Advantage Dentascan

0459

Operator Manual
2182400-100
Revision 4

CopyrightE 2010 by General Electric Co.

Operator Manual
 WARNING
X-- RAY EQUIPMENT IS DANGEROUS TO BOTH PATIENT AND OPERATOR
UNLESS MEASURES OF PROTECTION ARE STRICTLY OBSERVED
Though this equipment is built to the highest standards of electrical and mechanical safety, the
useful x--ray beam becomes a source of danger in the hands of the unauthorized or unqualified
operator. Excessive exposure to x--radiation causes damage to human tissue.
Therefore, adequate precautions must be taken to prevent unauthorized or unqualified persons
from operating this equipment or exposing themselves or others to its radiation.
Before operation, persons qualified and authorized to operate this equipment should be familiar
with the Recommendations of the International Commission on Radiological Protection, contained
in Annals Number 26 of the ICRP, and with applicable national standards.
 REGULATORY REQUIREMENTS
This product complies with the regulatory requirements of the
following:
- Council Directive 93/42/EEC concerning medical devices: the

0459 label affixed to the product testifies compliance to the

Directive.
For a system, the location of the CE marking label is described
in the system manual.
European registered place of business:
GE Medical Systems Europe
Quality Assurance Manager
BP 34
F 78533 BUC CEDEX France
Tel: +33 (0)1 30 70 40 40
- Medical Device Good Manufacturing Practice Manual issued by
the FDA (Food and Drug Administration, Department of Health,
USA).
- Underwriters’ Laboratories, Inc. (UL), an independent testing
laboratory.
- Canadian Standards Association (CSA).
- International Electrotechnical Commission (IEC), international
standards organization, when applicable.
- USA/HHS:

CAUTION United States Federal law restricts this device

to use by or on the order of a physician.
- General Electric Medical Systems is ISO 9001 and EN 46001
certified.
- The original document was written in English.

Advantage Dentascan 2182400--100 Rev. 4 1

Note: This equipment generates, uses, and can radiate radio frequency
energy. The equipment may cause radio frequency interference
to other medical and non-medical devices and radio
communications. To provide reasonable protection against such
interference, this product complies with emissions limits for a
Group 1, Class A Medical Devices Directive as stated in
EN60601--1--2. However, there is no guarantee that interference
will not occur in a particular installation.
Note: If this equipment is found to cause interference (which may be
determined by turning the equipment on and off), the user (or
qualified service personnel) should attempt to correct the problem
by one or more of the following measure(s):
-- reorient or relocate the affected device(s),
-- increase the separation between the equipment and the
affected device,
-- power the equipment from a source different from that of the
affected device,
-- consult the point of purchase or service representative for
further suggestions.
Note: The manufacturer is not responsible for any interference caused
by using other than recommended interconnect cables or by
unauthorized changes or modifications to this equipment.
Unauthorized changes or modifications could void the users’
authority to operate the equipment.
Note: To comply with the regulations on electromagnetic interference for
a Class A FCC Device, all interconnect cables to peripheral
devices must be shielded and properly grounded. Use of cables
not properly shielded and grounded may result in the equipment
causing radio frequency interference in violation of the FCC
regulations.
Note: Do not use devices which intentionally transmit RF Signals
(Cellular Phones, Transceivers, or Radio Controlled Products) in
the vicinity of this equipment as it may cause performance
outside the published specifications. Keep the power to these
type devices turned off when near this equipment.
The medical staff in charge of this equipment is required to
instruct technicians, patients, and other people who may be
around this equipment to fully comply with the above requirement.

2 Advantage Dentascan 2182400--100 Rev. 4

 INTENDED USE
The Dentascan option is a software package used to create a cross
referenced set of composite axial, panorex, and oblique planar
images of the mandible and maxilla from computed tomography x--ray
scans of the jaw and mouth area. It is intended for use in presurgical
evaluation for dental implants, and for diagnosis of diseases of the
mandible and maxilla.

