting

 Equipment Information
- AETitle: AETitle name of using for Triana. Generally, setting the ‘TRIANA’
- Modality : This settings assigned automatically

 Storage Server
- Preset: Selection of ‘Storage Server’ setting information. According to this selection,
change the Timeout items.
- Addition, delete, edit of Preset is processing by Insert Item, Modify, Delete Item
- Connect Test : Check whether access to storage server is success or failure

 MWL Server: ‘MWL Server’ is same meanings to ‘Storage Server’. In other words,
setting the IP, Port, AETitle, and Timeout of interlocked MWL Server. And then,
confirm the success or not.
- DICOM Specific Character Set: Encoding method of header information of DICOM file.

 DICOM Printer
- DICOM Image: DICOM image setting for Print Test. Not required to change.
- Print Test: Check whether DICOM Print is success or failure, using setting information.

 System Log: When interlocking the DICOM, related message shows up by using the
‘Test’ button.
- Reset: Initialize the ‘System Log’ screen

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1.10 Start Triana

Double click Triana shortcut for start of Triana.

If the main screen is opened as like below, that mean all preparation are completed for
use Triana functions.

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1.9 Start Triana

Double click Triana shortcut for start of Triana.

If the main screen is opened as like below, that mean all preparation are completed for
use Triana functions.

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1.10 Use Mouse

Triana is designed to perform every function except patient information which should be
input for patient registration by using mouse.
The mouse is a manual device that moves a pointer, which is used to select objects on
the screen. As the mouse is moved, the pointer follows in the same direction, allowing
the user to navigate through windows, menus and images. The usages of mouse are
five only as followings

 Left-Button click: To select menu, image and to activate function from icons.
 Scroll Wheel click: To select multiple images. (Selected images are marked in
orange)

 Right-Button click: To adjust brightness and contrast of images

Click right-button and move the mouse up and down, brightness will be adjusted.
Click right-button and move the mouse left and right, contrast will be adjusted.
Click right-button, context menu will be appeared.

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 Double Click : To acquire the image or to check the single image
Double click image on the screen of device tab, the image will be magnified and the
screen will be changed to comparison mode.
Double click an empty mount, the screen will be changed to image acquisition
mode.
Double click an image or click at the left bottom of screen to change the mode
from comparison mode to mount mode (Basic viewer mode),

 Drag: To change the position of image, drag a image and locate it to a mount on
basic mode

 Scroll: There can be several images in the same mount. To see hidden images,
select image and scroll.

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II. Window Structure

2.1 2.2
2.3

2.6

2.4

2.5

2.1 Main Menu

There are 7 buttons in main menu.

Each button performs Registration, Searching, Getting, Output, Sending, Printing, and
Mount.

2.2 Tool Box

Each tab includes various functions Operation, Management, Annotation, and

Implant to analysis image.

2.3 Patient Information Window

Show patient information that is currently analyzed.

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2.4 Main Image Window

Main Image Window displays image as film mount.

Images are managed by each dental device and he tap is used to compare several
images of patient or more than 2 patients in the same time and same window.

2.5 Condition Window

Condition tab is function for displaying condition of peripheral device and program. The
below condition windows are occurred when you move your mouse point to the bottom
of screen.

Displays condition of backup device

Displays rest capacity of hard disk.

Displays date and time of system.

2.6 Condition Window

Refer to chapter 3.1

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III. Main Image Window

Several taps are designed to manage the main image window efficiently
It has a screen division function ( ) at the left-bottom of main window to compare images
from different devices easily and screen print function ( ).

3.2
3.1

3.3

3.4

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 3.1 Device Tab

Device tab is divided to manage the images by dental device which are Panorama,
Cephalo, Intra Oral Sensor, Intra Oral Camera, and Digital Camera.

Select to acquire panorama image

Select to acquire cephalo image or do related work

Select to acquire image from intra oral sensor or do related work.

Select to acquire image from intra oral camera or do related work.

Select to acquire image from digital camera or do related work.

Select to acquire image from CBCT

3.2 Screen Division, Comparison and Screen Print

There are three buttons – Screen Division ( ), Comparison ( ) and Screen Print
( ) at the bottom of device tab.

Click,

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Thumb-nail windows appear at the bottom of window. It is convenient to manage images
but it miniaturizes image window. So use the function on user’s purpose.
Screen Division ( ) performs division of main window to compare and analysis
images from two devices.

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The mount of device selected before Screen Division is located at the top of the screen
And the rest is located at the bottom.
Screen Comparison ( ) performs division of main window into 1X1, 1X2, 2X1, 2X2 to
compare and analysis images from two devices.

Ex 1) If two images among several images in mounts will be compared,

Click to display thumb-nail windows and select images which will be compared.
The images selected are indicated in orange as below.

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Click .

Divide screen using ( , , , , ) for user’s convenience.

To return to previous screen from comparison screen, click or double click the
image.
Screen print is a function to print images which have been treated or changed size out.
Select images to be printed out then drag images on Screen Print button ( ) and
click Screen Print button.( )
You can see the screen below and use tool box. (Eg. Screen Size, Movement and
Contrast adjustment.)

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 <When you drag images to be printed on Screen Print button>

Click “Print” button and select “On,Off” clip board on the screen print window as below.

Ex. 1) In case of clip board “On”

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You can control “partition”
There are two images to be printed as upside, input 2 for column and 1 for width

and click [Clipboard Layout], the image location

is changed as below.

Click [Print] button to print the image out.

Ex. 2) In case of clip board “Off”

You can select Mount Style (film mount or screen image) and Images (selected image or
all images). When every setting is finished, click [Print] button to print.

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3.3 Image Window

This function shows and manages image based on mount.

3.4 Patient Tab

Patient tab is bottom of screen, and it adds patients when you open patient. TRIANA
can open 6 patients at once.

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IV. Main Menu

Functions in main menu are the critical functions for using Triana

4.1 Registration of Patient

Register information of patient first to get image of patient. Here are

4 methods to input information of patient.

 Registration of User: Input by yourself.

 Input by Database: Using information of existing patient.
 Using Work List: Hospital which has MWL service of DICOM can reserve make an
appointment with a doctor by searching information of patient from hospital server.
 Input ESM: You can interlock insurance program (management program of patient’s
information) which is used in dental hospital, and information of patient. However it’s
impossible to interlock with all interlock insurance program. This function is suitable
only for program which supports ESM interface of this program.

