CS 3D Imaging

User Guide
Notice
All trademarks and registered trademarks are the property of their respective holders.

U.S. Federal law restricts the CS 3D Imaging software and extraoral imaging systems to sale by or on the
order of a dentist or physician.

CS 3D Imaging is digital imaging software intended to be used with Carestream Dental's 3D extra-oral
X-ray equipment by health care professionals to display, make measurement, print, export and store 2D
and 3D views of digital images of the dento-maxillofacial and ENT (Ear, Nose and Throat) region of the
human anatomy as diagnostic support.

It is also a software application used for the management of the implant library and the virtual placement
of dental implants.

It can be used as stand-alone software in a standard computer and does not perform any radiographic
image acquisition.

The names of persons and the data reflected in this user guide are fictitious and are not intended to
represent any real individual, event, or condition. Any resemblance or similarity of the names of persons
or data reflected in this user guide to any actual person’s name or any event or condition is purely
coincidental and unintended.

Important: CS Dental software may contain data or content portraying dental implant products
provided by third parties. The products portrayed by such data or content may not have regulatory
approvals in all countries

No part of this guide may be reproduced without the express permission of Carestream Dental, LLC.

Manual Name: CS 3D Imaging User Guide

Part Number: SMA22
Edition Number: 10
Print Date: 2024-09

CS 3D Imaging software complies with the Medical Device Regulation (EU) 2017/745 and UK Medical
Devices Regulations 2002 (SI 618) as subsequently amended by the EU Exit Regulations of 2019 (SI
791) and 2020 (SI 1478).
Contents

Chapter 1 Conventions in this Guide. . . . . . . . . . . . . . . . . . . . . . 1

About This Guide Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Clinical Benefits and Performance Characteristics . . . . . . . 3

Chapter 2 CS 3D Imaging Features . . . . . . . . . . . . . . . . . . . . . . 5

Overview Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Getting to Know Your Software . . . . . . . . . . . . . . . . . . 6
Parts of the Screen . . . . . . . . . . . . . . . . . . . . . . . 6
Keyboard Shortcuts . . . . . . . . . . . . . . . . . . . . . . 9
2D MPR View Screen Shortcuts . . . . . . . . . . . . . 9
Implant Shortcuts . . . . . . . . . . . . . . . . . . . . . 9
Using the Patient Information Window . . . . . . . . . . . . . . 9

Chapter 3 Using the Workspace Tabs . . . . . . . . . . . . . . . . . . . . .11

Using the Interface Using the MPR Tab . . . . . . . . . . . . . . . . . . . . . . .13
Using the Horizontal Toolbar in MPR . . . . . . . . . .13
Tilting the Slice Planes in the MPR Tab . . . . . . . . 16
Using the Curve Tab . . . . . . . . . . . . . . . . . . . . . .17
Using the Horizontal Toolbar in Curve . . . . . . . . .17
Prosthetic-Driven Implant Planning in the Curve Tab .17
View Screens in the Curve Tab. . . . . . . . . . . . . 18
Using the Bilateral Tab. . . . . . . . . . . . . . . . . . . . .20
Using the Horizontal Toolbar in Bilateral . . . . . . . .20
Using the Review Tab . . . . . . . . . . . . . . . . . . . . .22
Using the Horizontal Toolbar in Review . . . . . . . .22
Using the Slice Series View Screen in the Review Tab .
26
Using the Toolbox . . . . . . . . . . . . . . . . . . . . . . . . . .28
The Adjustments Pane. . . . . . . . . . . . . . . . . . . . .28
Expanding the Adjustments Pane Tools . . . . . . . .29
Overview of the Adjustments Pane Features . . . . . . . 30
Using Pan and Zoom . . . . . . . . . . . . . . . . . . .33
Resetting the Slice Planes . . . . . . . . . . . . . . . .33
Using the 2D MPR Sliders to Modify View Screen Bright-
ness and Contrast . . . . . . . . . . . . . . . . . . . . .33
Creating a 2D MPR Windowing Preset . . . . . . . . 34
Applying an MPR Windowing Preset . . . . . . . . . 35
Editing or Deleting a 2D MPR Windowing Preset . . 35
Setting a 2D MPR Windowing Preset as a Favorite . 36
Using the MAR/FDK Adjustment Tool . . . . . . . . .37
Using the Basic Region of Interest Tool . . . . . . . 39

CS 3D Imaging User Guide (SMA22) - Ed10 i

 The Tools Pane . . . . . . . . . . . . . . . . . . . . . . . . 40
Overview of Tools Pane Features. . . . . . . . . . . . 42
Using the Objects Pane . . . . . . . . . . . . . . . . . 43
Using the Cropping Tool in the MPR Tab . . . . . . . 45
Editing Drawing Objects in a View Screen . . . . . . 45
Adjusting a Trace in the Axial Slice View Screen . . . 46
Making Measurements. . . . . . . . . . . . . . . . . . 47
Drawing a Straight Line . . . . . . . . . . . . . . . . . 47
Drawing a Polyline . . . . . . . . . . . . . . . . . . . . 48
Drawing an Angle . . . . . . . . . . . . . . . . . . . . . 48
Moving Measurement Labels in Images . . . . . . . . 49
Adding Annotations (Pointers) to Images . . . . . . . 50
Adding Pointers . . . . . . . . . . . . . . . . . . . . . . 50
Adding Pointers With Text Captions . . . . . . . . . . 51
Using the Custom Region of Interest Tool (2D) . . . 52
Drawing a 2D Region of Interest Shape . . . . . . . . 53
Inverting the Selection in a 2D Region of Interest . . 54
Using the Custom Region of Interest Tool (3D) . . . 55
Drawing a 3D Region of Interest Shape . . . . . . . . 56
Combining Region of Interest Shapes. . . . . . . . . 58
Editing a Region of Interest . . . . . . . . . . . . . . . 59
Deleting a Region of Interest . . . . . . . . . . . . . . 59
Using Icon Groups . . . . . . . . . . . . . . . . . . . . . . 60
Working With View Screens in the Workspace Tabs . . . . . . 60
The 3D View Screen. . . . . . . . . . . . . . . . . . . . . . 60
The 2D MPR View Screens . . . . . . . . . . . . . . . . . 61
View Screen Toolbars . . . . . . . . . . . . . . . . . . . . . 62
Additional Buttons Available in the 3D View Screen . 64
Creating a DICOM Snapshot . . . . . . . . . . . . . . . . . . . 64
Understanding the Numerical Information on 2D MPR View
Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Understanding Slices in 2D MPR View Screens . . . . . 66
Changing Slice Thickness . . . . . . . . . . . . . . . . . . 67
Moving and Tilting Slice Planes in 2D MPR View Screens69
Moving a 2D MPR Plane Using a Handle . . . . . . . 69
Moving a 2D MPR Plane by Scrolling (“Sliding”) in the
MPR Tab . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Moving and Tilting the Oblique Coronal Slice Plane in
the MPR Tab . . . . . . . . . . . . . . . . . . . . . . . . 70
Adjusting the Width of Lateral View Screens . . . . . . . 71
Using Split Views in 2D MPR Views. . . . . . . . . . . . . 72
Changing the Slice Spacing in 2D MPR View Screens .
73
Using the Gallery . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Displaying and Hiding Image Objects in the Gallery . . . 75

ii
 Copying Images to Other Software Applications . . . . .75
Deleting Images from the Gallery . . . . . . . . . . . . . .75

Chapter 4 Drawing a Trace along a Dental Arch . . . . . . . . . . . . . . .77

Creating Views Tracing Simultaneous Jaw Arches . . . . . . . . . . . . . .78
Using AI Automatic Panoramic Curve Mapping . . . . . .79
Adjusting a Trace . . . . . . . . . . . . . . . . . . . . . . . 80
Positioning the Cross-Section Plane. . . . . . . . . . . . 80
Adjusting the Position of the Cross-Section Plane . . . 81
Creating a Reconstructed Panoramic Image . . . . . . . . . . .82
Tracing a Nerve Canal . . . . . . . . . . . . . . . . . . . . . . . .83
Method 1 - Using Automatic Nerve Canal AI Mapping . .83
Method 2- Scrolling Through the Jaw and Tracing as You Go
84
Method 3 - Displaying the Whole Nerve Canal and Then
Tracing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Fine-Tuning a Nerve Canal Trace . . . . . . . . . . . . . . 86
Using the Root Canal Tracing Tool (Manually) . . . . . . . . . .87
Fine-Tuning a Root Canal Trace. . . . . . . . . . . . . . . 89
Creating a Segmented Airway . . . . . . . . . . . . . . . . . . 89
Creating an Airway View . . . . . . . . . . . . . . . . . . . 90
Using the Airway Object List . . . . . . . . . . . . . . . . 91
Creating TMJ Views . . . . . . . . . . . . . . . . . . . . . . . . .93
Creating Ear Views . . . . . . . . . . . . . . . . . . . . . . . . . 94
Creating a Temporal Bones View . . . . . . . . . . . . . . . . 95
Synchronizing Views . . . . . . . . . . . . . . . . . . . . . . . . 96
Disabling View Synchronization . . . . . . . . . . . . . . .97
Synchronizing Four Views . . . . . . . . . . . . . . . . . . .97
Synchronizing Two Views (Side) . . . . . . . . . . . . . . 98
Synchronizing Two Views (Type) . . . . . . . . . . . . . . 98
Creating a View Screen Screenshot . . . . . . . . . . . . . . . 99

Chapter 5 The 3D View Screen . . . . . . . . . . . . . . . . . . . . . . . . 101

Using the 3D View Using the Orientation Indicator . . . . . . . . . . . . . . . . . 102
Screen Displaying MPR Planes . . . . . . . . . . . . . . . . . . . . . . 103
Repositioning MPR Planes in the 3D View Screen . . . . . . 104
Using the Reformatting Tool . . . . . . . . . . . . . . . . . . . 104
Using 3D Color Palettes. . . . . . . . . . . . . . . . . . . . . . 105
Creating a 3D Color Palette . . . . . . . . . . . . . . . . . 106
Editing or Deleting a 3D Color Palette . . . . . . . . . . . 106
Adding 3D Color Palettes to Your Favorites. . . . . . . . 107
Using the 3D Sliders. . . . . . . . . . . . . . . . . . . . . . . . 108
Using 3D Color Sliders . . . . . . . . . . . . . . . . . . . 108
Changing 3D Palette Colors. . . . . . . . . . . . . . . . . 109

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 Using Presets (Image Rendering) . . . . . . . . . . . . . . . 110

Chapter 6 Aligning a Patient Face Scan Image with a Volume . . . . . 111

Aligning a Patient Adjusting a Face Scan Alignment. . . . . . . . . . . . . . . . 113
Face Scan Image Accessing the Alignment Adjustment Window . . . . . 113
with a Volume Visualizing Adjustments in the 3D View Screen. . . . . 114
Semi-Automatically Adjusting a Face Scan Alignment. 114
Modifying Opacity Settings in the 3D View Screen . . . 115
Manually Adjusting a Face Scan Alignment . . . . . . . 116
Undoing Manual Face Scan Adjustments . . . . . . . . 117
Redoing Manual Face Scan Adjustments . . . . . . . . 117
Resetting a Semi-Automatic Face Scan Alignment. . . 118
Exporting a Face Scan Alignment . . . . . . . . . . . . . . . 118
Managing Face Scans Using the Object List . . . . . . . . . 118
Showing and Hiding Face Scans . . . . . . . . . . . . . 118
Configuring Color Preferences for a Face Scan (2D Display)
119
Deleting a Face Scan . . . . . . . . . . . . . . . . . . . . 119

Chapter 7 Before You Start. . . . . . . . . . . . . . . . . . . . . . . . . . 121

Aligning a Model Using the Prosthetic-Driven Implant Planning Workflow 121
with a Volume Aligning a Model with a Patient Image Volume . . . . . . . . 122
Aligning a Model Manually . . . . . . . . . . . . . . . . . . . . 124
Accessing the Semi-Automatic Alignment Adjustment
Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Aligning a Patient Waxup. . . . . . . . . . . . . . . . . . . . . 126
Visualizing Adjustments in 3D View Screen Mode . . . . . . 127
Modifying Opacity Settings in the 3D View Screen Mode . .
128
Adjusting a Model Alignment . . . . . . . . . . . . . . . 128
Undoing Model Adjustments . . . . . . . . . . . . . . . 130
Redoing Model Adjustments. . . . . . . . . . . . . . . . 130
Resetting an Automatic Model Alignment . . . . . . . . 130
Exporting a Model Alignment . . . . . . . . . . . . . . . . . . 130
Managing Models Using Model Object List . . . . . . . . . . 131
Showing and Hiding Models . . . . . . . . . . . . . . . . 131
Configuring Color Preferences for a Model (2D Display)131
Deleting a Model . . . . . . . . . . . . . . . . . . . . . . 132
Deleting All Models for a patient image volume . . . . 132

Chapter 8 Using the Prosthetic-Driven Implant Planning Workflow . . 135

Working with Prosthetic-Driven Implant Planning Workflow . . . . . . 135
Crowns Using a Prosthetic-Driven Implant Planning Workflow . 135
Using the Crown Library . . . . . . . . . . . . . . . . . . . . . 136
Before You Start . . . . . . . . . . . . . . . . . . . . . . . 136

iv
 Placing a Crown . . . . . . . . . . . . . . . . . . . . . . . . . . 137
Repositioning a Crown . . . . . . . . . . . . . . . . . . . . . . 139
Managing Crown Objects . . . . . . . . . . . . . . . . . . . . . 141
Displaying Crown Information . . . . . . . . . . . . . . . 141
Showing and Hiding Crowns . . . . . . . . . . . . . . . . 141
Replacing a Crown . . . . . . . . . . . . . . . . . . . . . . 142
Editing Crown Color Preferences. . . . . . . . . . . . . . 143
Deleting Crowns . . . . . . . . . . . . . . . . . . . . . . . 143

Chapter 9 Using the Prosthetic-Driven Implant Planning Workflow . . . 145

Working with Placing an Implant . . . . . . . . . . . . . . . . . . . . . . . . . 145
Implants Using the Implant Object List to Edit Implants and Display
Information . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Implant Security Box. . . . . . . . . . . . . . . . . . . . . . . . 149
Security Zones and Warning . . . . . . . . . . . . . . . . 149
Repositioning an Implant . . . . . . . . . . . . . . . . . . . . . 150
Moving Implants in 2D MPR View Screens . . . . . . . . 150
Moving Implants in 3D View Screens . . . . . . . . . . . 150
Generating an Implant Planning Report. . . . . . . . . . . . . 151
Creating Your Own Implant . . . . . . . . . . . . . . . . . . . . 151
Using the Implant Library . . . . . . . . . . . . . . . . . . . . . 151
Updating the Implant Library . . . . . . . . . . . . . . . . 152
Using the Implant Database Update Window . . . . . . . . . 154