Advantage Dentascan 2182400--100 Rev. 4 3

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4 Advantage Dentascan 2182400--100 Rev. 4

 TABLE OF CONTENTS

REGULATORY REQUIREMENTS . . . . . . . . . . . . . . . . . . . . 1
INTENDED USE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
CHAPTER 1 -- INTRODUCTION . . . . . . . . . . . . . . . . . . . . . 9
1 OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
2 HARDWARE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
3 CONVENTIONS FOR THIS MANUAL . . . . . . . . . . . . . . . 10
CHAPTER 2 - SCANNING PROTOCOLS . . . . . . . . . . . . . 11
1 OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
1--1 Mandible . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
1--2 Maxilla . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2 SCAN PARAMETERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
3 TECHNIQUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
CHAPTER 3 - STARTING DENTASCAN . . . . . . . . . . . . . 15
1 EXAM SELECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2 DENTASCAN MAIN WINDOW . . . . . . . . . . . . . . . . . . . . . 15
3 PATIENT NAME ANNOTATION . . . . . . . . . . . . . . . . . . . . 15
4 DENTASCAN PANOREX CURVE PRESCRIPTION
COMMAND WINDOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
5 CURVE PRESCRIPTION COMMAND MENUS . . . . . . . 17
5--1 FILE menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
5--2 EDIT menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
5--3 VIEW menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
5--4 SET menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
5--5 HELP menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Advantage Dentascan 2182400--100 Rev. 4 5

6 CURVE PRESCRIPTION COMMAND BUTTONS . . . . . 18
6--1 (Panorex) button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
6--2 (Next) and (Prior) buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
6--3 (Goto) button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
CHAPTER 4 -- PANOREX AND OBLIQUE GENERATION 21
1 PREPARATION FOR DRAWING THE PANOREX CURVE 21
2 DRAWING THE PANOREX CURVE . . . . . . . . . . . . . . . . 22
3 RECOMMENDED PANOREX CURVE ENTRY
PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
4 GENERATING THE PANOREX VIEW . . . . . . . . . . . . . . . 26
5 DENTASCAN INTERACTIVE REFORMATION COMMAND
WINDOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
6 DENTASCAN INTERACTIVE REFORMATION COMMAND
MENUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
6--1 FILE menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
6--2 EDIT menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
6--3 VIEW menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
6--4 SET menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
6--5 HELP menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
7 DENTASCAN INTERACTIVE REFORMATION COMMAND
BUTTONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
7--1 (Film Sequence) button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
7--2 (New Object) button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
7--3 (+) (0) and (--) buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
8 MOVING THE PANOREX VIEW . . . . . . . . . . . . . . . . . . . . 32
9 MOVING THE “3D CURSOR” . . . . . . . . . . . . . . . . . . . . . . 33
9--1 Moving the “3D Cursor” On the Axial Slice . . . . . . . . . . . . . . . . 33
9--2 Moving the “3D Cursor” On the Panorex View . . . . . . . . . . . . . 34
9--3 Moving the “3D Cursor” On the Oblique Slice . . . . . . . . . . . . . 35
10 CHANGING WINDOW LEVEL AND WIDTH OF DISPLAYED
IMAGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

6 Advantage Dentascan 2182400--100 Rev. 4

CHAPTER 5 - FILMING . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
1 SETTING FILM PARAMETERS . . . . . . . . . . . . . . . . . . . . 37
2 GENERATING FILM OUTPUT . . . . . . . . . . . . . . . . . . . . . 40
CHAPTER 6 -- PROCESSING A NEW SERIES . . . . . . . . 45
SERVICE OFFICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
REVISION HISTORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Advantage Dentascan 2182400--100 Rev. 4 7

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8 Advantage Dentascan 2182400--100 Rev. 4

 CHAPTER 1 - INTRODUCTION
1
1 OVERVIEW
DentaScan is an optional software module designed to be used
with A.W.. It provides an interactive window-oriented user interface.
It performs real time image reformation specific to CT dental
imaging: oblique and Panorex reformations. These reformations
can be cross-referenced in real time, saved on the image data base
and printed on film.
The equipment on which this application runs includes one or more
hard disk drives which may hold medical data related to patients.
Such equipment may in some countries be subject to regulations
concerning the processing of personal data and the free circulation
of such data.
It is strongly recommended that access to patient files be protected
from all persons not in medical attendance.

2 HARDWARE
This software module runs on a standard A.W. platform. It uses the
platform’s hard copy system for film output. It accepts image data
acquired on any GE CT system.