This is used when you want to input new patient or information of patient,
getting image is available after registration of patient. If you want to
manage separately with the gotten image from previous treatment for
existing patient, use different IDs at same information. If you want to
manage together with previous image, open previous patient and carry on
additional shooting.

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If you click upside button, the below window will be opened.

4.1.1

4.1.2

4.1.3

<Registration of Patient window>

The upside window is composed with 3 main parts.

4.1.1 Registration of Patient

Name Input patient’s name.

Chart No Input ID for managing patient.
Gender Input gender.
Birth Input the date of one’s birth.
Explanation of Patient Input information of patient.
This is code for PACS.
Access Number
If you don’t interlock with PACS, this is not important.
Attention Input simple information of treatment.
Doctor in Charge Input doctor in charge.
Category Input category of patient you wish to search

You can change date using mouse-wheel on year and month.

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4.1.2 Patient List Window

A) Database : You can search existing information of patient. Conditions of searching

are patient’s name, ID, registered date, and doctor in charge which are lined up as
below. Double click one of searched patients, and information will be input at
window of patient’s information.

ⅰ. List: Searched information of patients will be lined up.

ⅱ. Conditions of searching: Input conditions of patient to search.
1. Name – Input name of patient to search.
2. ID – Input ID of patient to search.
3. Doctor in Charge – Input name of doctor in charge.
4. Access Number – Input access number.

B) Work List : You can search reserved patient by connecting server of hospital which
supports MWL. Choose “Work List” tab, input condition of searching, and search
to use MWL, and list of patients which are matched with the input conditions.
Information of patient is input automatically at window of patient’s information,
when you choose(double click) one of the patients’ information.

C) ESM : Refer to B) upside.

Proper setting is needed by using “ConST” program for using B), C).

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4.1.3 Mount Window

You can choose different mounts each for arranging/managing images effectively.
In Addition, You can design your own mount.

You can appoint basic mount for each device. Choose mount to be used as basic in

combo box and click .

If basic mount has been changed in order, the confirmation window occurs as upside.

Please refer to the mount’s function section of main menu, when you want
to design your own mount.

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4.2 Searching Patient

Searching Patient has functions for searching image and

information of patient and managing(deletion and back up) data of
patient.

4.2.1

4.2.3

4.2.2

4.2.4

This window is divided as three parts.

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4.2.1 Input Condition of Searching

1. Name – Input name of patient to search

2. ID – Input ID of patient to search
3. Access Number – Input access number
4. Doctor in Charge – Input name of doctor in charge
5. Birthday – Input patient’s birthday
6. Date – Choose date you wish to search
7. Gender – Input patient’s gender
8. Category – Input patient’s category
When inputting conditions of searching is complete, click ‘searching’ for
searching. If you click without any inputting conditions of searching, all patients will
be lined up at list of searching.

4.2.2 Searching List

You can line up searched patients. Double click specific patient or click patient and
click open to open searched patient.

4.2.3 Registration of Patient

Use to register patient information. It is a same function as 4.1.1 Registration of

Patient.

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4.2.4 Functions

 Deleting Patient : Function for deleting information of selected patient’s database

and image.

Input password “triana”(small letter) when patient information deleted or

modified. You can change password at ConST(setting program).
Please change the password after installation.

 Changing Information : Function for correcting information of patient when you

have mistake as inputting information of patient for patient’s registration. If you
click this button, the window similar to registration window of patient occurs as
below.

 Exporting Study Datasets : Function for copying data and image of patient to
outside media. Click patient to be copied to outside media and click “Outside
Output” button.(When you want to copy several patients, click patients with holding
control key)

Changing operation of patient’s information is almost same as the steps

for registration of patient. Use database and work list. Click “Modify”
button after complete

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Click “…” button for appointing output directory to be copied and click “Run” when the
window occurs as upside.

 Importing Study Datasets : Function for inputting created data from outside output
to inside database. If you click Import button, the window occurs as below.

Click “…” to select input folder.

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In case of upside, click “Export” folder and click “OK” button.

Data list which can be added is searched and occurred in appointed folder as upside.
Click patient to be input and click “Run” button.(When you want to select several
patients, click patients with holding control key)

 Data Burner : This is similar function to Export. Patient data and images can be
stored in CD or DVD. Also CDSee program is stored to see images which saved in

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 Triana in any PC. Select patient in the same way as “Import” then click [Data
Burner] button, the window occurs as below.

Select Burning Device which is CD or DVD in and check that the device is available
to store/copy images. (“Selected Studies Size” shows you data size of patient
information and Available Disk Size shows you available storage capacity of inserted
device)
If storage capacity of inserted device is not enough, it is not starting. So close the
window then select smaller data sized patient or insert available device for selected
patient and click “Refresh” button.
Select Burning Speed and click “Burn…” button to proceed.

CD Viewer does not run when Triana is running.

If it runs automatically after inserting CD, run CDsee in app folder.

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 Copy to Local : this function is to copy a patient data in server to local. Select
patient and then click “Copy to Local” button. Click Local Tab, You can see patient
list in Local database.

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 4.3 Image Acquisition

This icon is linked to separate program.

For application of OP in detail, please refer to User's Manual

4.4 Export

You could save information or images of patients safer. Also you

could save as various types of file to outside storage with this
function.

The below window will be occurred when you click upside button.

4.4.1 File Format

Select file format to be saved. (BMP, JPEG, PNG, DICOM)

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4.4.2 Management Option of Annotation

You can choose whether you record information of annotation, image, and patient on
image when you save outside. If you select anything, only image of X-ray will be
saved.

-When you choose “On”

Click and you could select various options.

- Annotation and Implant : You can decide whether you save information of
annotation and implant together.
- Selecting Device : Input or not of the text which shows the device of gotten image.
- Information of Hospital : Input or not of hospital information.
- Information of Patient : Input or not of checkup information.
- Information of Date : Input or not of the time of gotten image.

When you chose “Off”, image only will be printed as you didn’t chose
anything at annotation management option.

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4.4.3 Exporting Directory

The window where you could appoint or create folder is occurred when you click

4.4.4 File Prefix

If storage folder is same, same file’s name could be exist. Add “File Prefix” in front of
file and save it to avoid this situation. For Example, If you input “Sample” as “File
Prefix”, “sample_” will added in front of the saved file’s name.