Chapter 10 Using Patient Analysis. . . . . . . . . . . . . . . . . . . . . . . 156

Using Export Creating an Analysis . . . . . . . . . . . . . . . . . . . . . 156
Functions Editing or Deleting an Analysis . . . . . . . . . . . . . . . 157
Generating a Cross-Section . . . . . . . . . . . . . . . . . . . 157
Method 1: Flexible Region Of Interest . . . . . . . . . . . 158
Method 2: Fixed Region Of Interest . . . . . . . . . . . . 160
Saving Slicing Presets . . . . . . . . . . . . . . . . . . . . 162
Generating an Implant Planning Report within Export . . . . 162
Creating a Workspace Screenshot. . . . . . . . . . . . . . . . 164
Opening the Screenshot Folder . . . . . . . . . . . . . . . . . 165
Printing with Film Composer . . . . . . . . . . . . . . . . . . . 165
Exporting a Volume . . . . . . . . . . . . . . . . . . . . . . . . 166
Exporting Volume and PDIP . . . . . . . . . . . . . . . . . . . 168
Prerequisites . . . . . . . . . . . . . . . . . . . . . . . . . 168
Exporting to a Compact Disc . . . . . . . . . . . . . . . . . . . 169
Exporting to a USB Key . . . . . . . . . . . . . . . . . . . 170
Generating and Exporting Virtual Cephalometric Images . . 171

CS 3D Imaging User Guide (SMA22) - Ed10 v

Chapter 11 Application Preferences . . . . . . . . . . . . . . . . . . . . . 174
Setting CS 3D 3D View Preferences . . . . . . . . . . . . . . . . . . . . . . . 175
Imaging Color Preferences. . . . . . . . . . . . . . . . . . . . . . . . . 177
Preferences
Measurement Units Preferences . . . . . . . . . . . . . . . . 178
Template Preferences . . . . . . . . . . . . . . . . . . . . . . 179
MPR Preferences . . . . . . . . . . . . . . . . . . . . . . . . . 180
View Orientation Preferences . . . . . . . . . . . . . . . . . . 182
View Order in Split Views Preferences (Imaging Center Software
Only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183
Export Preferences . . . . . . . . . . . . . . . . . . . . . . . . 184
Implant Preferences . . . . . . . . . . . . . . . . . . . . . . . 185
Annotations Preferences. . . . . . . . . . . . . . . . . . . . . 187
Implant Planning Report Preferences . . . . . . . . . . . . . 187
Virtual Cephalometric Preferences . . . . . . . . . . . . . . . 189
Airway Preferences . . . . . . . . . . . . . . . . . . . . . . . . 190

Chapter 12 Types of Backup Media. . . . . . . . . . . . . . . . . . . . . . 191

Managing Backups Storing Backup Media . . . . . . . . . . . . . . . . . . . . . . 191
Data Backups . . . . . . . . . . . . . . . . . . . . . . . . . . . 191
Testing Your Backup System . . . . . . . . . . . . . . . . . . 191
Maintaining Backup Devices . . . . . . . . . . . . . . . . . . 191
Replacing Backup Media. . . . . . . . . . . . . . . . . . . . . 192

Chapter 13 Manufacturer’s Address . . . . . . . . . . . . . . . . . . . . . 193

Contact Information Authorized Representatives . . . . . . . . . . . . . . . . . . . 193

vi
1 About This Guide

The CS 3D Imaging User Guide describes all of the functions available in the CS 3D Imaging
software application. The CS 3D Imaging User Guide is displayed in the same language as the
installation language of the application.

You can launch the user guide at any time in CS 3D Imaging by pressing F1 or by clicking in
the System Icons bar.

Conventions in this Guide

The following special messages emphasize information or indicate potential risk to personnel
or equipment:

WARNING: Warns you to avoid injury to yourself or others by following the safety
instructions precisely.

CAUTION: Alerts you to a condition that might cause serious damage.

Important: Alerts you to a condition that might cause problems.

Note: Emphasizes important information.

Tip: Provides extra information and hints.

CS 3D Imaging User Guide (SMA22) - Ed10 1

Marking and Labeling Symbols

Manufactured Date

Manufacturer’s address

Medical Device

Name of the European Authorized Representative and address of the

registered
place of business

Name of the Responsible Person in the United Kingdom and address of the
registered place of business

Swiss-authorised Representative

2
Safety Information
There are no contra-indications identified for CS 3D Imaging software. When using the software,
observe the following warning and safety instructions.
WARNING:

 This software is for use only by dentists, ENT specialists, radiologists and
other medical professionals who have training and skills adapted to the
interpretation of 3D radiological images. Their respective assistants may
use the software if they have been trained on 3D imaging. If you are not a
trained dental professional, you should not be using this software.

 Drawings and measurements made in this software are under your own
responsibility. A radiographic image is a two dimensional image of a three
dimensional object, and measurements may be subject to errors.
Measurements are only informative and operations requiring precise
positioning of the patient are under your own responsibility

 Radiographic images are not intended for diagnostic use when viewed on
displays or monitors that do not meet system specifications. For more
information, check the 3D Imaging system requirements.

 This software cannot manage your device acquisition settings. It is the role
of the acquisition driver to provide calibrated data.

 3D rendering must not be used for diagnosis. Confirmation must be

performed using one or more of the two-dimensional slices used for MPR.

 2D image edge enhancement must not be used for diagnosis.

Confirmation must be performed using the two-dimensional slices (MPR)
without filters applied.

 An exported 3D volume will be subsampled which may lead to diagnosis

errors. It is your own responsibility to decide to use subsampled data.

 When the label appears in an image in a view screen, it

indicates that the image is still being loaded by 3D Imaging. This preview
of the image should not be used to support the diagnosis.

 Each automatic tracing has to be controlled by dentist, ENT specialist

radiologist or other medical professionals before proceeding to implant
planning.

Clinical Benefits and Performance Characteristics

CS Imaging software benefits healthcare professionals by providing them support for image
diagnosis when using Carestream Dental’s digital imaging devices to acquire digital X-ray
images. CS 3D Imaging essential performance concerns image processing functions to display,
adjust, make measurement, print and export digital images.
Important: All known residual risks or undesirable side-effects are
listed in this guide. If any serious incident occurs in relation to the
device, you must report it
to Carestream Dental and to the competent authority in your country.

CS 3D Imaging User Guide (SMA22) - Ed10 3

2 Overview
CS 3D Imaging is a software system intended to be used with Carestream Dental systems
equipment that are equipped with 3D features.

The intended users are dentomaxillofacial health care professionals, ENT specialists or
radiologists who have access to functions of the 3D Viewer, depending on their profile.

Note: Some features are only available in specific versions of the software
(DENTAL or ENT).

CS 3D Imaging Features
CS 3D Imaging allows qualified professionals to:

 Visualize volumes in 2D or 3D views.

 Create a series of slices for viewing and printing.
 Draw curved traces to create reconstructed panoramic and temporal bone views.
 Draw custom slice planes to focus on TMJ and ear anatomy.
 Trace nerve and root canals.
 Place virtual implants for implant planning.

Note: CS 3D Imaging is not designed to support touch screen or touch pad

Getting Started
To start using the CS 3D Imaging software, follow these steps:

1 Either acquire a 3D volume from your 3D acquisition device or open a volume from the CS
Imaging software.
2 Configure your preferences. See “Setting CS 3D Imaging Preferences”.

3 Familiarize yourself with the basic functions of the software.

CS 3D Imaging User Guide (SMA22) - Ed10 5

Getting to Know Your Software

Parts of the Screen

The CS 3D Imaging interface is comprised of the following parts:

6
A Patient name

Main Toolbar Icons

Click the update icon to install updates to the Implant Library.

When there are updates available, a blue dot appears in this
icon. For more information, see “Updating the Implant
Library”.

Click the arrow next to the icon to toggle to the Implant

Library icon.

Click the Implant library icon to display the Implant Library, in

which you can view available implants and create your own
implants. See “Using the Implant Library”.

Click the arrow next to the icon to toggle to the update icon.

Use to select your favorite implant.

B

Click the Patient information icon to display the Patient

information window, which includes examination information.
See “Using the Patient Information Window”.

Click the Preferences icon to set application preferences. See

“Setting CS 3D Imaging Preferences”.

Click the Help icon to open the user guide for your application.

CS 3D Imaging User Guide (SMA22) - Ed10 7

 Click the About box icon to display application and
registration information. You can also access the Licensing
software via this window.

View Screens
C Each of the workspace tabs contain multiple view screens. The example above shows
three 2D Multi-Planar Reconstruction (MPR) view screens and a 3D View Screen.

Workspace tabs
The following workspace tabs provide access to view screens:

D  MPR
 Curve
 Bilateral
 Review

Analysis Management - Allows to easily create different and

E
distinct treatment plannings from the same volume.

Toolbox
The toolbox provides the following panes:

E  Adjustments
 Objects
 Tools
See “Using the Toolbox”.

Gallery
F Displays thumbnail images of the screenshots, snapshot images and cross-section slice
series.
Use these toolbar options underneath each workspace tab shown
in (D) above (MPR, Curve, etc...) to create annotations, shapes,
G Horizontal Toolbar screenshots, reports, and export functions. See “Using Export
Functions”.

8
Keyboard Shortcuts

2D MPR View Screen Shortcuts

Shortcut Action
Ctrl + A Changes the mouse wheel action in 2D MPR views (zoom or slide).
Changes the mouse left button action in 2D MPR views (brightness/contrast or
Ctrl + W
none).

Implant Shortcuts

Note: These shortcuts only work on numbers in the keyboard keypad.

Keypad number Action

8 Increases the length of the implant.
2 Decreases the length of the implant.
6 Increases the diameter of the implant.
4 Decreases the diameter implant object.

Using the Patient Information Window

To display the CS 3D Imaging Patient Information window, click in the Main Toolbar Icons.

The Patient information window displays the patient, doctor and acquisition information. The
information displayed depends on your Practice Management System.

CS 3D Imaging User Guide (SMA22) - Ed10 9

3 Using the Interface

Using the Workspace Tabs

CS 3D Imaging contains the following workspace tabs that provide a wide range of functions for
viewing and enhancing images, carrying out implant planning and generating reports.

Tab Description
Enables you to view slice planes at any angle. See “Using the MPR
MPR Tab”.
Depending which software mode you have installed (Dentist, ENT or
Imaging Center), this workspace tab allows you to trace the jaw arch or
temporal bone to display trace and cross-section. See “Using the
Curve Tab”.
Curve
The Curve workspace tab can be used as part of your
Prosthetic-Driven Implant Planning workflow to match 3D digital
impression and CBCT scan views, and to import crowns and implants.
See "Using the Prosthetic-Driven Implant Planning Workflow".
Enables you to trace custom TMJ or ear planes. See “Using the
Bilateral Bilateral Tab”.
In the Review workspace tab, you can review Gallery images and
Review slices generated in the Cross Section Tool before printing them
using Film Composer. See “Using the Review Tab”.

For more information on the view screens, see “Working With View Screens in the Workspace
Tabs”.

Depending on the tab you have selected, the CS 3D Imaging horizontal toolbar shows the
following tools under each tab that you can click to access their settings.

Tool Workspace Tab

Curve
See “Generating an Implant Planning Report within
Implant Planning Reports Export”.

Printing Available in all workspace tabs.

See “Printing with Film Composer”.

Volume export MPR, Curve, Bilateral

See “Exporting a Volume”.
Export Scanned Object

Volume Export & PDIP

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 Tool Workspace Tab
MPR, Curve, Bilateral
Workspace Screenshots See “Creating a Workspace Screenshot”.

MPR, Curve, Bilateral

Screenshot Directory See “Opening the Screenshot Folder”.
MPR, Curve, Bilateral
See:
"Exporting to a Compact Disc".
CD Export "When all data has been copied to the disc, it is
automatically ejected from the computer. When you give
the disc to someone else, make sure that the recipient is
USB Export aware that they need to launch ViewData.exe.".
Note: These tools belong to an icon group. See “Using
the Toolbox”.

12
Using the MPR Tab
The MPR workspace tab provides 2D MPR views and you can also tilt slice planes to any angle
to align with anatomic planes (for example a tooth root, a bone ridge or an implant) and reset to
pure angles.

Note: Slice planes can be reset to pure angles.

Using the Horizontal Toolbar in MPR

Create annotations, shapes, screenshots, reports, and export functions within MPR (as well as Curve
and Bilateral).

Tool Description
Select mode
Use this tool to select an object (line, polyline, angle,
or trace) for editing.

Arrow and Note mode

Arrow - Place the arrow within the image and drag

the arrow to the destination to show a origin and
destination path.
Note - Use this function to add text within the image
in the area you choose to place the note.

Text mode
Add text notes to imagery.

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 Tool Description

Circle mode
 Circle - Define a circumference within imagery.
 Rectangle - Define rectangular boundaries
within imagery.
 Freehand Line - Use freehand lines within
imagery.

You can use the Workspace Screenshot tool to create

a workspace tab screenshot to add the Gallery.
Note: You cannot use this tool to create a DICOM
image.
Workspace Screenshots
Available in the following workspace tabs: MPR,
Curve, Bilateral
See “Creating a Workspace Screenshot”.
You can use this tool to access the folder (directory)
on your computer containing images in current view
screens, or that you have created using the DICOM
Snapshot or Workspace Screenshots tools. Image
files are saved to folder as specified in the Export
Screenshot Directory preferences.
Available in the following workspace tabs: MPR,
Curve, Bilateral
See “Opening the Screenshot Folder”.

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 Tool Description

Generating Reports

Report Editor- Generate a faster, simpler report by

opening a template, dropping your images in and
adding text options and then print.
Launching Film Composer - Use this software
application for all printing requirements

CD Export and USB Export

You can use CD Export to burn a copy of the 3D
volume to a CD.
Available in the following workspace tabs: MPR,
Curve, Bilateral
See:
"Exporting to a Compact Disc".
"Exporting to a USB Key".

Export a 3D volume, scanned object & PDIP for

use in third-party DICOM software.

Export volume, scanned object & PDIP Export the Volume

Export Scanned Object

Export Volume & PDIP

In this tab, you can also crop the 3D view by using the Cropping tool. See “Using the Cropping
Tool in the MPR Tab”.

Note: You can configure the color of view indicator tags shown in the workspace
tabs in the “Color Preferences”. The colors in the images in the user guide may
differ from those shown on your computer monitor.

The MPR workspace tab contains the following view screens:

 2D MPR view screens:

 Axial Slice View Screen, which displays horizontal slices.