Advantage Dentascan 2182400--100 Rev. 4 9

1
3 CONVENTIONS FOR THIS MANUAL
Note: Throughout the text in this manual, we have used certain
type styles and symbols to differentiate between one tool
or graphic and another. The conventions we have used are
as follows:
D Menu titles appear in bold face (e.g., Application Menu),
D Menu options appear in bold face, within brackets (e.g., [exit]),
D On-screen tools appear in bold face, within braces (e.g.,
{Scroll Bar}),
D Graphical buttons appear in bold face, within parentheses
(e.g., (View)),
D On-screen prompts and messages appear in italics (e.g.,
Login:),
D User typed-in responses appear in bold face italics (e.g., root),
and
D Keyboard hardkeys and mouse buttons are underlined (e.g.,
Return or left).

10 Advantage Dentascan 2182400--100 Rev. 4

 CHAPTER 2 - SCANNING PROTOCOLS

1 OVERVIEW
When scanning both a mandible and maxilla, two separate series 2
must be used.
The gantry can be tilted at any angle. However image quality is
higher if the tilt angle is 0.
Both scanning directions are allowed (superior to inferior and
inferior to superior).
Immobilization is critical to the success of this examination and it is
recommended that a bite stick or similar object be placed in the
mouth to separate the teeth and allow the jaw to remain stationary
and relaxed. Immobilize the head with surgical tape.
1--1 Mandible
The mandible should be scanned from the base of the mandible up
through the lower teeth.
1--2 Maxilla
The maxilla should be scanned from inferior to superior beginning
at the surface of the upper teeth to the base of the maxillary sinus.
Include some sinus mucosa to extend above and out of the hard
palate.

Advantage Dentascan 21xxxxx--100 Rev. 4 11

 2 SCAN PARAMETERS
THICKNESS:
2 1.0 mm for HiSpeed Advantage, Sytec 3000, 4000, 6000 and 8000,
ProSpeed and Pace
1.5 mm for HiLight Advantage
2.0 mm for Sytec 2000
SPACING: 1.00 mm
DISPLAY FOV: (See below)* SCAN FOV: Head
ALGORITHM: BoneMATRIX: 512
*DFOV (Display Field Of View) must be chosen for life-size
display on a 4 on 1 format. This value is determined upon
installation of DentaScan by your GE Service Engineer
according to how your hard copy output device (typically a
laser imager) is configured. Consult your application specialist
should your hard copy output device ever be reconfigured.
Best image quality is obtained if the gantry is not tilted, but the
Dentascan software corrects for the tilt automatically.
Table locations should stay in a range of 30 mm if you want the
standard five Panorex views to fit on a single view. For example,
use 30 slices in the case of a 1 mm spacing. If the number of slices
is higher, the views that do not fit on the first film will be deferred to
another film.

CAUTION
Accuracy in the inter-axial slice directions is
limited to either the THICKNESS or twice the
SPACING value, whichever is GREATER.

12 Advantage Dentascan 21xxxxx--100 Rev. 4

3 TECHNIQUE
The technique depends on the kV and mA settings available on the
CT system being used. A low mA value is recommended because 2
the region of interest consists only of bone (Consult your CT
application specialist).

Advantage Dentascan 21xxxxx--100 Rev. 4 13

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14 Advantage Dentascan 21xxxxx--100 Rev. 4

 CHAPTER 3 - STARTING DENTASCAN

1 EXAM SELECTION
Before starting DentaScan, you must first select the series or set of
images (that meets the requirements given in chapter 2 “Scanning
Protocols”) on the A.W. Browser.
Note: If only one image is selected on the Browser, the entire
series is used by DentaScan.
3
See the A.W. Operator Manual for further details on series selection
and general image management.
Once you have selected the desired series or set of images, click
left on the (Denta) button in the Browser.

2 DENTASCAN MAIN WINDOW

A display window pops up, displaying one of the acquisition slices.
Its position in the stack is a default parameter which can be
adjusted (see chapter 5).

3 PATIENT NAME ANNOTATION

The patient name annotation is located in the upper right corner of
the acquisition slice.
You can show or hide the patient name annotation as follows:
D Press and hold right on the annotation,
D Select [Show] or [Hide] from the menu that pops up,
D Release.