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4.4.5 Film Mount Style

Case 1> When you choose “ON”

Image would be saved with maintaining mount. You should choose size of image to
be saved. If memory of outside device is big enough, choosing bigger one at “Image
Size” is right.

Select device to be saved, and if you save all devices, select “ALL”.

Case 2> When you choose “OFF” : You can save images one by one.

Select image you want to save first, and use this function.

The below picture is example for exporting CT image.

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Select image you want to send as upside. Use middle button of mouse for selecting
several images at once. Selected image will be expressed orange.

At “Selecting Method” of “Sending Image“

If you select “Selected Image”, the images that you selected will be sent, and if you
select “All Image” every images of opened patients will be saved.

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4.5 Sending Image

You can send image to DICOM server or E-Mail through network.

4.5.1 The part for input information of image to send.

1) E-Mail

When you send image through E-Mail.

 Sender : E-mail address of person who sends.
 Recipient : E-mail address of person who receives.
 Reference(CC) : E-mail address of reference.
 Reference(BCC) :E-mail address of secret reference.
 Title : Title of E-Mail
 Contents : Contents of E-Mail

You can write “;” between addresses for sending several people at once.

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(EX) [email protected]; [email protected]

Setting up of SMTP server is needed at ConSt program due to network

circumstance of hospital which has the device for sending image by E-
mail.

2) DICOM Server

Input basic information which is needed for PACS, when you send image to PACS
server.
 Preset : Preset the DICOM Server
 Log : This shows various logs which is occurred when you send images or test
network.

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3) DICOM Server(CT Volume)

Input basic information which is needed for PACS, when you send CT image to PACS
server.
 X: Adjust the X-axis spacing
 Y: Adjust the Y-axis spacing
 Z: Adjust the Z-axis spacing
 Preset : Choose the server for transmission
 File Format : Choose the "Transfer Syntax"
 Burning Option : Not applicable
 Template Style : Not applicable
 Volume Selection : choose the CT Volume for transmission

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4.5.2 Part for setting up specification of image to be sent.

 Output Form: You can choose image form to be sent. BMP, JPEG, PNG, DICOM,
and ETC are the forms. If you send image through DICOM, DICOM form only can
be sent.
 Management Option of Annotation : You can choose whether you record
information of annotation, image, and patient on image when you save outside.

- “Film Mount Style”

Case 1 > When you select “ON”

Image is saved with maintaining mount.
You should choose size of image to be saved. If memory of outside device is big
enough, choosing bigger one at “Image Size” is right.

Choose device to be saved, and if you want to save all device, choose “ALL”.

Case 2> When you select “OFF” : You can send images one by one.

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Select image you want to send first, and use this function.
The below picture is example for sending CT image.

Select image you want to send as upside. Use right button of mouse for selecting
several images at once. Selected image will be expressed orange.

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At “Selecting Method” of “Sending Image“

If you select “Selected Image”, the images that you selected will be sent, and if you
select “All Image” every images of opened patients will be sent.
Click “Send” to send after specific setting has been complete. If it is E-mail sending,
basically Image data and information data of patient will be compressed (ZIP form).

Setting up is needed to send image through DICOM at ConST program

due to network circumstance of hospital which has the device.

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4.6 Paper Printer

You can print images with this function.

4.6.1 Print

Select type of print.

4.6.2 Orientation

You can choose Portrait or Landscape when you print. Landscape would make better
resolution because width is longer than length of general film mount.

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4.6.3 Mount Style

Case 1> When you select “ON”.

Print image with maintaining mount.

Select device to save. If you want to save all devices, select “ALL”.

Case 2> When you select “OFF” : This function can print each image.

Select image to print first, and execute this function.

The below images are the examples for printing CT

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Select image you want to print. Use right button of mouse when you select several
images at once. The selected images are expressed orange color.

At “Method of Selection” of “Print Image”

If you select “SELECTED IMAGE”, only the selected image will be printed, and if you
select “ALL IMAGE”, every image of opened patients will be printed.

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4.7 DICOM Printer

You can DICOM print images with this function.

4.7.1 Preset

Preset the DICOM print

4.7.2 Orientation

You can choose Portrait or Landscape when you DICOM print. Landscape would
make better resolution because width is longer than length of general film mount.

4.7.3 Log

This shows various logs which is occurred when you send images or test network.

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4.7.4 Mount Style

Case 1> When you select “ON”.

Print image with maintaining mount.

Select device to save. If you want to save all devices, select “ALL”.

Case 2> When you select “OFF” : This function can print each image.

Select image to print first, and execute this function.

The below images are the examples for printing CT

Select image you want to print. Use right button of mouse when you select several
images at once. The selected images are expressed orange color.
At “Method of Selection” of “Print Image”

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If you select “SELECTED IMAGE”, only the selected image will be printed, and if you
select “ALL IMAGE”, every image of opened patients will be printed.

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4.8 Mount

This software’s image management is based on mount. Also this is

considered user’s specific character or convenience of interpretation.
Therefore you can design and manage your own mount.

4.8.1 Open

This button is used for opening the mount.

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4.8.2 Creation

You can create new mount with this.

 Name: Input mount’s name about to be created.

 Writer: Input writer’s name.
 From: Mount forms are “USER” and “DIVIDE”.

“USER” form makes user can change size, spot, and numbers.
“DIVIDE” form is used to divide screen to “1x1”,”2x1 and ”3x3”. However, “DIVIDE”
form uses screen more effectively than “USER” form.
The mentioned mount form should be designed properly due to devices. Select
“USER” form for oral camera and oral X-ray mount, and select “DIVIDE” form for
panorama, cephalometer, and digital camera.
- Description : Input simple explanation about mount.

Click “Creation” after you input information for creation.

Let’s create “USER” form mount.

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Input as upside, and click “confirm”.

Place a dot at spot you want with mouse and drag to make square for adding mount.

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You can see the added mount as upside. You can change size and spot of existing
mount with mouse. Add mount with this operation.

The function for changing spot and size of mount is explained below. Click to
make the mount fit to full screen after the mount input.