 Coronal Slice View Screen, which displays vertical slices from front to back.

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  Sagittal Slice View Screen, which displays vertical slices from side to side.

 3D View Screen, a rotatable, three-dimensional view of the 3D volume (C).

Note: You can set the default position of the 3D View Screen in the
“Template Preferences”.

Tilting the Slice Planes in the MPR Tab

Note: You can also move and tilt slice planes in the oblique coronal slice planes in
the Curve workspace tab. See “Moving and Tilting the Oblique Coronal Slice Plane
in the MPR Tab”.

You can tilt the angle of a slice plane on the MPR workspace tab using the round handles (A).

To tilt the slice planes, follow these steps:

1 In a 2D MPR view screen, click the round tilt handle (A) on the slice plane.

The mouse pointer changes to .

2 Drag the round handle.

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 The selected plane is tilted as you move your mouse pointer.

In this example, as the coronal plane is tilted in the Sagittal Slice View Screen (B), it is also tilted
in the 3D View Screen (C).

You can do the following actions in the 2D MPR view screens in this workspace tab:

 Reset the slice planes. See “Resetting the Slice Planes”.

Crop the image in the 2D views to customize the 3D view in the 3D View Screen. See “Using the
Cropping Tool in the MPR Tab”.

Using the Curve Tab

In the Curve workspace tab, you can do the following:

 Dynamically generate a reconstructed-panoramic view, and a movable cross-section

while drawing the trace.
 Align a 3D Model (digital impression) with a patient image volume
 Add virtual objects, for example measurements, crowns, and implants.
 Create 2D and 3D views to the Gallery.
 Generate implant reports via Film Composer.
 Automatically or manually trace the jaw arch or temporal bone along the axial slice
plane.

Using the Horizontal Toolbar in Curve

Like MPR and Bilateral, you can create annotations, shapes, screenshots, reports, and export
functions within Curve.

Prosthetic-Driven Implant Planning in the Curve Tab

CS 3D Imaging supports Prosthetic-Driven Implant Planning (PDIP).

See “Using the Prosthetic-Driven Implant Planning Workflow”.

In the Curve workspace tab, you can carry out the following tasks as part of your PDIP process:

 “Drawing a Trace along a Dental Arch”

 “Aligning a Model with a Volume”
 “Placing a Crown”
 “Placing an Implant”
 “Generating an Implant Planning Report”

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View Screens in the Curve Tab

The Curve tool contains the following view screens:

 2D MPR view screens:

 Axial Slice View Screen, displays the horizontal plane as it is moved vertically
through the image.

 Trace View Screen, or Reconstructed Panoramic View Screen, displays

dynamically the dental arch as it is drawn in the Axial Slice View Screen.

 Oblique Coronal View Screen, appears when you start drawing a trace on the
Axial Slice View Screen, and displays a 90° view through the trace drawn on the
Axial Slice View Screen.

 3D View Screen, a rotatable, three-dimensional view of the 3D volume.

Note: You can set the default position of the 3D View Screen in the
“Template Preferences”.

View Screens Description

This view screen displays horizontal slices. It is
Axial Slice View Screen displayed by default even when there are no
traces present.
Before drawing a trace, use the slider at the base
of the Axial Slice View Screen to move the axial
slice plane.
The imaging software will display in real time the
corresponding Trace View Screen and Oblique
Coronal View Screen.
A
You can use this view screen to trace the jaw arch
or temporal bone, depending on which software
mode you have installed.

Trace View Screen

Also known as Reconstructed Panoramic View
Screen, this view screen displays the jaw arch or
temporal bone, depending on which software
mode you have installed.
B This screen appears when you start drawing a
trace on the Axial Slice View Screen.
Once a trace is present, you can use the slice
plane handle to adjust the position of the
axial slice plane.

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 Oblique Coronal View Screen
This view screen is displayed dynamically when
you start drawing a trace on the Axial Slice View
Screen, displaying a 90° view through the trace
drawn on the Axial Slice View Screen.
C You can fine-adjust the position of the axial slice
plane displayed in the Axial Slice View Screen. by

using the blue handle in the Oblique Coronal

View Screen (also known as the cross-section
view screen).

3D View Screen

This screen shows the 3D representation of a

D
volume.

Note: You can configure the color of view indicator tags shown in the workspace
tabs in the “Color Preferences”. The colors in the images in the user guide may
differ from those shown on your computer monitor.

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Using the Bilateral Tab
In the Bilateral workspace tab, you can examine specific regions of interest in depth, specifically
the temporomandibular joint (TMJ) or ear. The view screens that appear on this workspace tab
will depend on the type of acquisition you use. If you acquire only one side of the volume, then
only the view screens relevant to that side are displayed.

Using the Horizontal Toolbar in Bilateral

Like MPR and Curve, you can create annotations, shapes, screenshots, reports, and export functions
within Bilateral.

By default, the TMJ/Ear View Screen, TMJ/Ear Cross-Section View Screen and 3D View Screen
are displayed. If the field of view is large enough, a second set of these view screens is
displayed for the other side of the head.

The Bilateral workspace tab can therefore display either four or seven view screens. The
following example shows all seven view screens.

20
The Bilateral workspace tab displays the following view screens.

This view screen shows a horizontal slice through the volume.

In this view screen, you can draw a TMJ/ear trace over a region of
interest on one side of the volume. If the acquired volume is large
enough, the software automatically draws a mirror image trace on the
opposite side of the volume.
Axial Slice View
A The colors in the handles in this view screen (B, C) match with the traces
Screen
in the corresponding cross-section view screens.
Once these traces have been drawn, the TMJ/Ear View Screen and
TMJ/Ear Cross-Section View Screen appear, displaying slice views
through the volume at the location of the traces. A 3D View Screen
displays cropped TMJ or ear images.
This view screen appears when you draw a trace on the Axial Slice View
Screen. In the Axial Slice View Screen, the trace is shown as a colored
LEFT TMJ/Ear View line.
D
Screen
To move this slice plane, click and drag in the LEFT TMJ/Ear
Cross-Section View Screen.
This view screen appears when you draw a trace on the Axial Slice View
Screen. A view at 90° to the RIGHT TMJ/ear trace drawn on the axial slice
LEFT TMJ/Ear is displayed.
E Cross-Section View In the Axial Slice View Screen, the trace is shown as a colored line.
Screen
To move this slice plane, click and drag in the LEFT TMJ/Ear View
Screen.
Before any traces are drawn, this view screen and the RIGHT 3D View
Screen (E) display identical views of the full volume.
F LEFT 3D View Screen
(E). When you draw traces on the Axial Slice View Screen (A), the 3D View
Screen displays the 3D view regions defined by the TMJ/ear
cross-section and TMJ/ear cross-section traces.
Before any traces are drawn, this view screen and LEFT 3D View Screen
(D) display identical views of the full volume.
RIGHT 3D View
G When you draw traces on the Axial Slice View Screen (A), then the 3D
Screen (F).
View Screen displays 3D views of the regions defined by the TMJ/ear
and TMJ/ear cross-section traces.
This view screen appears when you draw a trace on the Axial Slice View
Screen. A view at 90° to the LEFT TMJ/ear trace drawn on the axial slice
RIGHT TMJ/Ear is displayed.
H Cross-Section View
In the Axial Slice View Screen, the trace is shown as a colored line.
Screen
To move this slice plane, click and drag in the RIGHT TMJ/Ear View
Screen.
This view screen appears when you draw a trace on the Axial Slice View
Screen. In the Axial Slice View Screen, the trace is shown as a colored
RIGHT TMJ/Ear View line.
I
Screen
To move this slice plane, click and drag in the RIGHT TMJ/Ear
Cross-Section View Screen.

Note:
 You can configure the color of view indicator tags shown in the workspace tabs in
the “Color Preferences”. The colors in the images in the user guide may differ from
those shown on your computer monitor.
 LEFT/RIGHT display conventions will depend on the “View Orientation

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Using the Review Tab
In the Review workspace tab, you can review TIFF, JPG, PNG, and DICOM snapshots and slices
generated in the Cross Section Tool before printing them using Film Composer.

Note: Only slice series created using the Cross Section Tool are displayed with
locator images. If you create a slice series by creating a DICOM snapshot of a split
view, the resulting slice series displayed on the Review workspace tab has no
locator images.

Using the Horizontal Toolbar in Review

Create annotations, shapes, screenshots, reports, and export functions.

Tool Description
Select mode
Use this tool to select an object (line, polyline, angle,
or trace) for editing.

Arrow and Note mode

Arrow - Place the arrow within the image and drag

the arrow to the destination to show a origin and
destination path.
Note - Use this function to add text within the image
in the area you choose to place the note.

22
 Tool Description

Text mode
Add text notes to imagery.

Circle mode
 Circle - Define a circumference within imagery.
 Rectangle - Define rectangular boundaries
within imagery.
 Freehand Line - Use freehand lines within
imagery.

Generating Reports

Report Editor- Generate a faster, simpler report by

opening a template, dropping your images in and
adding text options and then print.
Launching Film Composer - Use this software
application for all printing requirements

You can also add objects to images. When you draw an object onto an image, the behavior of
the object depends on the view:

In the Review workspace tab, in slice images, an object is attached to a specific slice, so that
when you slide through the slice series, the object disappears as different slices are
displayed.

WARNING: A radiography image is a two-dimensional image of a three

dimensional object, and measurement may be subject to errors. You are
responsible for all drawings and measurements.

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The views on the Review workspace tab depend on the type of images displayed. In the
following example, a slice series has been generated using the Cross Section Tool on the Curve
workspace tab.

Displays all slices in the series in one or more columns. You can set the
number of columns displayed. See “Using the Slice Series View Screen
in the Review Tab”.
Slice Series View
A The slice series is accessible from the Gallery by double-clicking on the
Screen
slice series thumbnail. The slice series thumbnail in the Gallery is
identified by the icon (E).

These two images contain locators that display the location and
Slice series locator numbering of the slice series in the volume.
B images (Cross These images are also displayed as thumbnails in the Gallery.
C Section Tool slice
series only) When you select a slice series thumbnail in the Gallery, the two slice
locator thumbnails that belong to it are identified with icons (D).

When the Review workspace tab is selected, the Annotations tool appears under the Review tab
in the horizontal bar. See “Adding Annotations (Pointers) to Images”.

To use the Review workspace tab, do one of the following:

 Use the Cross Section Tool to generate a series of slice images. See “Generating a
Cross-Section”.
 Create views in the workspace tabs.

24
 If you want to create a series of slice images, create a split view. You can also save
snapshots of your views to the Gallery and then double-click on the Gallery thumbnail to
open the slice series on the Review workspace tab.

Once you have reviewed the images on the Review workspace tab, click in the horizontal
bar to print your images using Film Composer.

Note:
 If you already have several items in the Gallery, double-click on the Gallery
thumbnails (slice series or locator images) to display the images on the Review
workspace tab.

You can use predefined captions to quickly create captioned annotations on the Review
workspace tab. See “Annotations Preferences”.

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Using the Slice Series View Screen in the Review Tab

In the Review workspace tab, the Slice Series View Screen displays numbered slice images in
columns.

In the following example, the Slice Series View Screen is split into three columns.

Each column displays slice images in separate frames.

Click to change the number of columns displayed. The number

displayed alongside the icon displays the current number of columns
displayed.
A Column Setting Note:
 The fewer columns you use, the greater the magnification that you can
use for slice images.
 The default number of columns displayed can be set in the “Template
Preferences”.
B Zoom Level To change the zoom level, see "Using Pan and Zoom".

26
 This is the number of the slice in the series (in this case, slice #5 in a
C Slice Number
series of 10 slices).
An overlay that identifies where in the volume the slice series was taken.

D Slice Series Locator

As each slice in the series is numbered, by noting the slice number and
looking at the slice series locator (D), you can determine where in the
volume a particular slice image was taken from.
Note: Only slice series created using the Cross Section Tool are
displayed with locator images. If you create a slice series by creating a
DICOM snapshot of a split view, the resulting slice series is not displayed
on the Review workspace tab with locator images. See “Generating a
Cross-Section”.
These letters identify the orientation of the image in the 3D volume.
E Orientation Indicator Note: The orientation convention/indicator depends on type of images or
tab you are viewing.

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Using the Toolbox
The Toolbox pane is displayed to the side of the tab and is composed of three panes that enable
you to adjust display parameters, carry out tasks, and export the results:

 The Adjustments Pane

 The Tools Pane
 "Using the Objects Pane".

Note:
 The contents of the panes change depending on which tab you have selected. For
information, see "Using the Workspace Tabs".
 You can specify which workspace tab opens by default in “Application

The Adjustments Pane

The Adjustments pane in the toolbox contains a range of display
adjustment tools. The tools that are available depend on which
workspace tab you are in and the Application Preferences you have
configured.

The Adjustments pane contains the following tools, depending on the

workspace tab used:

Tool
The MPR Adjustments tool, available in all workspace tabs, enables
you to:
MPR Adjustments  Use MPR sliders to control the appearance of the 2D MPR views.
 Configure or select from MPR windowing presets.

CS 3D Imaging provides a library of different color palettes that

define how different tissue types are displayed in the 3D View
Screen.
3D Adjustments You can either select a predefined palette or, if necessary, activate
color sliders to fine tune the appearance of the 3D View Screen.
This tool is available in the Curve, Bilateral, and MPR workspace
tabs.

28
 Tool
The Mouse Settings tool, available in all workspace tabs, allows
you to:
Mouse Settings
 Adjust Slide, Zoom and MPR options to control how your
mouse wheel functions in 2D MPR view screens.
 Adjust Synchronization settings for view screens.
The Basic Region of Interest tool allows you to set an upper and a
lower limit on the region of interest, when tracing a jaw arch,
Basic Region of Interest temporal bone, TMJ or ear slices.
You can find this tool in the Curve and Bilateral workspace tabs. See
“Using the Basic Region of Interest Tool”.
The MAR/FDK Adjustments tool enables you to toggle between the
MAR (Metal Artifact Reduction) reconstruction and the FDK
MAR/FDK Adjustments (Feldkamp, Davis, and Kress) reconstruction of an image, and to use
an adjustment tool to display all information inside a limited area of
interest without the need to toggle.

Note: In the Easy mode, some tools are not available. If you have installed the
Imaging Center version of the software, the option to switch between Easy and
Advanced modes is not available; the Imaging Center version, like the Advanced
mode, allows access to all of the tools.

Expanding the Adjustments Pane Tools

Click on an icon in the Adjustments pane to expand the features available for that icon. You may
then need to scroll to access all of the available Adjustment features.

To expand all Adjustments tool features, click the Expand icon (A):

Note: To activate the , , , and buttons simultaneously and see

their settings, click the Expand icon (A).