CAUTION
When hiding a patient name, it will not appear on
film output. If patient name is needed on film
output, don’t forget to cancel hiding of the
“patient name” annotation before filming
operation.

Advantage Workstation -- Dentascan 2182400--100 Rev. 4 15

 4 DENTASCAN PANOREX CURVE
PRESCRIPTION COMMAND WINDOW
A small curve prescription command window is displayed in the top
right corner of the main window (see figure below). This command
window contains the necessary command menus and buttons for
3 using the DentaScan Panorex curve editor. The top row of this
window is a menu bar which contains several menu headings: FILE
EDIT VIEW SET and HELP. Below the menu bar there are several
command buttons: (Panorex) (Next) (Prior) and (Goto).These
menus and buttons are accessed by clicking left in the desired
location.

Dentascan
FILE EDIT VIEW SET HELP

Pano rex

Next Prio r Go to

Curve Prescrip tio n

The DentaScan curve prescription command

window

16 Advantage Workstation -- Dentascan 2182400--100 Rev. 4

5 CURVE PRESCRIPTION COMMAND MENUS
5--1 FILE menu

When you click left on the FILE menu, the following

FILE
options are displayed:
New Object 3
[New Object], allows you to return to the A.W.
Quit Browser to select a new image series.

[Quit], allows you to exit the DentaScan program.

5--2 EDIT menu

When you click left on the EDIT menu, the following

EDIT
options are displayed:
Clear last point
[Clear last point], allows you to delete the last
Delete curve Panorex point entered.

[Delete curve], allows you to delete the entire

Panorex curve.

5--3 VIEW menu

VIEW
When you click left on the VIEW menu, the following
option is displayed:
Panorex
[Panorex], allows you to generate the Panorex view
once the Panorex curve is correctly defined.

Advantage Workstation -- Dentascan 2182400--100 Rev. 4 17

 5--4 SET menu

SET When you click left on the SET menu, the following
option is displayed:
Film
Parameters
[Film Parameters], allows you to enter parameters for
filming (see section 5).
3
5--5 HELP menu

When you click left on the HELP menu, the following

HELP
option is displayed:
On Context
[On Context], allows you to pop up a window
displaying the available commands. The Help window
is automatically updated according to the context.
Click on the (OK) button to close this window.

6 CURVE PRESCRIPTION COMMAND

BUTTONS
6--1 (Panorex) button

When you click left on the (Panorex) button, the

Panorex
Panorex view and oblique slices, based on the
Panorex curve that you have defined, are generated
(see section 4).

18 Advantage Workstation -- Dentascan 2182400--100 Rev. 4

6--2 (Next) and (Prior) buttons

Next
When you click left on the (Next) or (Prior) button, the
next or prior axial slice, respectively, in the stack of
slices is displayed. NOTE: the use of these buttons
Prior has no effect on the axial slice that will appear on film
output (see section 5).

6--3 (Goto) button 3

When you click left on the (Goto) button, you can

Goto
manually enter the image number of the axial slice that
you wish to see displayed. Move the mouse pointer
into the “Image number” field that appears, enter the
desired number (use the Back Space key to delete
characters) and then click left on (OK) to validate your
choice or (Cancel) to cancel your choice. NOTE: the
use of these buttons has no effect on the axial slice
that will appear on film output (see section 5).

Advantage Workstation -- Dentascan 2182400--100 Rev. 4 19

 Blank page.

20 Advantage Workstation -- Dentascan 2182400--100 Rev. 4

 CHAPTER 4 - PANOREX AND OBLIQUE
GENERATION

1 PREPARATION FOR DRAWING THE

PANOREX CURVE
The Panorex curve will be drawn on the displayed axial slice. If the
displayed slice is not the desired one, use one of the following three
ways to move through the stack of slices:

Next
Click left on (Next) or (Prior) buttons in the command 4
window.

Prior OR

Point to the slice’s annotation number “Im: xx” located

at its upper left corner. Click left to move up one slice
or right to move down one slice.

OR

Point to the slice’s annotation number “Im: xx” located

at its upper left corner. Hold down the middle mouse
button and drag leftward to move continuously
downward in the stack or drag rightward to move
continuously upward in the stack.