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You can see that the mount is adjusted to fit screen. Save and close mount
design window after all works complete.
Click “Patient Registration” to verify whether mount was created in order.
Check whether “Mount for Oral Camera” was added in 5 combo boxes at “Types of
mount” which is at bottom left of “Patient Registration”.
You can choose “Mount for Oral Camera” when you use mount for oral camera.

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4.8.3 Deletion

This is for deleting film mount which is opened or on creation.

4.8.4 Information Change

You can change information of existing film mount.

4.8.5 Save

You can save changed data with this.

4.8.6 Automatic Size Adjustment.

Items which are added in mount are paraded to the ideal spot as
fittest sizes.

4.8.7 Mount Deletion

You can delete useless mount with this. Click mount you want to
delete and click button for deletion.

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4.8.8 Width Control

Click(with holding CTRL key) several mounts which are needed to

be same widths. You need to know that the first chosen mount
would be the base for the rest widths.

Click the base mount first. Then, click(with holding CTRL key) the mounts which you
want to change its widths same as the base mount’s.

Click as upside, and click .

You can see the same width which has been changed.

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4.8.9 Pitch Control

The chosen mount is moved to the same pitch, when you click
Pitch Control button after 4.8.9.

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4.8.10 Left Side Lineup

The chosen mount is paraded from the base the first chosen
mount, when you click Left Side Lineup button after 4.7.9.

4.8.11 Right Side Lineup

The chosen mount is paraded from the base the first chosen
mount, when you click Right Side Lineup button after 4.7.9.

4.8.12 Up Side Lineup

The chosen mount is paraded from the base the first chosen
mount, when you click Up Side Lineup button after 4.7.9.

4.8.13 Down Side Lineup

The chosen mount is paraded from the base the first chosen
mount, when you click Down Side Lineup button after 4.7.9.

4.8.14 Set Mount Information

Select the mount which you want to modify its information then click
Set Mount Information button to input title and annotation for the
mount.

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V. Toolbox

There are various tools to help interpretation. The toolbox has for tabs.

5.1 Manipulator

5.1.1 Basic Mode

This mode is for selecting image or editing annotation.

5.1.2 Magnification/Reduction Mode

Move the mouse upside and down with holding left button of mouse
then you can magnify/reduce image.

5.1.3 Movement Mode

Click left button of mouse, then you can move images to any spot
you want.

5.1.4 Magnifying Glass Mode

You can magnify specific spot of image with this function.

5.1.5 Fit window

You can initialize spot or size of magnified or moved image with

this.

5.1.6 Reset

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 You can reset the edited image with this except “Magnification” or
“Movement” function.

5.1.7 Image Deletion

This is function for deletion of useless image on main screen.

5.1.8 Info
Various information (shooting time, annotation, and Etc.) is
disappeared with this function. If you click this toggle button, it turns
to the former condition.

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5.2 Process

Part for the functions involving Image Management.

5.2.1 Right-handed Screw

Rotating image right-handed screw.

5.2.2 Left-handed Screw

Rotating image left-handed screw.

5.2.3 Rotating Vertically

Reverse image top to bottom.

5.2.4 Rotating Horizontally

You can reverse image left to right.

5.2.5 Image Reversion

You can reverse image with this.

5.2.6 Reset

You can reset the image to the first data which is not processed with
this.

5.2.7 Filter 1, Filter 2

You can show doctors or patients the images effectively
with emphasis of detailed tissue or skeleton by image
processing with this.

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5.3 Annotation

You can input explanation or annotation for interpretation on image with this.

5.3.1 Basic Mode

You can delete, move, and change annotation with this.

5.3.2 Ellipse

You can insert oval on image with this tool.

5.3.3 Letters

You can insert letters on image with this tool.

5.3.4 Polygon

You can insert image of polygon on image with this tool.

Draw polygon and click right button of the mouse to finish.

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5.3.5 Arrow

You can mark or appoint the specific point by arrow with this tool.

5.3.6 Paint

You can change colors of various items, size of words, thickness of

line in “Notes” with this tool.

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5.3.7 Pencil

You can use this tool like real pen when you explain to patient.

5.3.8 Seal
Words or shorten words of important strings which are in common
use at hospitals. The window occurs as below when you click this
button.

If you double click the clipped word which is going to be added or click “+” and click
the spot which is going to be written of the clipped word, the clipped word is going to
be written.

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 is the function for adding or changing subjects. When you click this button, the
window occurs as below.

You can change colors, thickness, and font size of input items and add new items or
change existing items.

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5.4 Measurement

The mode for the help to secure safety by having a virtual implant transplant to the
image which is obtained from device. Correcting operation should be done before the
virtual implant transplant.

5.4.1 Basic Mode

Basic mode for selecting implant, movement and rotation.

5.4.2 Magnification Mode

Move the mouse upside and down with holding left button of mouse then
you can magnify/reduce image.

5.4.3 Movement Mode

Click left button of mouse, then you can move images to any spot you
want.

5.4.4 Calibration

Function of changing pixel’s length to mm by using pixel of image

and length of real world(mm,cm).

Please follow the steps below for correction.

STEP1 . Shoot with holding the object(correction target) which you know the exact
length between the teeth which are going to be given medical treatment.

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STEP2 . If there is a taken picture as upside, Extend ( , ) correction target as
big as it can be.

STEP3 . Click and measure correction target. Correct to the angle of implant’s
transplantation to get more exact conversion coefficient.

Drag the conversion target with mouse and let it go, then you’ll see the window below.

Input the length of conversion target and click “Confirm”. Check "Conversion value is
applied to all images of panorama” and then the conversion value is going to be
applied to all images of panorama.

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5.4.5 List

“List” can summon models of various manufacturers, and lets user

makes and saves implant models. Also user can add the chosen
implant from list of implant and simulate it by oneself with this
function.

5.4.5.3

5.4.5.1

5.4.5.2

5.4.5.1 Information of Implant

This is function for displaying the searched implant’s information which is
manufacturer, model’s name, size, specification, and user’s telephone number.
is function for adding searched implant to image.
is function for closing the window of implant.

5.4.5.2 List of Implant

This is function for searching information of implant which is saved in database.
Proper Implant list occurs when you input searching condition and click.

Specific information and implant’s picture occurs when you click the searched list.

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5.4.5.3 Other Functions
is function for adding new implant.
The window occurs as you can see below, when you click that button.