To deactivate all four buttons and hide their settings, click .

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If you cannot see or access the icon you are looking for, it may not be available in your software
configuration or on the selected tab, or it may be hidden inside an Icon Group, (See “Using Icon
Groups”.)

In this example, the MPR Adjustments and

Mouse Settings have been activated (blue
icons).

The Adjustments pane expands and a vertical

scroll bar (A) appears.

Overview of the Adjustments Pane Features

 MPR Adjustments

Icon Descriptions
Windowing Presets
See “Applying an MPR Windowing Preset”.

Sliders for brightness, contrast, and filter enhancements.

See “Using the 2D MPR Sliders to Modify View Screen Brightness and Contrast”.

Reset
Resets the MPR Adjustments sliders to the selected preset.

 3D Adjustments

Icon Descriptions
Gradient threshold
Cleans up a 3D view by reducing artefacts around metal or bone caused by scattered
radiation.
Opacity
Adjusts the global opacity of the 3D view.
Color Palette selector
The colors used in a 3D view to display different tissue types can be controlled by
preset color palettes. See “Using 3D Color Palettes”.

30
 Icon Descriptions
Tissue Limit Palette control
Activates a bar that allows you to adjust tissue limit with respect to voxel intensity in
the 3D View Screen. See “Click to reset both sliders. The other sliders in the 3D
Adjustments panel are color sliders that you can use to control the display of different
tissue types in the 3D view.”.
Reset
Resets all 3D adjustments sliders to default values.

 Mouse Settings

Icon Descriptions
Mouse wheel
You can use the Slide and Zoom options to control how your mouse wheel functions
in 2D MPR view screens.
See “Moving a 2D MPR Plane by Scrolling (“Sliding”) in the MPR Tab”.
Mouse wheel reset
 For Slide, resets the 2D MPR slice planes to default positions, and, in the MPR tab,
resets the crop box. See “Using the Cropping Tool in the MPR Tab”.
 For Zoom, resets the default zoom for all 2D MPR view screens.
 For MPR, resets all 2D MPR views to the default brightness and contrast values.

Left button
The following settings control how the left mouse button functions in the 2D MPR
view screens.
 Click MPR to adjust brightness and contrast in the 2D MPR view screens:
 Click and drag up/down on an MPR view to adjust contrast.
 Click and drag left/right on an MPR view to adjust brightness.
 Click None to deactivate this function.

Disable Synchronization (Bilateral tab only)

Click to deactivate zoom synchronization of the anteroposterior and lateral view
screens.
Synchronize Four Views (Bilateral tab only)
Click to activate zoom synchronization of the anteroposterior and lateral view screens
Synchronize Two Views (side) (Bilateral tab only)
Click to activate zoom synchronization of view screen pairs by side.
Synchronize Two Views (type) (Bilateral tab only)
Click to activate zoom synchronization of view screen pairs by type.

 Basic Region of Interest

You can use this tool to adjust the upper and lower limits of the jaw arch, temporal bone,
TMJ or ear slices. You can find this tool in the Curve and Bilateral workspace tabs.

 MAR/FDK Adjustments

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 The classical way to view images that include a MAR data reconstruction as well as FDK
data is to toggle between them inside the 3D Viewer. You can also use the MAR
adjustment tool to display all information within a limited area of interest without the
need to toggle. See “Using the MAR/FDK Adjustment Tool”.

32
Using Pan and Zoom

You can use the zoom to magnify an image, and when you have zoomed in, you can then pan to
view different parts of the magnified image.

To use the zoom function, follow these steps:

1 In the Adjustments pane in the tool box, click .

2 In the Mouse settings, click Zoom.

3 Click in a view screen and scroll your mouse wheel.

The image is magnified as you scroll the mouse wheel.

4 To pan, right-click and drag in the view screen to different parts of the image.

Resetting the Slice Planes

To reset the slice planes to orthogonal angles, follow these steps:

1 In the Adjustments pane in the tool box, click to activate the Mouse settings.

2 Click next to Slide.

The tilted 2D MPR planes are reset to orthogonal angles.

Using the 2D MPR Sliders to Modify View Screen Brightness and Contrast

To access the MPR slider settings, click in the Adjustments pane in the tool box, to display
sliders and windowing presets.

You use the following MPR sliders to control the appearance of the 2D MPR views.

Brightness
Use this slider to adjust the brightness of all 2D MPR views.

Contrast
Use this slider to adjust the contrast of all 2D MPR views.
Enhancement Filter
Use this slider to adjust the level of enhancement applied to all 2D MPR
views. Note: While the Enhancement Filter sharpens the edges of 2D MPR
views, it can also make the images grainy.

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Windowing presets offer preset slider settings that enhance certain aspects of an image. You
can select from the following 2D MPR windowing presets.

Displays the native settings in the original image file. This is

Preset from File
the default preset.
Sinus Normal Displays an optimized view of sinus areas.
Sinus Contrast Displays the sinus area in high contrast relief.
Temporal Bone Displays an optimized view of the temporal bone.

You can also create customized 2D MPR windowing presets, and mark them as Favorites so
that they appear in the drop-down list of available presets.

Note: You can also save 2D MPR slider settings as a part of a patient analysis. See
“Using Patient Analysis”.

Click to reset the sliders to the original 2D MPR preset values.

Creating a 2D MPR Windowing Preset

To create a 2D MPR windowing preset, follow these steps:

1 In the Adjustments pane in the tool box, click .

The MPR settings appear in the tool box.The text displays the name of the preset that is
currently active.

2 Next to the icon, click or the current preset name and select a different preset from
the drop-down list.

3 Click .

The Windowing presets library window appears.

4 In the Windowing presets library window, click the Save current windowing presets button.

The selected preset options are shown.

34
 Note: You can edit the brightness and contrast sliders in this window before you
save the preset.

5 Adjust the MPR sliders as necessary.

6 Enter a name for your new preset in the text box next to .

7 To add the preset to the list of favorite presets, click Favorite.

8 To have the preset applied by default to 2D MPR views, click Default.

9 Click OK to save the preset.

Applying an MPR Windowing Preset

To select an MPR windowing preset, follow these steps:

1 In the Adjustments pane in the tool box, click to activate the MPR Adjustments
settings.

The MPR settings appear in the tool box. The text next to the icon displays the name of
the preset that is currently active.

2 To change the preset, click or the current preset name and select a different preset from
the drop-down list.

The settings of the selected preset are applied to all 2D MPR views.

Editing or Deleting a 2D MPR Windowing Preset

To edit or delete an MPR preset, follow these steps:

1 In the Adjustments pane in the tool box, click .

The MPR settings appear in the tool box.

2 In the MPR settings, click .

The Windowing presets library window appears.

3 In the Windowing presets library window, do one of the following:

 Click to edit preset settings.

 Click to delete a preset.

Note: Default presets cannot be edited or

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4 Click OK.

Setting a 2D MPR Windowing Preset as a Favorite

When you set a windowing preset as a Favorite, it is available in the windowing preset
drop-down list in the MPR settings.

To select an 2D MPR windowing preset for inclusion in your favorites list, follow these steps:

1 In the Adjustments pane in the tool box, click .

The MPR settings appear in the tool box.

2 In the MPR settings, click .

The Windowing presets library window appears.

The Favorite status is displayed as follows.

All windowing presets with this icon appear in the favorites list when you select a 3D color
palette. See “Using 3D Color Palettes”.

All windowing presets with this icon do not appear in the Favorites list.

3 For any windowing preset that is not currently in your favorites list, click .

When you move your mouse pointer away, the icon changes to to show that the selected
windowing preset is now a favorite. To unselect it, click . When you move your mouse
pointer away, the icon changes to to show that the windowing preset no longer a
favorite.

Note: Default windowing presets are set as Favorites and cannot be

unselected.

4 Click OK.

Tip: You can also set the windowing preset as a favorite while creating the preset.
See “Creating a 2D MPR Windowing Preset”.

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Using the MAR/FDK Adjustment Tool

The MAR/FDK Adjustment tool enables you to view both FDK and MAR image reconstructions
inside the 3D viewer without the need to toggle between them. The tool cuts a circular hole in
the image in front so that you can see through to the image behind. You use the mouse to move
the adjustment tool to the correct position. You use a slider to adjust the size of the circle. You
can find this tool in each slicing workspace tab.

Consider the following FDK image of an axial MPR view, which shows streaks caused by the
presence of metal artifacts:

By toggling, you can display the corresponding MAR image that shows a reduction in streaks:

CS 3D Imaging User Guide (SMA22) - Ed10 37

When you activate the MAR adjustment tool, the mouse pointer is replaced by a circle that you
can move around the image. The circle marks the outer edge of the adjustment tool. The
following axial slice view screen shows an example of what you see when you activate the
adjustment tool with the FDK image in front of the MAR image. The MAR image is displayed
inside the circle, and the FDK image is displayed outside the circle:

To use the MAR/FDK Adjustment tool:

1 In the Adjustments pane in the tool box, click .

2 If necessary, change the display of the MAR and FDK images:

 To place the MAR image in front of the FDK image, click MAR.
 To place the FDK image in front of the MAR image, click FDK.

3 Click to enable the adjustment tool.

You can now use the mouse to move the adjustment tool around the image.

4 To change the size of the adjustment circle, use the slider: . To

increase the size, drag the slider to the right. To reduce the size, drag the slider to the left.

38
Using the Basic Region of Interest Tool

The Basic Region of Interest tool allows you to set an upper and a lower limit on the region of
interest displayed in a reconstructed-panoramic image on the Curve tab. See “Creating a
Reconstructed Panoramic Image”.

To set the upper and lower limits of the Basic Region of Interest tool, follow these steps:

1 In the Curve tab, if there is not a trace already present, draw a curved trace along the jaw
arch.
A reconstructed-panoramic image is displayed.

2 In the Adjustments pane in the tool box, click .

The Region of Interest window appears.

3 In the Region of Interest window, use the white horizontal lines to define the upper and
lower limits of the region of interest.

4 Click OK.

The reconstructed-panoramic and oblique coronal images are cropped to the limits set in the
Basic Region of Interest tool.

Note: In some cases, if you trace a path on an image with a large field of view, CS
3D Imaging may have to crop the image. If this happens, you can reposition the
region of interest limits once the arch has been drawn.

CS 3D Imaging User Guide (SMA22) - Ed10 39

The Tools Pane
In the Tools pane, depending on the tab you have selected and your Application preference
settings, shows the following tools that you can click to access their settings.

Tool Tab Availability

Select Available in all workspace tabs.

Measure Available in all workspace tabs.

Note: These tools belong to an icon group. See “Overview
Polyline of Tools Pane Features”.

Available in all workspace tabs.

Angle Note: These tools belong to an icon group. See “Overview
of Tools Pane Features”.

Arch
Curve
Auto-create 2 arches (AI) Note: These tools belong to an icon group. See “Overview
of Tools Pane Features”.
Temporal Bone

TMJ Bilateral
Note: These tools belong to an icon group. See “Overview
Ear of Tools Pane Features”.

Airways MPR

Nerve Canal MPR, Curve, Bilateral

Curve
Auto-create Nerve Canal (AI)

Root Canal
MPR

Model Curve

Implant Curve

Crown Curve

40
 Tool Tab Availability

2D region of interest MPR, Curve, Bilateral

Note: These tools belong to an icon group. See “Overview
3D region of interest of Tools Pane Features”.

Cropping box MPR

Arrow + Caption Review

Note: These tools belong to an icon group. See “Overview
Arrow of Tools Pane Features”.

Note: In the Easy mode, some tools are not available. If you have installed the
Imaging Center version of the software, the option to switch between Easy and
Advanced modes is not available; the Imaging Center version, like the Advanced
mode, allows access to all of the tools.

You may not see or access a button for one of the following reasons:

 It may not be available in your software configuration or on the selected tab.

 It may be hidden inside an icon group.

CS 3D Imaging User Guide (SMA22) - Ed10 41

Overview of Tools Pane Features

The following table provides a description of the Tools pane features.

Tool Descriptions

Use this tool to draw region of interest shapes on 2D MPR images.

2D region of interest
See “Using the Custom Region of Interest Tool (2D)”.

Use this tool to draw region of interest shapes onto the 3D View
3D region of interest Screen.
See “Using the Custom Region of Interest Tool (3D)”.
Use this tool to create a segmented view of an airway.
Airways
See “Creating a Segmented Airway”.

Use this tool to draw an angle. The size of the angle is displayed
Angle
alongside the vertex. See “Drawing an Angle”.

Use this tool to draw arrow pointers on an image. See “Adding

Arrow
Pointers”.

Use this tool to draw arrow pointers with text captions onto an
Arrow + Caption image.
See “Adding Pointers With Text Captions”.
Use this tool to draw a curved trace along the jaw arch and create a
Arch reconstructed panoramic image with a cross-section perpendicular
to the curve. See “Creating a Reconstructed Panoramic Image”.
Use this AI-enhanced tool to automatically draw a curved trace
along the jaw arch and create a reconstructed panoramic image with
Auto-create 2 Arches cross-section perpendicular to the curve.
See “Using the Curve Tab”.

Use this tool to crop 2D MPR views. See “Using the Cropping Tool in
Cropping box
the MPR Tab”.

Use this tool to place a virtual crown as part of your

Crown Prosthetic-Driven Implant Planning workflow. See “Working with
Crowns”.
Use this tool to draw ear traces and create trace views, with lateral
views perpendicular to each trace. Depending on the type of volume,
Ear
this tool creates right and left TMJ views symmetrically. See
“Creating Ear Views”.
Use this tool to place a virtual implant and access the implant library.
Implant
See “Placing an Implant”.

Line Use this tool to draw a straight line. See “Drawing a Straight Line”.

Use this tool to match a 3D model (digital impression) to an x-ray

Model volume.
See “Aligning a Model with a Volume”.
Use this tool to trace root canals.
Root Canal Note: This option is available in the MPR tab only.
See “Using the Root Canal Tracing Tool (Manually)”.
Use this tool to trace mandibular nerve canals.
Nerve Canal Note: It is technically possible to trace a nerve using the Curve tab.
See “Using the Curve Tab”.

42
 Tool Descriptions
Use this AI-enhanced tool to automatically map mandibular nerve
Auto-create Nerve canals.
Canal (AI)
See “Using the Curve Tab”.

Use this tool to draw a multi-point line (polyline). See “Drawing a

Polyline
Polyline”.

Use this tool to select an object (line, polyline, angle, or trace) for
Select
editing.

Use this tool to draw a curved trace along the temporal bones.
Temporal Bone
See “Creating a Temporal Bones View”.
Use this tool to draw temporomandibular joint (TMJ) traces and
create trace views, with lateral views perpendicular to each trace.
TMJ
Depending on the type of volume, this tool creates right and left TMJ
views symmetrically. See “Creating TMJ Views”.