Advantage Dentascan 2182400--100 Rev. 4 21

 2 DRAWING THE PANOREX CURVE
Once the proper axial slice is displayed, draw the Panorex curve as
follows:

Holding the Shift key down, press left, drag and

release mouse button at the first desired point.

Shift
4
Still holding the Shift key down, press left, drag and
release mouse button at the next desired point. During
dragging, a rubber band appears between the last
point entered and the current mouse position.

Shift

Still holding the Shift key down, continue pressing left,

dragging and releasing the mouse button at all the
desired points. Release the Shift key after entry of the
last point.

Shift

The actual drawn curve will be a smooth curve fitted on the points
that you defined. You can use as many points as you want, but it is
recommended that you use a small number of evenly spaced points
(typically 5 to 7). See “Recommended Panorex Curve Entry
Procedure” below.

22 Advantage Dentascan 2182400--100 Rev. 4

If during the process of defining the curve points you want to
change the displayed axial, you can still use the (Prior) and (Next)
buttons in the command window, or page through the axial slices by
clicking on slice annotations.

If you want to delete the last defined point, click left on

EDIT
[Clear last point] in the EDIT menu.
Clear last point

Delete curve

It is also possible to delete the whole curve by

EDIT
choosing [Delete curve] in the EDIT menu. The 4
Clear last point
Panorex curve can be deleted at any stage of the
session, even if you have already generated Panorex
views and oblique slices as described in the following
Delete curve
sections.

Advantage Dentascan 2182400--100 Rev. 4 23

 To change the position of the defined points directly on the axial
view, proceed as follows:.

Move the mouse pointer to the axial view and press

the Meta ( ) or the Alt key (next to the space bar).
The original curve points are now displayed as red
squares and new points are displayed as green
Alt diamonds.

or

4 Still holding the Meta ( ) or the Alt key down, press

left on the defined point (marked as a red square) to
be moved and drag to the new location.
Alt
or

Still holding the Meta ( ) or the Alt key down,

release left mouse button to enter the new point
location.

Alt
or

Release the Meta ( ) or the Alt key to quit point

editing mode.
Alt

or

24 Advantage Dentascan 2182400--100 Rev. 4

3 RECOMMENDED PANOREX CURVE ENTRY
PROCEDURE

CAUTION
Panorex curves with sharp bends can result in
loops on lingual or bucal Panorex images. The
following procedure is therefore highly
recommended for avoiding this problem when
entering Panorex curve points:
D Begin by placing three points as shown below:
4

D If the curve is not close enough to the desired shape, add new
points using the Meta or the Alt key and moving the new points
(green diamonds) to the desired locations.
D Release the Meta or the Alt key after point editing. Repeat the
above step if necessary.

Note: A satisfactory result should be obtained with a maximum of

5 or 7 points.

Note: When the beginning or end point has to be slightly

changed, it is preferable to edit it with the Meta or the Alt
key, as opposed to adding a new point close to it.

Advantage Dentascan 2182400--100 Rev. 4 25

 4 GENERATING THE PANOREX VIEW
Before generating the Panorex view, be sure to have the desired
axial slice FOR FILM OUTPUT on the display. (This has no effect
on the curve that you have just drawn).
This is done by either using the (Prior) and (Next) buttons or
clicking on slice annotations.
Note: Once the Panorex view is generated, the axial slice for film
output remains fixed, even if you change the viewed axial
4 slice afterwards. The only way to change the axial slice for
film output once the Panorex view has been generated is
to modify the “Reference axial” value as described in
section 5 below.

Once the proper axial slice is displayed for film output,

Panorex
click left on the (Panorex) button in the command
window, or select [Panorex] from the VIEW menu.

Two new views are generated:

D The Panorex view in the lower right corner of the display
window.
D An oblique slice is reformatted perpendicularly to the Panorex
view and displayed in the upper left corner of the display
window.
The trace of the reformatted oblique plane is visible on the axial
slice.