You should input correctly because manufacturer, model’s name, size, specification,
user’s phone number are used for the information searching.
“DXF file” is for input CAD file(*.dxf) which draws implant. Click “Confirm” after input
of the information as upside. Execute search to verify whether the input has
complete correctly or not.

This is function for correcting information of implant.

Change the information that has been mentioned properly, and click “confirm”

This is function for deleting chosen implant.

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5.4.6 Internal, External Implant

,
Function for voluntary arbitration of implant’s length, size, and angle by adding
Internal Implant to image. Correction work should be earlier than adding implant.
Execute this button and move mouse to the spot and click.

Implant has been added as you can see upside. Make sure that it is normal mode
to correct the length, size, and angle.

8 Correction points occurs when you select implant as you can see upside. The mice
at the corners is for correction of rotation, the points at the top and bottom are for
the length, and the points at the left and right are for correction of size.

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If you click the point in the middle, the implant is going to be turned upside down.

5.4.7 Angle Measurement

You can measure angle of specific point with this tool.

5.4.8 Distance

You can measure distance of specific points with this tool.

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5.5 3D

(Exclusive Tool for 3D Module. Refer to 6.3 ‘Toolbar’)

5.6 Others

5.6.1 Basic

Function for choosing image

5.6.2 Copy

Function for choosing image

Choose original image and click ‘Copy’. Red triangle at the top right of thumbnail
image shows it is copied image.

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 5.6.3 T-Pos

The button is to record DICOM information which contains tooth position.

Select image and click T-Pos button, the window occurs as below.

Select tooth position between pictures or boxes and click “OK” button to save the
information.

5.7 Favorite Tools

The tool using the often is registered.

5.7.1 Favorite tools property

If the mouse right button is clicked and the context menu is clicked, The favorite tools
property can be looked at.

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The list on the left is the usable total toolbar. And the right list is the toolbar added to
the tap.

The selected tool is added to the tap.

The selected tool is removed from the tap.
The order of the selected tool is changed up.
The order of the selected tool is changed under.

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VI. 3D Image Window
Click on CT tab

Empty window will show up if there’s no captured image as shown below.

6.1 CBCT Tab Screen Composition

6.1.1

6.1.2

6.1.1 Screen Tab

If more than one image is captured, screen shows an image selected with tab.

6.1.2 Screen Editor Button

Move to Screen Editor window.

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6.2 3D Window Screen Composition

6.2.1 6.2.2
6.2.4 6.2.3

6.2.1 Main Menu

Present Image Acquisition window is saved.

OP window is brought up and stands by scanning.

Image Acquisition window is closed and bring you back to CT tab view.

6.2.2 Toolbox

Each tab has a variety of features including image manipulation functions, image
interpretation, image processing, annotation, implants.

6.2.3 Patient info window

Current reading or recording information of the patients shows briefly.

6.2.4 Main Image Tap

Using tabs at the top of the window, Dental, MPR, Curve tasks can be done

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6.3 Toolbar

6.3.1 Selection

‘Selection’ enables you to switch sections. On Selection Mode, scroll

mouse-wheel up/down on 2D screen to switch to former/latter
section. And drag cross-line to shift from one to other spots as
picture shown below

6.3.2 Move

“Move” enables you to move images. Click left mouse button and
drag an image to wherever you want.

6.3.3 Enlargement/Reduction

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 It enables you to enlarge or reduce image. Click on the icon and click
left mouse button with cursor being above the image that you want to
enlarge or reduce. And, drag image to enlarge or reduce.

6.3.4 Polarizations
It polarizes images and annotations on screen. Clicking the icon will
keep the images and annotations solarized until you click the icon
again.

6.3.5 Annotation Info

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 Text Information can whether be displayed on screen or not. If the
icon is clicked, screen would display text information. Clicking the
icon again will hide annotations. All the annotations are hidden in
below picture.

6.3.6 Arrow

You can highlight any part of image using Arrow function. Drag and
drop left mouse button, and an arrow will be created. Arrow will
point to where you drop mouse.

6.3.7 Distance Measurement

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 It enables you to measure a distance between two points on image in
mm. The length unit is [mm]. You can move the entire line or any
endpoint of the drawn line.

6.3.8 Angle Measurement

You can measure an angle between two lines using this function in
degree unit. The angle unit is [degree]. You can move entire lines or any
endpoint of lines.

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6.3.9 Profile

Draw a line by clicking onto two points on image. A graph which shows
pixel values where the line passes will show up. The pixel unit is [mm].
You can move any endpoint of the line, and the changes will be
immediately applied to the graph.

6.3.10 Nerve Insertion

You can insert nerve tube into the image by using this function. Clicking
the icon will insert a nerve tube into the image. Clicking mouse above the
section will insert spots composing nerve tube and it will be shaped as
nerve tube.
Below picture shows a cylindrical section of nerve tube. You can alter the position of
nerve tube on image by using your mouse.

- The way to change nerve : Same way as Changing Dental Arch. (Refer 6.3.3)

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- Removal Nerve Node : Select a node which to be removed with pressing Alt key.

- Adding Nerve Node : Alt+mouse Left click on nerve curve.

- After adding nerve node(3D view)

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6.3.11 Implant insertion
You can also insert an implant into an image. Clicking the icon will insert
an implant at center of the selected section in direction of long axis. You
can move or rotate inserted implant y using your mouse.

6.3.12 Bone density measurement

The right mouse is pressed and Implant→Bone Density menu is selected after
selecting the implant in 3D screen. The bone density of the implant surrounding can
be checked in this screen.

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6.3.13 Re-slice Volume

Output 3D Volume data as appointed pixel space.

- Pixel Spacing: Set output slice section in mm(millimeter).

- File Prefix: When several images need to be output, the file names are set woth
Prefix and numbers input. If prefix is not set, the file names are set only with
numbers.
- File Format: Select DICOM image format. Available formats are RAW, JPEG,
JPEG2K.
- Destination Directory: Select a folder which image saved in.

6.3.14 Curve
This button is used to generate a curve. In the main toolbar, select
the 3D tab, click the Curve button. Move to panel with a curve to
draw on the sectioned images. Draw the desired curve by clicking
the left mouse button.

Curve operations are generated in the MPR view. In the other work
of view does not work.