Using the Objects Pane

All objects used in the Tools pane or Horizontal Toolbar appear in a dedicated Objects pane
when activated.

Objects opened in Tools Pane:

 Measurement
 Implant
 Nerve Canal
 Root Canal
 Model
 Crown
 Airway
 Region of interest
 Arch/temporal bone
 Face Scan
 Region of Interest

Objects (Annotation) opened

within tabs in horizontal
toolbar:

 Arrow & Note

 Text
 Circle, Rectangle &
Freehand Line

CS 3D Imaging User Guide (SMA22) - Ed10 43

The following is an example of an object referring to Annotation usage in the Objects pane.

Indicates that the object appears in the image. Click to hide the object in the image.

Click to edit the object color.

44
 Choose your position and make a note (1 for example)

Indicates that you are using the Circle annotation

Click to retrieve objects in the volume.

Click to edit within the image.

Click to delete an object.

Using the Cropping Tool in the MPR Tab

To crop the 3D view in the MPR workspace tab, follow these steps:

1 Adjust the axial, coronal, and sagittal slice planes.

Note: If you change the axis angulation, the cropping box angulation is adjusted
accordingly.

2 In the Tools pane in the tool box, click .

White crop boxes are displayed on the 2D MPR view screens.

3 In a 2D MPR view screen, click and drag a white handle (A).

All other views are updated as you crop the image.

4 To deactivate the cropping box, click .

Editing Drawing Objects in a View Screen

This section describes how to edit or delete drawing objects on 2D images. Overlays also
include traces drawn on the Curve and Bilateral workspace tabs, and implants placed on
reconstructed panoramic images.

Note: To cancel a drawing operation, press the ESC key.

To edit or delete a drawing overlay, follow these steps:

CS 3D Imaging User Guide (SMA22) - Ed10 45

1 In the Tools pane in the tool box, click .
The icon is displayed in blue to show that the tool has been activated and all drawing
objects in the tab are displayed with handles.

2 Do one of the following:

 Apply options in the Tools pane list.

 To move an object, click anywhere on the object and drag to move it to a new position.
 To move a point, click and drag an object's handle.

Note: When you select a measurement tool in the Tools pane, a list of existing
measurement objects is displayed in a list in the Tools pane. See “Using the
Objects Pane”.

Adjusting a Trace in the Axial Slice View Screen

This section describes how to adjust a trace in the Axial Slice View Screen in the Curve or
Bilateral tab.

To adjust the position of a trace, follow these steps:

1 In the Tools pane in the tool box, click .

2 In the Axial Slice View Screen, do one of the following:

 Click and drag directly on the red trace to move the entire trace (A).

 Click and drag an individual control point to adjust part of the trace (B).

Note: You can adjust the position of the trace using the red handles in the
TMJ/Ear Cross-Section View Screen. See “Moving a 2D MPR Plane by
Scrolling (“Sliding”) in the MPR Tab”.

46
Making Measurements

You can take measurements on 2D MPR images by using the tools described in this section.

WARNING:

 The CS 3D Imaging Software cannot manage your device's acquisition settings. It is

the role of the acquisition device to provide calibrated data.
 Drawings and measurements made in the software are done under the responsibility
of the user.

Note:
 When you draw an object on an image, the behavior of the object depends on the
view:
 When you draw an object on a 2D MPR image in the MPR tab, it “floats” above
the image, so that when you slide the view through different slices the object
remains visible at all times.
 When you draw an object on a slice on the Review tab, the drawing object is
attached to that specific slice, so if you view a different slice the object
disappears.
 To cancel a drawing operation, press the ESC key.

Drawing a Straight Line

To draw a single straight line, follow these steps:

1 In the Tools pane in the tool box, click .

The icon is displayed in blue. If this icon is not visible, it may have been replaced by another
measurement icon in the same icon group. Click the white arrow below the icon group
button to expand it and display all the buttons in the group. See “Overview of Tools Pane
Features”.

The Measurement object list appears in the Tools pane. See “Using the Objects Pane”.

2 On a 2D MPR view screen in the tab, click to set the start point of the line.

3 The length of the new line is displayed alongside the start point.

4 Drag your mouse pointer and click again to set the end point.

The line length appears alongside the start point. You can move this label. See “Moving
Measurement Labels in Images”.

A line entry is added to the Measurement object list and the button is deactivated in the tool
box.

To draw multiple straight lines, in the Tools pane in the tool box, click .

This tool works in the same way as the single line tool but remains activated so that you can
keep drawing more lines on an image.

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Drawing a Polyline

To draw a single line made up of connected segments, follow these steps:

1 In the Tools pane in the tool box, click .

The icon is displayed in blue. If this icon is not visible, it may have been replaced by another
measurement icon in the same icon group. Click the white arrow below the icon group
button to expand it and display all the buttons in the group. See “Overview of Tools Pane
Features”.

The Measurement object list appears in the Tools pane. See “Using the Objects Pane”.

2 On a 2D MPR view screen in the tab, click to set the start point of the polyline.

3 Drag your mouse pointer and click again to set a segment end point.

The length of the segment is displayed alongside the segment end point.

4 Keep dragging and clicking to set additional segment end points.

The total length of the polyline increases as each new segment is added.

5 Double-click to set the end point of the polyline.

A calculation label containing the total length appears on the image. You can move length
labels. See “Moving Measurement Labels in Images”.

A new polyline entry is added to the Measurement object list and the button is deactivated
in the tool box.

To draw multiple polylines, in the Tools pane in the tool box, click .

This tool works in the same way as the single polyline tool but remains activated so that you can
keep drawing polylines on an image.

Drawing an Angle

To draw a single angle, follow these steps:

1 In the Tools pane in the tool box, click .

The icon is displayed in blue. If this icon is not visible, it may have been replaced by another
measurement icon in the same icon group. Click the white arrow below the icon group
button to expand it and display all the buttons in the group. See “Overview of Tools Pane
Features”.

The Measurement object list appears in the Tools pane. See “Using the Objects Pane”.

2 On a 2D MPR view screen in the tab, click to set the start point of the first side of your angle.

48
3 Drag your mouse pointer and click again to set the vertex of the angle.

A line is drawn from the start point to the vertex.

4 Move your mouse pointer and click to set the end point of the second side of the angle.

A second line is drawn from the vertex to the end point and the angle (in degrees) between
the two lines is displayed at the vertex.
You can move length labels. See “Moving Measurement Labels in Images”.

A new angle entry is added to the Measurement object list and the button is deactivated in
the Tools pane.

To draw multiple angles, in the Tools pane in the tool box, click .

This tool works in the same way as the single angle tool, but remains activated so that you can
keep drawing angles on the image.

Moving Measurement Labels in Images

When you draw a measurement object on a 2D image, the dimension length or angle of the
object is displayed alongside the object (A).

After you have set the end point of a line or angle, the label appears alongside the object.

To reposition a measurement annotation, follow these steps:

1 Click on the measurement label, and drag it to a new position.

A dotted leader line linking the label to its shape appears (B).

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2 Release the mouse button.

The label is repositioned with a dotted leader line (C) linking it to its measurement shape.

Note:
 If you drag the measurement annotation back to its original start point, it will snap
back into position.
 You can change the color of the leader line in the “Color Preferences”.

Adding Annotations (Pointers) to Images

In the Review tab, you can use annotations in an image to draw attention to anatomical details.

Note:
 To cancel a drawing operation, press the ESC key.
 You can include up to 10 annotations in an image.

Adding Pointers

To add an arrow pointer to an image in the Review tab, follow these steps:

1 In the Tools pane in the tool bar, click .

The button is displayed in blue. If this icon is not visible, it may have been replaced by
another measurement icon in the same icon group. Click the white arrow below the icon
group button to expand it and display all the buttons in the group. See “Overview of Tools
Pane Features”.

2 Click on the image to place the pointer arrow head.

3 Drag your mouse pointer and click again to set the end point.

The pointer is added to the image and an annotation entry is added to the Annotations pane
in the object list in the Tools pane. See “Using the Objects Pane”.

50
Adding Pointers With Text Captions

To add a pointer with a text caption to an image in the Review tab, follow these steps:

1 In the Tools pane in the tool bar, click .

The button is displayed in blue. If this icon is not visible, it may have been replaced by
another measurement icon in the same icon group. Click the white arrow below the icon
group button to expand it and display all the buttons in the group. See “Overview of Tools
Pane Features”.

2 Click on the image to place the pointer arrow head.

3 Drag your mouse pointer and click again to set the end point.

The pointer is added to the image with a numbered caption and the Annotations properties
window appears.

4 In the Annotations properties window, do one of the following:

 Enter the caption text for the new arrow (up to 160 characters).

 If you have created predefined captions, the Predefined text drop-down list and Fill
button are enabled.
Click the drop-down to select a predefined caption name, then click Fill to insert the
full caption text into the Annotation properties window.

5 Click OK to save the annotation caption.

Note: To avoid obscuring image detail, the text caption is not displayed on the
image. It is displayed under the image when printed in Film Composer, using
a numbered footnote that links the pointer with the caption.

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Using the Custom Region of Interest Tool (2D)

The 2D region of interest tool allows you to customize region of interest (ROI) shapes in 2D
MPR images. These shapes combine together to build up a region of interest that customizes
your 3D view.

2D MPR views
Each 2D MPR view is set to the maximum slice integration (slice thickness is same as the
A dimension of the volume).
C Use these views to draw ROI shapes.
D The 2D MPR views have individual toolbars (E) that allow you to manage slice settings and
manage ROI shapes drawn in the view.
Note: You can zoom these views using your mouse scroll wheel.
3D View
This is displayed in parallel projection, not perspective projection, so near-field objects appear
B the same size as distant objects. Use this view to examine the results of the combined ROI
shapes drawn in A, C and D.
Note: You can zoom, pan and rotate in the 3D view.
View screen toolbar
E
Use this to manage slice settings and ROI shapes for the selected view.

Once a shape has been drawn, if required you can click the Convert to 3D button to continue
editing in the 3D region of interest tool. See “Using the Custom Region of Interest Tool (3D)”.

Important: Each 2D MPR view screen is set to the maximum slice integration
(slice thickness is same as the dimension of the volume).

52
Drawing a 2D Region of Interest Shape

To draw a region of interest shape using the 2D region of interest tool, follow these steps:

1 In the Tools pane in the tool box, click .

If this icon is not visible, it may have been replaced by another icon in the same icon group.
Click the white arrow below the icon group button to expand it and display all the buttons in
the group. See “Overview of Tools Pane Features”.
The 3D region of interest window appears.

2 In the 3D region of interest window, move your mouse pointer over a 2D MPR view and click
on the image to set the start point of the region of interest shape.

3 Move your mouse pointer and click again to set a vertex.

A white line appears as you move your mouse pointer, and when you click to set a vertex,
the completed line segment is displayed in color (green for preserve inside, red for remove
inside).

4 When you have completed the shape, double-click to complete the shape.

The completed region of interest shape is displayed.

The 3D view is updated, so that only the region of interest shape is displayed in the 3D view.

5 If you want to remove the entire region of interest and start again, click the Reset button.

6 If you want to name the region of interest, in the lower corner of the 3D region of interest
window, click in the Region name field and enter a name for the new region of interest.

This name will appear in the Region of interest object list in the Tools pane when you save
the region of interest. For more information on the object list, see “Using the Objects Pane”.

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7 Click OK to save and close the 3D region of interest window.

The new region of interest is added to the Region of interest object list in the Tools pane.

Inverting the Selection in a 2D Region of Interest

When you draw a shape, there are two selection modes available, the preserve inside or remove
inside.

Default Selection Mode Inverted Selection Mode

(preserve inside) (remove inside)
Image detail inside is preserved. Image detail inside is removed.

By default, the 2D region of interest shapes preserve image detail inside the shape and exclude
image detail outside. This function can be inverted to remove image detail inside the shape.

To invert the selection mode, follow these steps:

1 In the 3D region of interest window, draw a region of interest shape.

The shape is displayed in green (default selection mode), and image detail inside the shape
is preserved.

2 Click in the 2D MPR view toolbar to activate inverted selection mode.

The icon is activated to show that inverted selection mode has been selected. The region of
interest shape is displayed in red, and image detail inside the shape is removed.

3 To go back to default selection mode, click .

The inverted selection mode is deactivated, and the shape is displayed in green.

54
Using the Custom Region of Interest Tool (3D)

In the 3D region of interest tool, you can draw region of interest shapes directly on the 3D view.

A 3D View Screen toolbar

3D view
This is displayed in parallel projection, not perspective projection, so near-field objects appear
B the same size as distant objects. Use this view to examine the results of the combined ROI
shapes.
Note: You can zoom, pan and rotate this 3D view. See “Using the 3D View Screen”.
Region of interest name field
C
Use this to save your ROI with a name for future use.
3D region of interest tools pane
D
See “Drawing a 2D Region of Interest Shape”.

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Drawing a 3D Region of Interest Shape

The 3D region of interest window contains a Tools pane.

Rotate 3D view mode. Displayed in blue when active. When this is inactive, and a Shape mode
A
is activated, you cannot rotate the 3D view.
B Shape button (preserve inside). Displayed in blue when active.
C Redo and Undo. These are activated once you have started drawing a shape.
D Shape button (remove inside). Displayed in blue when active.

To draw a region of interest shape with the 3D region of interest tool, follow these steps:

1 In the Adjustments pane in the tool box, click .

If this icon is not visible, it may have been replaced by another icon in the same icon group.
Click the white arrow below the icon group button to expand it and display all the buttons in
the group.
The 3D region of interest window appears.

2 In the 3D region of interest window, click on the relevant shape button (B or D above).
The selected shape mode is activated, and the selected button is displayed in blue.

3 Move your mouse pointer over the 3D view and click on the image to set the start point of
the region of interest shape.

The following example uses button D (Shape) to remove the inside.

4 Move your mouse pointer and click again to set a vertex.

A white line appears as you move your mouse pointer.

When you click to set a vertex, the completed line segment is displayed in red.
Keep going until you have completed your shape, then double-click to complete the shape

56
 (A).

The completed shape cuts a hole in the volume (B). By rotating the 3D view, you can see
that the new shape has created an extruded hole into the volume (C).

5 To remove the entire region of interest and start again, click the Reset button.

6 To name the region of interest, click in the Region name field (A) and enter a name for the
new region of interest.

This name will appear in the Region of interest object list when you save the region of
interest.

7 Click OK to close the 3D region of interest window and return to the tab.

Your new region of interest is added to the Region of interest object list in the Tools pane.

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Combining Region of Interest Shapes

By drawing multiple region of interest shapes, you can combine them to create the effect you
want on the 3D view.