26 Advantage Dentascan 2182400--100 Rev. 4

 CAUTION
After generating the Panorex curve, by selecting
the (Panorex) button, check the oblique traces for
possible intersection. If ANY of the oblique traces
on the axial slice intersect each other, use the (+),
(0) and (--) buttons (see “DentaScan Interactive
Reformation Command Buttons” below) to
determine if any of the defined Panorex curves
will lie outside the intersections. All Panorex
curves occurring outside the oblique
intersections are NOT USABLE. If this happens,
try editing the original curve by selecting [Edit 4
curve] in the EDIT menu: move or remove points
to make the sharp bends smoother.

Oblique

Innermost and outermost

Panorex lines are not
usable since they occur
outside a point of
intersection.

The figure on the next page shows what the DentaScan display
looks like after Panorex generation.

Advantage Dentascan 2182400--100 Rev. 4 27

 Dentascan

FILE EDIT VIEW SET HELP

Film Sequence Number of Copies : 1

New Object

Shift curve ( mm ) : 0.0

4 + 0 ---

Interactive Reformation

Dentascan

The DentaScan display following Panorex

generation
28 Advantage Dentascan 2182400--100 Rev. 4
5 DENTASCAN INTERACTIVE REFORMATION
COMMAND WINDOW
Once the Panorex view is generated, the command window
changes (see insert on the previous page). The new menus and
buttons are described below.

6 DENTASCAN INTERACTIVE REFORMATION

COMMAND MENUS
6--1 FILE menu
4
When you click left on the FILE menu, the following
FILE
option is displayed:
Quit
[Quit], allows you to exit the DentaScan program.

6--2 EDIT menu

When you click left on the EDIT menu, the following

EDIT
options are displayed:
Edit curve
[Edit curve], allows you to return to the Curve
Delete curve Prescription function for curve editing.

[Delete curve], allows you to return to the Curve

Prescription function ready for entry of a new Panorex
curve (the existing Panorex curve and views are
deleted).

Advantage Dentascan 2182400--100 Rev. 4 29

 6--3 VIEW menu

VIEW
When you click left on the VIEW menu, the following
option is displayed:
Cancel preview
[Cancel preview], allows you to delete, from the
screen, markings that will appear on the film output.
When the VIEW menu is again selected, the option
[Preview film] appears, which allows you to restore
markings that will appear on the film output to the
screen.
4
6--4 SET menu

SET When you click left on the SET menu, the following
Film
Parameters options are displayed:
Film
Parameters
[Film Parameters], allows you to enter parameters for
First Oblique filming (see section 5).

Last Oblique
[First Oblique], allows you to reduce the range of
obliques to the area of interest. The currently selected
Whole Curve
oblique becomes the first one in the reduced range
when this option is selected.

[Last Oblique], allows you to reduce the range of obliques to the

area of interest. The currently selected oblique becomes the last
one in the reduced range when this option is selected.
[Whole Curve], allows you to restore the full range of obliques
following reduction of the range via the [First Oblique] and/or [Last
Oblique] options.

30 Advantage Dentascan 2182400--100 Rev. 4

6--5 HELP menu

When you click left on the HELP menu, the following

HELP
option is displayed:
On Context
[On Context], allows you to pop up a window
displaying the available commands. The Help window
is automatically updated according to the context.
Click on the (OK) button to close this window.

7 DENTASCAN INTERACTIVE REFORMATION 4

COMMAND BUTTONS
7--1 (Film Sequence) button

When you click left on the (Film Sequence) button, a

Film Sequence
film hard copy is generated (see section 5).

7--2 (New Object) button

When you click left on the (New Object) button, you

New Object
can return to the A.W. browser and select a new image
series (see section 6).

7--3 (+) (0) and (--) buttons

When you click left on the (+) or (--) button, you

+
translate the Panorex curve towards the bucal or
lingual side of the original Panorex curve, respectively
0 (see below). When you click left on the (0) button, you
return the Panorex curve to its original position.
---

Advantage Dentascan 2182400--100 Rev. 4 31

 8 MOVING THE PANOREX VIEW
The Panorex curve can be translated towards the bucal or lingual
side. You do this in one of the following two ways:
D Click left on the (+) or (--) button in the command window,
which performs a translation towards the bucal or lingual side
of the original Panorex curve, respectively. The amount of the
translation is equal to the value in the “Distance between
Panorex views” field in the “Defaults” command window (see
chapter 5 “Filming”).
4
OR
D Move the mouse pointer into the “Shift curve” numerical field
and enter a numerical value in mm (use the Back Space key to
erase characters) and press the Return key to make the new
value effective.