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6.3.15 Stitch

For carry out Triana stitch function is required an operator has prior
knowledge of three-dimensional.

The VOI (Volume of Interest) will have the effect of widening. Triana provides a stitch
function, what is combining two or more volumes to in one volume. Triana currently
provides to stitch Left / Right volume together

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6.4 Main Image Window

6.4.1 6.4.2

6.4.3

6.4.1 Tasks tab

Tasks tab to switch modes of operation. Operation modes: Dental, MPR, Curve mode
allows

6.4.2 Operation Toolbox

Toolbox is a collection of tools for Operation mode.

6.4.3 Operation view

Operation mode can view tasks according to the characteristics of the panel has a
configuration of the work space.

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6.4.4 Panel Composition

(1)
(2)
(3)

(1) Title bar : Displays the title of the panel.

(2) Panel Subordinate Tool: Serves a button related each screen.
(3) Common Tool in every Panel: Serves common function in every panel.
- Enlargement/reduction initialization: Initialize the enlargement and the reduction
of the screen.
- Change slice thickness: Control the thickness of the slice.

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6.4.5 Task (view screen mode)

Task view modes: There are the default view mode, zoom view mode and multi-view
modes.

6.4.6.1 The default view mode

The default mode is configured as the default layout.

Dental Task View (the default view mode) MPR Task View (the default view mode)

Curve Task View (the default view mode)

< Dental, MPR, Curves for each test of view has the basic layout of the view >

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6.4.6.2 The Zoom View screen mode

Zoom View screen mode is a larger panel screen modes for the closer inspection
By pressing the zoom mode button you can switch to the zoom mode.
This tool is located in the top right corner of the panel.
If you press the button on the screen again, the zoom mode will return to the
default mode.

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6.4.6.3 Multi-view display mode.
Multi-view screen is the screen mode to view a specific panel more than one slice.
You can observe all slices in one screen.

By pressing the multi-slice button you can switch to multi-slice mode. This tool
is located in the top right corner of the panel. If you press the button on the
screen again, the multi-slice mode will return to the default mode.

There are two kinds of way to go to Multi-slice display mode.

1. You can move to the previous layout if you click the button
2. As shown below layout table, you can select the multi-slice screen by dragging
your mouse, if you click the The button.

Then you could move to multi-slice mode automatically

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6.5 Dental task View
Dental Task view is composed of the Axial, Cross-Section, Longitude, Panoramic, 3D
panel.

6.5.1

6.5.2 6.5.3
6.5.4

6.5.5 6.5.6

To go to the Dental screen, click the dental tap

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6.5.1 View-dependent Toolbar

Initialize the dental arches to original

Initialize the dental arches
condition

Slice interval change the interval value of slice

Slice thickness change the thickness of slice

Show on / off cursor Turn off /on the cursor display

Show grid Turn off /on the grid display.

Zoom initialization Initialize zoom on on-screen

Window / Level Initialization Initialize window / level on-screen

Option Call option function

6.5.2 Axial panel

Axial window for edit a curve with scanned images and panoramic images on the
screen

Longitudinal CrossSectional
Section Line Section Line

Panorama
Section Line

- Panel dependent tools

Dental arch changes: change margin of curve
Multi-View button: Go to multi-slice display screen.

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 The Zoom View button: enlarge the size of the panel of window

- How to move the cutting plane

Vertically you can move on cutting plane: dragging the mouse on the vertical line
moving up and down.
Horizontally you can move on cutting plane: dragging the mouse on the Horizontal
line moving Right and left
You can move on cutting plane of the panorama: dragging the mouse moving up
and down.

- How to change the dental arches

When you select the dental-arch button, you could see the indicators as below
You can change the dental-arch by controlling the handle that is
determining the path of the point of the curve,

Add a handle curves: Select with your mouse at the point where you
desire to add handle, holding down the Alt key

Delete a handle curves: Select with your mouse at the point where you
desire to delete handle, holding down the Alt key

6.5.3 Cross-Section panel

Display on the screen the dental arch curve with cutting plane of regular intervals
(vertically)

Panorama

Section Curve

Axial

Section Line

- Dependent panel tools

Multi-View button: Go to multi-slice display screen.

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 Zoom View button: enlarge the size of the panel of window

Change layout: Adjust the number of horizontal and vertical view.

- How to move the cutting plane

Vertical: Panoramic cutting plane move
Horizontal: Axial cutting plane move

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6.5.4 Longitude panel

Show dental-arch on the screen with regular intervals by cutting horizontally.

Cross
Section Line

Axial
Section Line

- Dependent panel tools

Multi-View button: Go to multi-slice display screen.

Zoom View button: enlarge the size of the panel of window.

- How to move the cutting plane

Vertical: mouse dragging up & down
Horizontal: mouse dragging right & left

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6.5.5 3D panel

Shows scanned 3D volume image on the screen.

- Dependent panel tools

Initialize the camera direction: Left, Right, Anterior, Posterior,

Interior, Superior, Isometric

change of the rendering mode between Gray / X-ray / VR

Larger panel layout: as following the panel, expand the size of the
window.

6.5.5.1 Histogram
The window value and level value can be adjusted. In addition the color map
can be set.

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6.5.5.2 Color-map setting
If the mouse right button is clicked on the Color-map, 4 context menus are
appeared.

The new color is added to the Color map or it can remove. And the stored Color
map is loaded or the new Color map can be stored.

6.5.5.3 Color-map Changing

If the mouse right button is clicked on the added colour, 2 context menus are
appeared.

The added color is made a change in or it can remove.

6.5.5.4 Window/Level setting

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 If the mouse right button is clicked on the Histogram bottom, 6 context menus are
appeared.

The color style of 2d image can be selected. The window value and Level value can
be adjusted. In addition, the list of window / Level value can be made through W / L
Preset menu.

Window/ Level: the list of W/L-values defined in advance Preview: the image
preview applying W/L value selected in the list window
New: New W/L value is registered in the list.
Delete: W/L value selected is deleted.
Edit: the information of W/L value selected in the list is modified.

6.5.6 Panoramic panel

Show the cutting plane via to curve of dental arch at the panoramic image.