In this example, an inverted region of interest (C) has been added to conceal the spinal column.

This works in conjunction with the original region of interest shape (A) to create a cleaner 3D
view (B).

Note: You can also combine saved regions of interest using the show/hide icons
(A) in the object list.

means the region of interest has been activated in the 3D view.

means the region of interest has been deactivated in the 3D view.

Tip: To delete a region of interest shape, in the 3D region of interest window, click
for the 2D MPR view.

58
Editing a Region of Interest

To edit a saved region of interest, follow these steps:

1 In the Tools pane in the tool box, click .

The Tools pane expands to display the object list.

2 In the object list, select Region of interest from the drop-down list.

All existing regions of interest in the volume are listed.

3 Click alongside the region of interest you want to edit.

The selected region of interest is displayed in the 3D region of interest window.

Note: The type of ROI is shown by the 2D or 3D label (A) next to the show/hide
icon.

Deleting a Region of Interest

To delete a saved region of interest, follow these steps:

1 In the Tools pane in the tool box, click .

The Tools pane expands to display the object list.

2 In the object list, select Region of interest from the drop-down list. All existing virtual scalpel
regions of interest in the volume are listed.

3 Click alongside the region of interest you want to delete. The selected region of interest
is deleted, and the 3D view is updated.

Tip: To delete a region of interest shape, in the 3D region of interest window, click
for the 2D MPR view.

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Using Icon Groups
In the toolbox, related tools are grouped together. For example, the line drawing functions are
grouped together.

You can recognize an icon group by the white arrow (A) below the icon.

The white arrow beneath the icon indicates that this icon can be expanded to display other
icons in the group.

To expand an icon group and select a different icon in the group, follow these steps:

1 Click the white arrow (A). The icon group expands to show all member icons in the group.

2 While the icon group is expanded, click the icon you want to use.

The selected icon becomes the active icon (displayed in blue) for the icon group, replacing
the previous icon in the toolbar.

Working With View Screens in the Workspace Tabs

This section describes the general functions of the main view screens that you can view in the
workspace tabs.

The 3D View Screen

The 3D View Screen displays a rotatable, three-dimensional view of the acquired volume.

See “Using the 3D View Screen”.

60
The 2D MPR View Screens

Axial Plane The axial plane shows the

horizontal plane and can be
moved up and down.

Coronal Plane The coronal plane shows the

vertical plane and can be
moved front to back.

Sagittal Plane The sagittal plane shows the

vertical plane and can be
moved side to side.

Each 2D MPR view screen has a colored triangular tag in the top right corner. These colors are
important because they identify 2D MPR slice planes throughout the system.

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For example the Sagittal Slice View Screen is identified by a green tag ( ). Therefore, on both
the Axial Slice View Screen and Coronal Slice View Screen, the position of the sagittal plane is
shown by green handles at the edges of the view screen.

View Screen Toolbars

Each view screen has a toolbar at the top (A).

62
The following buttons are available in a view screen toolbars, depending on the view screen you
are viewing.

Click this button to create a snapshot of the selected view screen in the
Gallery.
Click the drop-down arrow alongside this button to toggle to the View
DICOM Snapshot Snapshot button.
Note: These are saved as DICOM files in the screen captures folder. See
“Opening the Screenshot Folder”.
Click this button to create an image of the selected view screen in the
Gallery.
Click the drop-down arrow alongside this button to toggle to the DICOM
Snapshot button.
View Snapshot Note: These are saved as image files in the screen captures folder in the
format specified in the “Export Preferences”.
See “Creating a Workspace Screenshot”.

Click this button to maximize the view screen. All other view screens will
Maximize be reduced and displayed on the right side of the tab.

Click this button to restore the maximized view screen to normal size.
Note: This button is only visible in a view screen that has been
Minimize maximized.
Click this button to open the view screen in a separate window which
you can then drag to another monitor (if you are using two or more
Dual Screen monitors).
Click this button to change the arrangement of slices displayed in the
view screen to 1x1, 3x3, 5x5, 1x3, 3x1, 1x5, or 5x1.
See “Using Split Views in 2D MPR Views”.
Split View Note: This setting is not available in the 3D View Screen.
Click this button to adjust the spacing between slices when the Split
View option is set to 3x3, 5x5, 1x3, 3x1, 1x5, or 5x1. See “Changing the
Slice Spacing in 2D MPR View Screens”.
Split Spacing
Note: This is inactive when the Split View option is set to 1x1.
Click this button to increase or decrease the slice thickness.
Note: This is only active when the Split View option is set to 1x1.
Set Integration
See “Changing Slice Thickness”.
Click this button to set the integration mode between slices.
You can choose from Averaging [AVG] and Maximum Intensity
Pixel/Projection [MIP].
You can use this tool to artificially enhance contrast to increase the
visibility of denser structures in the anatomy (for example cortical bone,
Set Integration Mode enamel metal), which is useful for visualizing impacted or
supernumerary teeth or for use in orthodontic pseudo-cephalometry.
Note: This tool is only active when the Split View option is set to 1x1. If
you select the MIP integration mode, then you need to set the Set
Integration value to greater than 300µm.

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Additional Buttons Available in the 3D View Screen

Click this button to display the 3D image from the sagittal orientation.
The image is displayed as if the patient is looking to the left or right,
Sagittal Orientation depending on the “View Orientation Preferences”.
Click this button to display the 3D image from the coronal orientation.
The image is displayed as if the patient is looking towards you or away
Coronal Orientation from you, depending on the “View Orientation Preferences”.
Click this button to display the 3D image from the axial orientation.
The image is displayed from underneath, looking up or from above,
Axial Orientation looking down, depending on the “View Orientation Preferences”.

Click to reset the 3D View Screen to the default perspective orientation.

Perspective Orientation The image is displayed so that the front, top, and left sides are visible.
Click to display the current planes setting or select another planes
setting from the drop-down list.

Planes

See “Displaying MPR Planes”.

Creating a DICOM Snapshot

To create a DICOM snapshot of a view screen, click in the view screen toolbar. A thumbnail
of your snapshot is added to the Gallery.

Note: You toggle between this button and the view screen snapshot button
( ). See “Creating a View Screen Screenshot” for information about this

In the “Export Preferences”, you can define the location in which you want a copy of DICOM files
to be saved.

Tip: CS 3D Imaging also provides the following methods for creating snapshot
images:
 To create a screenshot of a view screen, click in the view screen toolbar.
 To create a slice series, see "Using Split Views in 2D MPR Views".
 To create a slice series with locator images, see "Generating a Cross-Section".

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Understanding the Numerical Information on 2D MPR View Screens
Each of the 2D MPR view screens displays numerical information.

The absolute position of the slice within a 3D volume.

Note:
 If you have set your mouse wheel to Slide in the Mouse tool in the tool
Slice Plane box, then when you scroll your mouse wheel, this number will increase or
A decrease as you scroll through different slices in the 2D MPR view
Position
screen.
 When you set the position to 0mm the extreme right of the patient for the
Sagittal Slice View Screen, the very bottom for the Axial Slice View
Screen and the very front for Coronal Slice View Screen are displayed.
The thickness of the current slice. You can change the slice thickness by
B Slice Thickness clicking on this icon. See “Changing Slice Thickness”.
The amount of the original image represented in the viewing frame. The
same zoom number is applied to all of the 2D MPR view screens.
A zoom number of 1.0 means each pixel is displayed. A zoom number of 2.0
C Zoom Number means that each original pixel has been replaced by two pixels in the
zoomed image.
IMPORTANT: A zoom number of 1.0 does not mean the image has been
zoomed to 100%.

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Understanding Slices in 2D MPR View Screens
When a 2D MPR view screen contains multiple slices (split view), its slice plane is displayed
differently in other 2D MPR view screens.

For example, if the Axial Slice View Screen has been split to a 3x3 display, the axial plane
handles change in the other 2D MPR view screens (circled in red in the image below).

The yellow handles now have yellow lines above and below to indicate that the Axial Slice View
Screen is displaying a series of slices.

Also the handle in the middle circle in the image above has added to it. This is the first slice
identifier, which identifies the position of the first slice in the series. This identifier is also
displayed on the first slice of the split view (see A below).

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When you click on one of the axial slice handles in the other 2D MPR view screens, dotted lines
are displayed to show the location of the axial slice series.

The first slice identifier (B) is displayed alongside the first slice in the series.

For information on configuring the order of the slices in the split view, see "View Order in Split
Views Preferences (Imaging Center Software Only)".

Changing Slice Thickness

Each 2D MPR view screen displays images of slices in the volume. When the Split View option is
set to 1x1, you can change the thickness of the slice displayed.

To change slice thickness, follow these steps:

1 In a 2D MPR view screen, make sure the split view is set to 1x1.

2 In the view screen toolbar, click .

A drop-down list of different slice thicknesses appears.

3 Select a slice thickness.

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 For example, if the axial slice thickness changes from 1.0 mm to 45.0 mm, the image
changes to shoe the new slice thickness.

Axial slice at 1.0 mm thickness Axial slice at 45.0 mm thickness

The axial slice handles are changed in the other views. The color-coded shading (A) shows
that the slice thickness has changed.

Axial slice thickness = 1.0 mm Axial slice thickness = 45.0 mm

The shaded block above (A) is used to represent thicker slices in the 2D MPR view screen.
In other specialized view screens (for example, the jaw arch/temporal bone view screen on
the Curve tab) slice thickness is represented as a solid line (C) drawn around the curve
plane (B).

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Moving and Tilting Slice Planes in 2D MPR View Screens
The slice plane indicators in 2D MPR view screens can be used as handles to move the slice
planes through the volume.

You can move 2D MPR slice planes in the following ways:

 To quickly move a slice plane through the volume, click and drag on a handle. See
“Moving a 2D MPR Plane Using a Handle”.
 To fine-tune the slice plane position by scrolling through the volume one slice at a time,
set the Mouse wheel preference to Slide in the tool box, and the scroll your mouse
wheel over a 2D image. See “Moving a 2D MPR Plane by Scrolling (“Sliding”) in the MPR
Tab”.
 To triangulate all three 2D MPR slice planes on a point, click and hold your mouse
pointer and use the scroll wheel.
 In the 3D View Screen, right-click and drag on a slice plane. See “Repositioning MPR
Planes in the 3D View Screen”.

Moving a 2D MPR Plane Using a Handle

You can use this method to quickly move a slice plane to the approximate position you want.

For example, to quickly move the sagittal slice plane, follow these steps:

1 On the MPR tab, click the sagittal slice plane handle in the Axial Slice View Screen (A).

The mouse pointer changes to and full length slice planes are displayed in the Axial
Slice View Screen and Coronal Slice View Screen (A and B).

2 Keep pressing the mouse button and drag the sagittal slice plane handle to move the plane
to a new position.

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 The sagittal slice plane moves in the Axial Slice View Screen, Coronal Slice View Screen (A
and B), and 3D View Screen (C).

The image displayed in the Sagittal Slice View Screen (D) changes as you move the view
screen plane.

3 When the Sagittal Slice View Screen displays what you are looking for, let go of the mouse
button.

The slice planes in the Axial Slice View Screen and Coronal Slice View Screen revert to
normal handles.

You can also use the Slide method to accurately move the plane to the exact location.

Moving a 2D MPR Plane by Scrolling (“Sliding”) in the MPR Tab

To move the slice plane through a volume one slice at a time using the scroll wheel on your
mouse, follow these steps:

1 Make sure your Mouse wheel settings are set to Slide and not Zoom in the Adjustments
pane in the tool box.

Note: To control slide direction, see "View Order in Split Views Preferences
(Imaging Center Software Only)".

2 On the MPR tab, click in a view screen and scroll your mouse wheel.

As you scroll your mouse wheel, the view screen view shifts through the volume and the
view screen indicators move in the other view screens.

Moving and Tilting the Oblique Coronal Slice Plane in the MPR Tab

In the Trace View Screen, the oblique coronal slice plane has two handles, (A) and (B) at each
end that allow you to move and tilt the slice plane in the Trace View Screen and 3D View Screen.

In the MPR tab, you can tilt the plane of the Coronal Slice View Screen (also referred to as the
cross-section or trans-axial view screen).

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This allows you to align the plane with anatomical features in the 3D volume.

In the Trace View Screen, do any of the following:

 To move the plane of the oblique coronal slice along the trace, click and drag a blue
handle (A).
 To tilt the plane of the oblique coronal slice, click and drag the round handle (B).

Note:
 You can also move the plane of the oblique coronal slice along the trace by clicking
in the Coronal Slice View Screen and moving your mouse scroll wheel. See “Tilting
the Slice Planes in the MPR Tab”.
 You can track the position of the oblique coronal slice by watching the blue line
moving along the curve in the other view screens as you move the mouse scroll

Adjusting the Width of Lateral View Screens

Lateral (or cross-section) view screens are displayed on the Axial Slice View Screen in both the
Curve and Bilateral workspace tabs.

Lateral view screens can be identified by triangular handles (A).

To adjust the width of a lateral view screen, follow these steps:

1 In the Tools pane in the tool box, click .

The icon is displayed in blue to show that the tool has been activated.

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2 In the Axial Slice View Screen in the Curve or Bilateral tab, click on a triangular handle on
the blue line (A) and drag to adjust the width of the lateral slice.

The width of the corresponding view screen (B) is adjusted.

Using Split Views in 2D MPR Views

Each 2D MPR view screen displays images of slices in the volume. In a 2D MPR view screen,
you can also view an array of multiple slices in a split view.

When a 2D MPR view screen has been split, the view screen toolbar displays an icon that allows
you to set the slice spacing. See "Changing the Slice Spacing in 2D MPR View Screens".

To display a Split View in a view screen, follow these steps:

1 In the view screen toolbar, click (see A below).

A drop-down list of different Split View options is displayed.
This icon displays the current Split View setting, for example if the current split view is 1x1,
the icon is displayed like this: .

2 Select the Split View you want to use.

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 The view screen display changes to the selected Split View.

The MPR slice plane handles (green or purple) are now displayed on the central slice (B).
When you use split views, the slice order becomes significant. For more information, see
"Understanding Slices in 2D MPR View Screens".

Note: In split views, the default slice thickness set at the time the image was
acquired is used.

Changing the Slice Spacing in 2D MPR View Screens

When a 2D MPR view screen has been split, a new icon appears in the view screen toolbar which
allows you to change the slice spacing. See “View Screen Toolbars”.

To change the slice spacing, follow these steps:

1 In the view screen toolbar, click .

A drop-down list of different slice spacing options appears, displaying the current slice
spacing setting, for example if the current slice spacing is 4.0 mm, the icon is displayed like
this:

2 Select the Split View you want to use.

The view screen display changes to the selected Split View.