Shift curve ( mm ) : 0.0

+ 0 ---

Note: To revert to the original curve, click left on the (0) button in
the command window.

32 Advantage Dentascan 2182400--100 Rev. 4

9 MOVING THE “3D CURSOR”
A small red dot is displayed simultaneously on the Panorex view,
the oblique slice and the axial slice at the intersection of the
Panorex curve with the oblique plane trace.
These three red dots define a unique 3D point cross-referenced
between the three views.
You can move this “3D cursor” directly on any one of the three
views as described below.
By combining these three movements, you can precisely
4
investigate the anatomy of the patient at very specific locations.
9--1 Moving the “3D Cursor” On the Axial Slice

Move the mouse to the axial slice.

Hold down the Shift key.

Move the mouse to the desired position.

Shift

Note: The displayed oblique is updated and the red dot on the
Panorex view will move to reflect the new 3D cursor
position.
Release the Shift key to freeze the state of the displayed images.
Note: An alternate method is to move the mouse arrow to the 3D
cursor, press left mouse button, drag to the desired 3D
cursor location and release.

Advantage Dentascan 2182400--100 Rev. 4 33

 9--2 Moving the “3D Cursor” On the Panorex View

Move the mouse to the Panorex view.

Hold down the Shift key.

Move the mouse to the desired position.

Shift

4 Note: The oblique slice is re-computed and its trace is updated

on the axial view.The displayed oblique will be updated
and the red dot on the Panorex view will move to reflect
the new 3D cursor position.

Note: Horizontal mouse movements change the oblique slice

location, but vertical mouse movements will change the
displayed axial slice, since such movements correspond to
moving the 3D cursor up and down in the stack of axial
slices.
Release the Shift key to freeze the state of the displayed images.
Note: An alternate method is to move the mouse arrow to the 3D
cursor, press left mouse button, drag to the desired 3D
cursor location and release.

34 Advantage Dentascan 2182400--100 Rev. 4

9--3 Moving the “3D Cursor” On the Oblique Slice

Move the mouse to the oblique slice view.

Hold down the Shift key.

Move the mouse to the desired position.

Shift

Note: The small red dot corresponding to the 3D cursor position 4

is updated on the axial view and the small red dot on the
oblique slice moves to reflect the new 3D cursor position.
Also, if the new 3D cursor position falls in the Panorex
view, the corresponding red dot will appear there.

Note: As in the case of the Panorex view, vertical mouse

movements will change the displayed axial slice, since
such movements correspond to moving the 3D cursor up
and down in the stack of axial slices.
Release the Shift key to freeze the state of the displayed images.
Note: An alternate method is to move the mouse arrow to the 3D
cursor, press left mouse button, drag to the desired 3D
cursor location and release.

Advantage Dentascan 2182400--100 Rev. 4 35

 10 CHANGING WINDOW LEVEL AND WIDTH OF
DISPLAYED IMAGES

CAUTION
Window level and width parameters are also used
for film output (see section 5 below).
The window level and width settings are visible in the bottom left
corner of the Axial view (L stands for Level and W stands for
Width). You can alter these settings as follows:
4 Move the mouse to the Panorex or axial view and
press the middle mouse button.

Drag the mouse up or down to make the image

brighter (window level reduced) or darker (window
level increased), respectively.

Drag the mouse left or right to make the image

sharper (window width reduced) or smoother (window
width increased), respectively.

Note: A small red square appears at the location where you

pressed the mouse button. The further you move from this
square, the more sensitive mouse movements are.

Note: The window level and width parameters can be preset to

default values via the “Defaults” command window (see
section 5).