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 Cross
Section Line

Axial
Section Line

- Dependent tools of panel

Change of the rendering mode between Gray / X-ray / VR

Larger panel layout: as following the panel, expand the size of the window

- How to move the cutting plane

Vertical: mouse dragging up & down
Horizontal: mouse dragging right & left

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6.6 MPR Task View.
MPR (Multi-planar Reconstruction) Shows reconstructed Coronal, sagittal, and axial on
the screen.

To go to the MPR screen, click the MPR tap.

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6.6.1 Video Toolbox

The part of the volume can be outputted. And the

Volume output direction can be changed to set accurately the part
for observing.
Initialize center
Initialize the center of rotation. (including all values)
of rotation
changes center Change central axis of rotation to (Ortho)Axis center
of rotation of axis position moves same rotation with the camera

Slice interval Change slice interval

Slice thickness Change slice thickness

It limits to the part showing the volume as 6 clipping

Show the part sides. There is the function of outputting the size of
the volume the zoom-in/out.
Show on / off
Turn off /on the cursor display
cursor

Show grid Turn off /on the grid display.

Zoom
Initialize zoom on on-screen
initialization
Window / Level
Initialize window / level on-screen
Initialization

Option Call option function

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6.6.2 How to view every side of image

You can navigate to the location where you want to view in the axial screen, by drag
& drop the mouse.

- In Axial view, you can move the cursor wherever you want to see. Also it is available
to rotate 360 degrees.

- In Coronal view, you can move the cursor wherever you want to see. Also it is
available to rotate 360 degrees

- In Sagittal view, you can move the cursor wherever you want to see. Also it is

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available to rotate 360 degrees

You will receive the image as below after it is set to all direction.

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6.6.3 How to use cursor

Intersecting lines:

 The red line is indicated AXIAL intersecting line

 The blue line is indicated SAGITTAL intersecting line
 The green line is CORONAL intersecting line

You can move the cursor wherever you want to see. Also it is available to rotate 360
degrees.

Rotate/Move:

Moving center of cursor :

With drag & drop by mouse, you can locate
the cursor

Section Movement :
If you place the mouse cursor over
intersecting lines (green line) the cursor will
change to arrow shaped. In this case, use
the mouse dragging to move to the desired
position and drop the cursor.

Section rotating :
If you place the mouse cursor over the
white point, (green line) the cursor will
change to arrow shaped. (rotating) In this
case, use the mouse dragging to move to
the desired position and drop the cursor.

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6.6.4 Volume output

In the Slice Range, the slice range can be designated.

In the Slice Orientation, the direction of the slice can be determined.
In the Output Directory, the directory to store the slice image is designated.
DICOM CD can be made in the bruning button.
The slice image is stored in the folder designated as the Export button

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6.7 Curve view
in the curve view tap you can see the surface of curves you already have drawn in the
MPR mode (Cross sectional, Axial, Panoramic)

To go to the Curve screen, click the Curve tap.

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6.7.1 Task View Toolbox

Show the curves on the screen and you can

Curve data list
select or delete them.

Slice interval Change slice interval

Slice thickness Change slice thickness

Show on / off
Turn off /on the cursor display
cursor

Show grid Turn off /on the grid display.

Zoom
Initialize zoom on on-screen
initialization
Window / Level
Initialize window / level on-screen
Initialization

Option Call option function

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6.7.2 How to draw the curve

Go to MPR tap first than click the curve button to draw the curve.
Click the point where you are interested in.
Click twice at the end of point.

Select the 3D tab in the main tool box.

Click the Curve button and create a new point, than do continually clicking left mouse
button on the sectioned image until at the end of place you want see.

When the drawing is completed, do double-click to complete the building curve line.
Then automatically the screen view will move to curve tap.

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6.7.3 Curve View configuration

Curve view is made up of user define sections, horizontal sections; panorama

sections and 3D panels.

6.7.4 Curve adjustment

Click the curve edit button in the Oblique panel's tool box.
It will make you can edit the curve. The way of edit is same as the Dental Arch edit
method.

6.7.5 Curve management

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There is a tool box at the top right corner on the task list. With the tool box you can
manage the curves one by one. Change and deletion of the curves are acceptable in
this mode. And only in MPR tap can be created a new curve.

The configuration of curve list tool box

When you want to select the hide curve, Move from side
Curve scroll
to side clicking the mouse.
The number refers to number of curves
List of curve
(You can see the curve view when you click the number)
Delete
Delete the selected curve.
curve

Delete all Delete all the curves than the screen will be initialized.

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6.8 Stitch features

6.8.1 Brain storming

To use Triana's stitch feature, the basic knowledge is required as following

explanation. To be understood three-dimensional coordinate system. Triana stitch
mode is represented by 3-D on the X-axis in the coordinate system, Y-axis and Z axis
with a right hand orthogonal coordinate system (Right-handed system, Cartesian
coordinate).
As shown in the figure below indicates the three-dimensional Cartesian coordinate
system

Cartesian
Axial Plane Coronal plane Sagittal plane
coordinates

< 6.8.1> 3-dimensional coordinate system and the image plane

1) To be understood three-dimensional rotation (+ X /-X, + Y /-Y, + Z /-Z-axis rotation)

The figure below explains right coordinate rotation method (Right-handed system
rotation)
2) As shown in the figure below, the right hand thumb indicates + Y axis of rotation,
four fingers are pointing to the left that it is the direction of rotation.
In contrast, -Y axis of rotation is pointing to the right that it is the direction of
rotation.

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 < 6.8.2> Example of Right-hand coordinate system the (+) rotational direction

Each axis is called Pitch, Yaw, and Roll, as shown in the figure
below when the main object moving to the direction of Z.

3) Understanding of two-sided Axial Triana stitch can show 3 Section of axial (XY
plane) by default setting of the user interface. As below, two Axial volumes are in
the same height. In this figure, both images expressed with 3 Axial.

<6.8.3> expressed with 3 Axial by 3-D effect

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6.8.2 Understanding user interface about Stitch function.

In 3D Volume View, you can select Stitch icon, than a window appears as shown
below

<6.8.4> user interface screens of stitch function

1) configuration of stitch on screen

The figure below shows the stitch configuration of the window screen.