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Using the Gallery
The Gallery at the bottom of the CS 3D Imaging tab displays thumbnails of captured images or
slices.

Do any of the following:

 To display the Gallery, click beside the Gallery tab at the bottom of the tool box.

 To open an image in the Gallery, double-click on the thumbnail. The image is displayed
on the Review tab.

 To hide the Gallery, click beside the Gallery tab at the bottom of the tool box.

You can add images to the Gallery in the following ways.

Function Gallery result

Located in the view screen toolbar, click this icon to add a DICOM
image of the selected view screen to the Gallery. This icon is in an icon
group with the Screenshot icon. To toggle between these icons, use the
little arrow next to the icon.
Note: If the view screen has been split (for example into a 5x5 split
view), when you click the DICOM Snapshot icon, a slice series is added
to the Gallery.
The slice series thumbnail is identified in the Gallery with in the top
right corner of the thumbnail (B).

DICOM Snapshot

The first slice in the series is displayed by default. The slice number is
displayed in the top left corner of the thumbnail (A).
Located in the view screen toolbar, click this icon to add an image of
the selected view screen to the Gallery. This icon is in an icon group
Screenshot with the DICOM Snapshot icon. To toggle between these icons, use the
little arrow next to the icon.
The Gallery thumbnail shows the icon.
Located in the Export pane in the tool box of a tab, click this tool to add
Workspace a TIFF image of the tab to the Gallery. See “Creating a Workspace
Screenshot Screenshot”.
The Gallery thumbnail is labelled with .
When you create a cross-section in a 3D volume, a thumbnail of the
slice series and two linked locator thumbnails are added to the Gallery.
The slice series thumbnail shows a icon in the top right corner of
Generating a the thumbnail.
Cross-Section The two associated locator thumbnails show a icon in the top right
corner when you click on the slice series thumbnail.
The first slice in the series is displayed by default. The slice number is
displayed in the top left corner of the thumbnail. See “Generating a
Cross-Section”.

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Displaying and Hiding Image Objects in the Gallery
The thumbnails in the Gallery show any objects present in the original image, for example
annotations, measurements or locator images for a cross-section slice series.
 To hide image objects, click on the right of the Gallery title bar.

 To redisplay image objects, click on the right of the Gallery title bar.

Copying Images to Other Software Applications

To copy a screenshot image to another application, click on the Gallery thumbnail and drag it
onto another open application window.

Note: This does not work for DICOM images.

Deleting Images from the Gallery

To delete images from the Gallery, follow these steps:

1 In the Gallery, click on a thumbnail.

Tip: Use Ctrl+Click to select multiple thumbnails.

Selected thumbnails are displayed with a blue border.

2 On the right of the Gallery title bar, click .

A confirmation message appears.

3 Click Yes.

The selected images are deleted.

Important:
 Make sure you really want to delete the images you have selected because there is
no 'undo' feature available.
 If you delete a slice series, the two locator images are deleted too.

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4 Creating Views

Drawing a Trace along a Dental Arch

The Curve tab enables you to draw a trace along the jaw arch or temporal bone, and to display a
reconstructed-panoramic view and movable Coronal Slice View Screen through the trace.

This section describes the procedure for drawing a trace along the dental arch.

To draw a trace along the temporal bone, see "Creating a Temporal Bones View".

Before you start

 In CS 3D Imaging, open the patient image volume on which you wish to trace a dental
arch.
To draw a trace along the dental arch of a patient image volume, follow these steps:

1 In the Curve tab, adjust the position of the axial slice plane in the Axial Slice View Screen to
the relevant position in the volume.
To do so, click and drag the slider at the base of the Axial Slice View Screen to display the
anatomical region you are interested in.

Note: Once the trace has been drawn and you double-click to validate it, the
slider will disappear.

If you need to reposition the axial slice once the trace has been drawn, click and drag in
the Reconstructed Panoramic/Trace View Screen or Coronal Slice View Screen.

2 In the Tools pane, do one of the following:

 Click to activate the manual tracing tool.

 In the Tools pane, click to automatically map and create 2 dental arches (Maxilla
and Mandible). When the automatic mapping has been drawn, you can fine-adjust the
map manually as required. See “Adjusting a Trace”.

Note: The AI auto mapping requires a CBCT with minimal FOV of 8 cm in

diameters.

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 The icon is highlighted in blue to show that the tracing tool is activated.
You can disable this function in the “MPR Preferences”.

3 In the Axial Slice View Screen, click points along the jaw arch to place the red control points
of the trace.

Note: Do not use too many control points to draw your trace. We recommend
seven control points for the whole arch.

You can adjust the control points manually after the trace has been drawn. The
trace is drawn in red, and the Reconstructed Panoramic View Screen and
Oblique Coronal Slice View Screen are activated and dynamically updated as
the trace is drawn.

4 As you finish tracing the dental arch, double-click to set the last control point of the trace.
The trace is drawn, and an entry is created in the object list in the expanded Tools pane.

5 Click to turn off the tool.

Tip: In some cases, if you draw a trace on an image with a large field of view,
the software will automatically crop the image vertically during processing. If
this happens, you can reposition the region of Interest limits once the trace
has been drawn. For more information, see "Using the Basic Region of

Tracing Simultaneous Jaw Arches

During the treatment process where multiple jaws are involved, the shapes of each jaw are
different and as a result, the arch tracing for both must be enhanced.

1 Trace the first arch.

2 Click twice in the toolbar to name the first arch.

3 Next, unselect the tracing tool.

4 Take the axial plane and move it to adjust the next arch, and trace it.

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5 Name the second arch.

Using AI Automatic Panoramic Curve Mapping

The software automatically maps panoramic curves on your CBCT scan.

When clicking on AI Auto Create arch function, the system detects best curve and maps the
arch/arches.

Maxilla and Mandibular arches will be displayed in the object list after the mapping.

Important: Automatic tracing has to be controlled by a dentist, ENT specialist

radiologist or other medical professionals.

Note: By default, the software automatically maps arches when the user
goes to Curve tab. It is possible to deactivate this function in the preferences
menu.

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Adjusting a Trace
This section describes how to manually adjust a trace drawn along the dental arch.

To adjust the position of a trace, on the Axial Slice View Screen, follow these steps:

1 In the Tools pane in the tool box, click to activate the Select mode.
2 In the Axial Slice View Screen, either click and drag directly on the red trace to move the
entire trace (A), or click and drag an individual control point to adjust part of the trace
(B).

3 Click to turn off the Select mode.

Note: You can also adjust the position of the trace either by using the red
handles in the cross-section view screen or by using the mouse slide
function as described in "Moving a 2D MPR Plane by Scrolling (“Sliding”) in
the MPR Tab".

Positioning the Cross-Section Plane

When you trace a dental arch, the following view screens are displayed:

 Axial Slice View Screen (A)

 Reconstructed-Panoramic View (also known as the 'Trace View Screen') (B)

 Coronal Slice View Screen (for cross-sections) (C)

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The full Reconstructed Panoramic Image is displayed in the Trace View Screen (B) to the
right of the Axial Slice View Screen, and the Coronal Slice View Screen (C) is displayed
below the Trace View Screen.

Note: The cross-section plane (the default color is blue) will appear automatically
in the Axial Slice View Screen (A) once the trace has been drawn.

B C
A
Reconstructed Panoramic/Trace View Coronal Slice View
Axial Slice View Screen
Screen Screen

Adjusting the Position of the Cross-Section Plane

To adjust the position of the cross-section plane, follow these steps:

1 In the Tools pane in the tool box, click to activate Select mode.

2 Use the handles and in the corresponding Reconstructed-Panoramic View and

oblique Coronal Slice View Screen . The position of the axial slice cross-section plane is
updated dynamically in all view screens.

3 Click to turn off the Select mode.

Tip:
 To present the reconstructed-panoramic view displayed in the Trace View Screen
screen as a traditional panoramic x-ray, click in the view screen toolbar
and select a value of approximately 10 to 15 mm.
 To cancel a drawing operation, press the ESC key.

Note: During manipulation, a view may disappear from other view screens. If
this happens, click in the tool box to automatically center all views.

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Creating a Reconstructed Panoramic Image
On the Curve tab, you can create a reconstructed panoramic image by drawing a trace along the
jaw arch. See “Using the Curve Tab”.

By default, only the Axial Slice View Screen and 3D View Screen are displayed until a trace is
drawn.

As each point on the trace is added, the trace image is dynamically updated.

If the Automatically create an arch function is enabled in the CS 3D Imaging Preferences, when
you click the Curve tab for the first time, a jaw arch is automatically created for you. You can
disable this function via the Setting Preferences window.

Note: In some cases, if you draw a trace on an image with a large field of view, the
software will automatically crop the image vertically during processing. If this
happens, you can reposition the region of Interest limits once the trace has been
drawn. For more information, see “Using the Basic Region of Interest Tool”.

To create a reconstructed panoramic image, follow these steps:

1 On the Curve tab, adjust the position of the axial slice plane in the Axial Slice View Screen to
the relevant position in the volume.

To move the axial slice plane, click and drag the slider at the bottom of the Axial Slice
View Screen.

Note: Once the trace has been drawn in step 3, this slider will disappear. If
you need to reposition the axial slice once the trace has been drawn, click and
drag in the Trace View Screen or Oblique Coronal Slice View Screen.

2 In the Tools pane in the tool box, click to switch on the Manual Arch tool (see also the TIP
below).

The button is displayed in blue to show that the tool has been activated.

Note: If this button is not visible, look for it in an icon group with other tools.
See “Using Icon Groups”.

3 In the Axial Slice View Screen, click points along the jaw arch to place the red control points
of the trace.

Tip: Do not use too many control points to draw your trace. We suggest seven
control points for the whole arch.

The trace is drawn in red, and the Trace View Screen and Oblique Coronal Slice View Screen
are activated as the trace is drawn.
As each new control point is added, the Trace View Screen is dynamically updated. When
you reach the end of the jaw arch, double-click to set the last control point of the trace.
The full Reconstructed Panoramic Image is displayed in the Trace View Screen to the right
of the Axial Slice View Screen.
You can adjust the control points manually after the trace has been drawn.

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 The Oblique Coronal Slice View Screen is displayed below the Trace View Screen, with
orientation indicators to show the orientation of the image in the jaw. For more information,
see "Using the Orientation Indicator".

Once the trace is drawn, an entry is created in the object list in the tool box.

4 To present the reconstructed-panoramic view as a traditional panoramic x-ray, click

and select a value of approximately 10 to 15 mm.
Tip:

 Use from the same icon group to automatically AI-generate a curved path
along the 2 dental arches (Mandible and Maxilla). You can adjust the control points
manually after the curved path has been generated.
 To cancel a drawing operation, press the ESC key.

Tracing a Nerve Canal

To analyze the 3D volume for an extraction or an implant placement, you sometimes need to
locate the mandibular nerve. Once you have traced the jaw arch and created a
reconstructed-panoramic image, you can use the Nerve Canal tool to trace the path of the nerve
canal.

There are two methods for tracing a nerve canal:

 “Method 1 - Using Automatic Nerve Canal AI Mapping.”

 "Method 2- Scrolling Through the Jaw and Tracing as You Go".
 "Method 3 - Displaying the Whole Nerve Canal and Then Tracing".

Method 1 - Using Automatic Nerve Canal AI Mapping

This method allows for auto AI-mapping of mandibular volumes (available for volumes with 8cm
FOV and after the AI-automated arch computation).

1 After opening the volume in MPR tab, click over to the Curve tab.

2 Click on the Auto-create Nerve Canal icon in the Tools pane. A dialog window will open
showing automatic mapping progress bar.

Important: Automatic tracing has to be controlled by a dentist, ENT specialist

radiologist or other medical professionals.

Note: A warning message dialog window will appear mentioning that

tracing has been generated and requires that a medical professional or
technician must control the tracing before further implant planning.

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3 Click OK after having read the message.

Further annotations and modifications can be accessed in the Objects pane. Note: a 3rd canal
arch is automatically created to allow for the visualizing of the full pass of the nerve canal on the
panoramic view.

Method 2- Scrolling Through the Jaw and Tracing as You Go

This method involves creating a reconstructed panoramic view, and shifting the curve plane
through the jaw and adding trace points along the nerve canal as you move through the jaw.

To trace a nerve canal using method 2, follow these steps:

1 On the Curve tab, create a reconstructed panoramic image.

2 In the Trace View Screen, click and select the thinnest value possible.

This is to make sure you trace the nerve canal accurately.

3 In the Tools pane in the tool box, set your mouse setting to Slide.

4 Click in the Trace View Screen and use the mouse wheel to scroll through the jaw until you
can see the entry point of the nerve canal inside the upper branch of the jaw.

When you scroll the mouse wheel, the image in the Trace View Screen changes as the curve
plane moves through the depth of the jaw. You can monitor the position of the plane as it
moves by watching the red trace line moving relative to the original trace line (white) in the
Axial Slice View Screen.

5 Once you have a clear view of the nerve canal entry point, in the Tools pane in the tool box,

click .

The button is displayed in blue to show that the Nerve Canal Tool has been activated.

6 In the Trace View Screen, click on the image to mark the nerve canal entry point.

An orange dot appears on the image.

This is a trace control point which you can adjust later if required.

7 Now continue to scroll through the jaw, until you can see more of the nerve path and click on
the image to add additional control points as you go.

New orange dots are added each time you click.

8 When you reach the nerve foramen (exit point), add the final control point by double-clicking
on the image.

The final point is added to the trace on the image and a new nerve canal entry appears in
the object list in the expanded Tools pane in the tool box.

9 To trace the nerve on the other side of the jaw, repeat the above process on the other side
of the image.

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10 Once you have drawn both nerve canal traces, click in the Trace View Screen and click
to select a slice thickness of around 15mm.
This simulates the thickness of a real panoramic image and allows you to see both nerve
canal traces on the image.

Method 3 - Displaying the Whole Nerve Canal and Then Tracing

This method involves creating a Reconstructed Panoramic view, and then adjusting the jaw
trace the shifting the curve plane through the jaw and adding trace points along the nerve canal
as you move through the jaw.

To trace a nerve canal using method 3, follow these steps:

1 On the Curve tab, create a Reconstructed Panoramic image.

2 In the Trace View Screen, click and select the thinnest value possible. This is to make sure
you trace the nerve canal accurately.

3 Make sure your mouse setting is set to Slide in the Tools pane in the tool box.

4 In the Tools pane in the tool box, click .

The button is displayed in blue to show that the tool has been activated. Red control points
are displayed on the jaw trace in the Axial Slice View Screen.

5 In the Axial Slice View Screen, adjust the position of the jaw trace by clicking and dragging
individual control points until you can see the whole nerve canal in the Trace View Screen.