36 Advantage Dentascan 2182400--100 Rev. 4

 CHAPTER 5 - FILMING

1 SETTING FILM PARAMETERS

DentaScan allows you to hard copy a set of images on film
according to a predefined format. This format defines:
D The axial slice to be printed on the film,
D The spacing between oblique slices (must be between 1 and 5
mm),
D The width of the oblique slices (must be less than DFOV/2),
D The number of Panorex views (maximum 9) and the spacing
between them displayed on the film (must be between 1 and 5
mm). 5
D It also defines the window level parameters used for image
generation. To view the state of these parameters, proceed as
follows:

Click left on the SET menu in the command window,

SET
then click left on [Film Parameters].
Film Parameters

A window entitled “Defaults” pops up. (See figure

First Oblique
below).
Last Oblique
Move the mouse pointer into the numerical field
Whole Curve corresponding to the parameter to be modified and
enter a numerical value (use the Back Space key to
erase characters) and press the Return key to make
the new value effective.

Advantage Dentascan 2182400--100 Rev. 4 37

 Click left on (Reset) to revert to original values.
Reset

Click left on (Save) to store the current values as

Save
default values for future DentaScan sessions.

Click left on (Update) to use the current settings from

Update
the reference axial as the default settings.

Click left on (Done) to close the Defaults window.

Done

Click left on (Yes) for Auto Filming if you wish to obtain a hard copy.
Click left on (No) if you do not wish to obtain a hard copy.
5
Click left on (Yes) for Archive Images if you wish to save the images
generated by DentaScan. If you do so, a unique series is created in
the exam from which the images were generated. Click left on (No)
if you do not wish to save images.

38 Advantage Dentascan 2182400--100 Rev. 4

 Defaults
Done Reset Save Update

Auto Filming Yes No

Archive Images Yes No

Window Level : 600

Window Width : 3200

Reference axial : 5

Spacing between obliques (mm.) : 3.0 5

Width of obliques (mm.) : 30.0

Number of Panorex views : 5

Distance between Panorex views (mm.) : 2.0

Advantage Dentascan 2182400--100 Rev. 4 39

 2 GENERATING FILM OUTPUT

To generate film output, click left on (Film Sequence)

Film Sequence
in the command window.

The following pages show a typical film output with cross-reference

marks.

CAUTION
Before filming, if patient name is necessary, check
that it has not been hidden on the axial slice on
the screen.

CAUTION
Check that a cross-reference mark exists for each
5 axial slice used for Panorex and Oblique
construction.

40 Advantage Dentascan 2182400--100 Rev. 4

 5

SLICE
CROSS-REFERENCE
MARKS

Advantage Dentascan 2182400--100 Rev. 4 41

5

OBLIQUE
CROSS-REFERENCE
MARKS

42 Advantage Dentascan 2182400--100 Rev. 4

 5

Panorex
cross-reference marks

MILLIMETER RULERS

Advantage Dentascan 2182400--100 Rev. 4 43

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44 Advantage Dentascan 2182400--100 Rev. 4

 CHAPTER 6 - PROCESSING A NEW SERIES
To process a new series, click left on (New Object) in
New Object
the command window once you have defined the
Panorex views.

Yes
Click left on the (Yes) button in the Question window
that appears. Doing this will close the DentaScan
display window and let you select another series on
the A.W. Browser.

Once you have selected your new series on the

Load
Browser, click left on (Load) in the DentaScan
command window .

Advantage Workstation -- Dentascan 2182400--100 Rev. 4 45

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46 Advantage Workstation -- Dentascan 2182400--100 Rev. 4

 Service Offices
For service issues, contact the On--Line Center (OLC) for your
region.

GEMS -- Americas
On--Line Center
Phone: 1--800--321--7937

GEMS -- Europe
O.L.C.--E
Phone: (33)1--3920--0007

GEMS -- Asia
O.L.C.--A
Phone: 81--426--48--2940

Advantage Dentascan 2182400--100 Rev. 4 47

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48 Advantage Dentascan 2182400--100 Rev. 4

 REVISION HISTORY

REV DATE REASON FOR CHANGE PAGES

0 03/1997 First Edition 50

1 06/1997 Update 50
2 09/2002 Minor corrections for Linux 50
Insertion of the section “Intended Use”
3 12/2002 page 3 and update of contacts for 50
serive offices
4 01/2010 CE marking updated to CE 0459

NUMBER SIZE REVISION

2182400--100TPH A5 4

Advantage Dentascan 2182400--100 Rev. 4 49

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50 Advantage Dentascan 2182400--100 Rev. 4