Control Menu Area

Axial-Plane Top Image Area Axial-Plane Middle Image Area

Axial-Plane Bottom Image Area 3D View of 3 Images

<6.8.5> Configuration of the window screen

2) Triana support aligning volume function by 6-DOP alignment

You can match two images by using Triana's stitch feature. By Triana's stitch feature,

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both images can be located same area with appropriate location.
Stitch feature provides six degrees of freedom adjustment in three-dimensional space.
Six degrees of freedom means X, Y, Z axis movement (Translation) and X, Y, Z axis
rotation are movable with 6 directions.

The figure below explain custom icon

: X-axis align + / - Rotation, + / - Move

: Y-axis align + / - Rotation, + / - Move

: Z-axis align + / - Rotation, + / - Move

<6.8.6> 6-DOF alignment Icons

6.8.3 Icon explanation

In this section, provides explanation of stitch feature.

- Reset Camera ( ):
The camera reverts to the first location on the screen for each view (state). Therefore,
the direction of the object view will re-align

- Reset Transform ( ):
Images will be replaced to initial position. it is reverting to the two images it had been
adjusted to match relative position.

- Change Child ( ):
Add Child Volume (Child) to Mother volume. If there is a child the volume exists it will
be replaced with new ones.

- Save to stitched volume ( ):

Save Completed volumes and return to 3D screen.

- Reset Window Level ( ):

Window Level will return to the original state.

: 6 degrees of freedom custom icon (section 6.8.4)

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6.8.4 Explanation of 6 degrees of freedom custom icon

Triana software is being used right-hand cartesian coordinate system also it is using
right hand rule when the object is rotating.

Set to X-axis rotation angle step 0.1~5 degrees

Rotation
can be selected. (Mainly use 1 or 5 degrees)

X-axis
Set to X-axis movement step (mm) 0.1~5
Translation degrees can be selected (Mainly use 1 or 5
degrees)

Set to Y-axis rotation angle step 0.1~5 degrees

Rotation
can be selected (Mainly use 1 or 5 degrees)

Y-axis
Set to X-axis movement step (mm) 0.1~5
Translation degrees can be selected (Mainly use 1 or 5
degrees)

Set to Z-axis rotation angle step 0.1~5 degrees

Rotation
can be selected (Mainly use 1 or 5 degrees)

Z-axis
Set to Z-axis movement step (mm) 0.1~5
Translation degrees can be selected (Mainly use 1 or 5
degrees)

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6.8.5 Add Child Volume

When switch to 3D MPR mode from stitch mode, mother volume appears on the
screen as below (Mother Volume). This volume is the mother volume was load in the
3D MPR mode. Normally mother- volume locates on the right portion of the normal
image and child-volume is on the left portion. The first volume is represented by the
red cube in the bottom right of your screen with 3D view <Figure 6.8.7>,.

<6.8.7> you can see the loaded mother volume

A slice of height is 1/4, 2/4, 3/4. It is based on the 512 slice of each cutting plane.
This description is on the <Figure 6.8.8>

Middle
Top Slice No.254
Slice No.127

Bottom
Slice No.381

<6.8.8> the slice representation of stitches in window screen

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1) Add child volume
Use add volume button ( ) select the child volume.
If you press the added Volume button, a list of studies of patients (Study List) is
displayed <Figure 6.8.9> than you can select the volume.

< 6.8.9> Window for select child volume

2) Example of the addition of child volume

The figure below shows an example of a child volume is added.
(Added child volume that is expressed as a green cube)

< 6.8.10> Example of the addition of child volume

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6.8.6 child-volume matching method (Using custom icons)

-You can match two volumes in one image by only the X, Y axis adjustment.
The following <Figure 6.8.11> is showing example that the Child volume is moved to
+ X axis.

<6.8.11> example that the Child volume is moved to + X axis

The following <Figure 6.8.12> is showing example that the Child volume is moved to
+Z axis.

< 6.8.12> example that the Child volume is moved to + X axis

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6.8.7 Save the stitches as the volume

Can be stored in one volume when alignment of the two volumes is completed
The VOI (Volume of Interest) will have the effect of widening
Save button ( ) : click to save
Stitched volume can be stored choosing one of two option. <Figure 6.8.12> is
showing the screen of save option.
The characteristics of each option can be checked.

1) Keep Full FOV Option : Quick Save

This option saves the whole volume size, keeping the region of volume.
In this case, size of voxel is bigger, resolution will be reduced.
In this option, Speed of saving is fast.

2) Keep Voxel Option: Precision Save

This option is saving stitched volume with keeping size of voxle.
Instead of keep size of voxel, the number of slice can be restrictively reduced.
Region of slice can be set through the mouse control.
In this option, speed of saving is slower than “Quick save”.
Region of volume that would be stored showed volume height figure(Top, Bottom)
and slice figure(Top Slice, Bottom Slice) in “Precision Save” option.

<6.8.12> Screen of Save Option

1) Choose the “precision save”, “Region Set” button

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- Click the “Precision save” for keeping Voxel, capable of saving region of slice
appears to “red box” on the 3D screen as like <Figure 6.8.13>.

<6.8.13> Region of slice capable of saving

- At this time, click the “Slice Boundary Set” button, “Save Option” window is changed
small window like <Figure 6.8.14>. And this helps to “Region Set”.

<6.8.14> “Save Option” Window

2) Save
- When you click the “Save” button, stitched volume is saved conform to choice
option.
- Stitched volume will be created a new study under the directory of the same patient.
- Name of new created directory is added a prefix like “Stitch_**” and “Stitch_”.
- While stitched volume is creating, progress bar of volume saving is on the screen.

* Keep Full FOV: Quick Save

- After stitches, reduce the resolution of FOV as volume is larger.

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 * Keep Voxel: Precision Save
- After Stitches, FOV keeps the voxel. But, height of volume can be
reduced.

6.8.8 Complete of stitches volume

At 6.8.7 when the stitches data is saved in storage, the screen go back to 3D mode
than it will be load automatically up on the screen.
<Figure 6.8.13> shows an example of viewing screen (Dental stitching volume)
<Figure 6.8.14> shows an example of viewing screen (MPR stitching volume)

< 6.8.13> Example of a completed volume and Dental viewing on the screen

< 6.8.14> Example of a completed volume and MPR viewing on the screen.
6.8.9 Cancelation of stitches

If you want to cancel stitches, you should click the ( ) button to close currents

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window than you could go back to main screen.

< 6.8.15> Example screen: cancel of stitches (returned video capture mode)

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