6 Once you have a clear view of the whole nerve canal, in the Tools pane in the tool box, click

The button is displayed in blue to show that the Nerve Canal Tool has been activated.

7 In the Trace View Screen, click on the image to mark points along the visible nerve canal.

Orange dots appear at each point.

These are trace control points which you can adjust later if required.

8 To add the last control point, double-click on the image. The final point is added to the trace
on the image and a new Nerve Canal entry appears in the object list in the expanded Tools
pane in the tool box.

9 To trace the nerve on the other side of the jaw, repeat the above process on the other side
of the image.

10 Once you have drawn both nerve canal traces, click in the Trace View Screen and click
to select a slice thickness of around 15mm.

This simulates the thickness of a real panoramic image and allows you to see both nerve
canal traces on the image.

Tip: To cancel a drawing operation, press the ESC key.

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Fine-Tuning a Nerve Canal Trace
Once you have drawn a nerve canal trace on the reconstructed-panoramic image, you can
fine-tune the position of the trace by moving control points in the Coronal Slice View Screen.

To fine-tune a nerve canal trace, follow these steps:

1 In the Tools pane in the tool box, click . The button is displayed in blue to show that the
tool has been activated. Red control points are displayed on the jaw trace in the Axial Slice
View Screen.
2 In the Axial Slice View Screen, move the cross-section slice plane to a section of the jaw
curve where a nerve canal trace has been drawn, then watch what happens in the Coronal
Slice View Screen.

An orange circle (A) appears in the Coronal Slice View Screen

as the cross-section slice plane cuts through the nerve canal
trace.

3 In the Trace View Screen, use the mouse scroll wheel in Slide mode to keep moving the
cross-section slice plane until a control point on the nerve canal trace is displayed.

When a control point (B) is reached on the nerve canal trace,

the orange circle contains an orange dot.

4 In the Coronal Slice View Screen, click and drag the control point (B) to move the position of
the nerve canal trace.

Note: You can change the diameter of the nerve canal trace in the Nerve
Canal object list in the expanded Tools pane in of the tool box. See “Using
the Objects Pane”.

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Using the Root Canal Tracing Tool (Manually)

WARNING:

 The CS 3D Imaging Software cannot manage your device's acquisition settings. It is

the role of the acquisition device to provide calibrated data.
 Drawings and measurements made in the software are done under the responsibility
of the user.

To manually trace a root canal, follow these steps:

1 In the 2D View Screen, click and select the thinnest value possible.
This is to make sure you trace the root canal accurately.

2 In the Tools pane in the tool box, set your mouse setting to Slide.

3 Click the Root Canal tracing tool in MPR and use the mouse wheel to scroll through the root

until you can see the entry point of the root canal .

The button is displayed with a blue frame to show that the Root Canal Tool has been activated.
After the tool is activated, the opacity of the 3D rendering will decrease to 50% automatically for
optimal visualization.

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4 In the 2D View Screen, click on the image to mark the root canal entry point.

A dot appears on the image. This is a trace control point which you can adjust later if
required.

5 Continue to scroll through the root until you can see more of the root path and click on the
image to add additional control points as you go.

Note: New dots are added each time you click and a minimum 2 trace points are required.

6 When you reach the end of the root canal, add the final control point by double-clicking on
the image. The final point is added to the trace on the image and a new root canal entry
appears in the object list, in the expanded Tools pane in the tool box. The length of the
object is displayed in the object list title.

7 To edit the name/or diameter, or delete the traced lines, go to the Object panel pane and
click on the 3 horizontal dots to edit or delete:

8 To trace another root canal, repeat the process above on the other side of the image.

Each new trace will have a different color assigned (but can be changed by the user).

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Fine-Tuning a Root Canal Trace
Once you have drawn a root canal trace, you can fine-tune the position of the trace by moving
control points in the 2D view slice screen.

To fine-tune a root canal trace, follow these steps:

1 In the Tools pane in the tool box, click .

The button is displayed in blue to show that the tool has been activated. Control points are
displayed on the root trace in the 2D view slice screen.

2 In the Trace View Screen, use the mouse scroll wheel in Slide mode to keep moving the
slice plane until a control point on the root canal trace is displayed.

3 In the 2D view slice screen, click and drag the control point to move the position of the root
canal trace. Full length of the root canal object will be updated.

Creating a Segmented Airway

WARNING: Drawings and measurements made in the software are done under the
responsibility of the user.

In the MPR workspace tab, you can use the Airway tool in the Tools pane to do the following in
the Sagittal Slice View Screen:

 Using at least two seed points to set segments according to upper and lower points,
create a segmented airway that shows total volume, minimum cross-sectional area,
anterior/posterior, and left/right measurements.
 Display and update measurement values in realtime.
Measurements are calculated automatically and the locations at which the slices were
calculated are displayed in the 3D View Screen using circular rings and in the 2D MPR views as
a series of lines.

You can configure Airway tool settings in the “Airway Preferences”.

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Creating an Airway View
To use the Airway tool, follow these steps:

1 In the MPR tab, in the Tools pane, click to activate the Airway tool.

The Airway analysis icon changes to blue.

2 In the Sagittal Slice View Screen , click in the upper region of the airway to set the first
point.

3 Click at another point in the airway to set at least one more

seed point.

4 Double-click to set the final seed point.

5 Optionally, you can click and drag the existing outline of

the airway view in the 2D MPR views to modify the region
covered. In this case, the revised airway is computed
automatically.

The angles at which seed points are added will determine the angles at which the
cross-sectional areas are calculated. The following example shows several seed points.

The computed airway is added to the Airway object list in the Tools pane, where the name of
the airway object is represented by the volume size in cubic centimeter.

When computed, the airway is automatically displayed in the 3D View Screen, and the following
measurements are indicated by a series of rings:

 Minimum Cross-Sectional Area (MCA)

 Minimum AP Distance
 Minimum RL Distance

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  Total volume of the segmented region.

Using the Airway Object List

For more information on object lists, see “Using the Objects Pane”.

To use the Airway object list, follow these steps:

1 In the Tools pane, click (B) in the object list toolbar to select the Airway object list.

2 Do any of the following:

In the object list:

 To hide all of the airway objects in the image, click (A) in
the object list toolbar. To show all hidden airway objects,
To show or hide airway objects
in an image... click .
 To hide one airway object in the image, click (D) in the
airway object toolbar. To show the hidden object in the
image, click .

 To delete all airway objects in an image, click (C) in the

To delete airway objects in an object list toolbar.
image...
 To delete one airway object in an image, click (I) in the
airway object toolbar.
To hide or display the
measurements for an airway Click (E).
object in the 3D View Screen...

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 To change the color of the
Click the color box (F) in the airway object toolbar, and select a
airway object in the 2D MPR
different color for the airway object.
view screens...
To view the measurements
Hover the mouse pointer over the arrow next to the airway
for an airway object in the name (G) in the object list.
list...

To move between the Click (H) to cycle between the different measurements:
different measurements in  Center on the Minimum area measurement.
the airway object...  Center on the AP measurement.
 Center on the RL measurement.

To modify the intensity

threshold that 3D should use To modify move the Segmentation threshold (J) slider as
when setting the segmentation necessary.
threshold...
Move the color indicators (K) for the selected image.
To change the color matching
the predefined section area By default there are four color scale entries that represent
value in an Airway view... sections of the segmented airway, and their area values are set
in the “Airway Preferences”.
To reset to the settings for an
airway object... Click (L).

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Creating TMJ Views
By default, only the Axial Slice View Screen and 3D View Screen are activated on the Bilateral
tab until traces have been drawn on the Axial Slice View Screen.

To create TMJ views, follow these steps:

1 On the Bilateral tab, adjust the position of the axial slice plane until the condyles are visible
in the Axial Slice View Screen.

To move the axial slice plane, click and drag the slider at the bottom of the Axial Slice
View Screen.

2 In the Tools pane in the tool box, click .

The button is displayed in blue to show that the TMJ tool has been activated.

If there are existing traces on the Axial Slice View Screen, a warning is displayed to inform
you that the previous traces (and views) will be deleted. Do one of the following:

 Click Yes to continue - the existing traces and view screens are removed.
 Click No to keep the previous traces.
3 In the Axial Slice View Screen, choose either the left or the right condyle, click to set the
trace start point then draw a line through the condyle and click again on the other side to set
the trace end point.

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 The TMJ/ear and TMJ/ear views in the Coronal Slice View Screen are activated, a
symmetrical trace is automatically drawn over the opposite condyle and the 3D View Screen
displays cropped images of the regions defined by the TMJ/ear and TMJ/ear/cross-section
traces.

Note: Once the traces have been drawn, the axial slice plane slider will
disappear to be replaced by axial slice plane handles.
When trace lines are present, click and drag in the TMJ/ear and
TMJ/ear/cross-section view screens to move the axial slice.

Creating Ear Views

By default, only the Axial Slice View Screen and 3D View Screen are activated on the Bilateral
tab until traces have been drawn on the Axial Slice View Screen.

To create Ear views, follow these steps:

1 On the Bilateral tab, adjust the position of the axial slice plane until the ear regions are
visible in the Axial Slice View Screen.

To move the axial slice plane, click and drag the slider at the bottom of the Axial Slice
View Screen.

2 In the Tools pane in the tool box, click .

The button is displayed in blue to show that the Ears tool has been activated.

If there are existing traces on the Axial Slice View Screen, a warning is displayed to inform
you that the previous traces (and views) will be deleted. Do one of the following:

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  Click Yes to continue - the existing traces and view screens are removed.
 Click No to keep the previous traces.
3 In the Axial Slice View Screen, choose either the left or the right ear, click to set the trace
start point then draw a line through the ear region and click again on the other side to set
the trace end point.

The TMJ/ear and TMJ/ear/cross-section view screens are activated, a symmetrical trace is
automatically drawn over the opposite ear and the 3D View Screen display cropped images
of the regions defined by the TMJ/ear and TMJ/ear/cross-section traces.

Note: Once the traces have been drawn, the axial slice plane slider will disappear
to be replaced by axial slice plane handles.
When trace lines are present, click and drag in the TMJ/ear and
TMJ/ear/cross-section view screens to move the axial slice.

Creating a Temporal Bones View

To create a temporal bones view, follow these steps:

1 On the Curve tab, adjust the position of the axial slice plane in the Axial Slice View Screen to
the relevant position in the volume.

To move the axial slice plane, click and drag the slider at the bottom of the Axial Slice
View Screen.

Note: Once the traces have been drawn, the axial slice plane slider will
disappear to be replaced by axial slice plane handles.
If you need to reposition the axial slice once the trace has been drawn, click
and drag in the Trace View Screen or oblique Coronal Slice View Screen.

2 In the Tools pane in the tool box, click .

The button is displayed in blue to show that the tool is switched on.

Note: If this button is not visible, look for it in an icon group with other tools.

3 In the Axial Slice View Screen, click points on the axial slice to place the red control points of
the trace.

The trace is drawn in red, and the trace and cross-section slice view screens are activated as
the trace is drawn.
As each new control point is added, the Trace View Screen is dynamically updated. When
you reach the end of the trace, double-click to set the last control point.
The temporal bones view is displayed in the Trace View Screen to the right of the Axial Slice
View Screen. You can adjust the control points manually after the trace has been drawn.

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 The oblique Coronal Slice View Screen is displayed below the Trace View Screen, with
orientation indicators to show the orientation of the image in the jaw (For more information,
see "Using the Orientation Indicator".).

Once the trace is drawn, an entry is created in the object list in the tool box. See “Using the
Objects Pane”.
Note: In some cases if you draw a trace on an image with a large field of view, the
software will automatically crop the image vertically. If this happens, you can
reposition the region of interest limits once the trace has been drawn. For more
information, see "Using the Basic Region of Interest Tool".

Synchronizing Views
On the Bilateral tab, when you set the Mouse Wheel settings to zoom, the following options
allow you to control the zoom behavior of the TMJ/ear and associated cross-section view
screens on the Bilateral tab:

Click to deactivate zoom synchronization of TMJ/ear and

Disable Synchronization
TMJ/ear cross-section view screens (A to D below).
Click to activate zoom synchronization of TMJ/ear and TMJ/ear
Synchronize Four Views cross-section view screens (A to D below). See “Synchronizing
Four Views”.
Synchronize Two Views Click to activate zoom synchronization of view screen pairs A+D
(side) and B+C. See “Synchronizing Two Views (Side)”.
Synchronize Two Views Click to activate zoom synchronization of view screen pairs A+B
(type) and C+D. See “Synchronizing Two Views (Type)”.

Note: If the acquired volume has a small field of view, only 2 of these icons will
be displayed:
1. to disable synchronization.
2. OR to synchronize views by side OR by type, depending on the field of

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The TMJ/ear and TMJ/ear cross-section view screens on the Bilateral tab are shown below.

Disabling View Synchronization

To disable the view synchronization, follow these steps:

1 Go to the Bilateral tab.

2 In the Adjustments section of the tool box, click .

Mouse settings are displayed.

3 In the mouse wheel settings, select Zoom.

4 In the mouse wheel settings, click .

While this option is activated, you can zoom each view screen independently of the others.

Synchronizing Four Views

To synchronize the views, follow these steps:

1 Go to the Bilateral tab.

2 In the Adjustments section of the tool box, click .

Mouse settings are displayed.

3 In the mouse wheel settings, select Zoom.

4 In the mouse wheel settings, click .

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 While this option is activated, zooming in any view screen A to D (See “Synchronizing
Views”.) will also zoom all other view screens simultaneously.

Synchronizing Two Views (Side)

To synchronize two side views, follow these steps:

1 Go to the Bilateral tab.

2 In the Adjustments section of the tool box, click .

Mouse settings are displayed.

3 In the mouse wheel settings, select Zoom.

4 In the mouse wheel settings, click .

While this option is activated, zooming is synchronised as follows (See “Synchronizing

Views”.):

 View screens A and D are synchronized.

 View screens B and C are synchronized.

Synchronizing Two Views (Type)

To synchronize two views by type, follow these steps:

1 Go to the Bilateral tab.

2 In the Adjustments section of the tool box, click .

Mouse settings are displayed.

3 In the mouse wheel settings, select Zoom.

4 In the mouse wheel settings, click .

While this option is activated, zooming is synchronised as follows (See “Synchronizing

Views”.):

 View screens A and B are synchronized.

 View screens C and D are synchronized.

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Creating a View Screen Screenshot
To create a screenshot of a view screen, click in the view screen toolbar.

Note: You toggle between this button and the DICOM snapshot button ( ).
See “Creating a DICOM Snapshot” for information about this button.

A thumbnail of your screenshot is added to the Gallery.

When you create a view screen screenshot:

 An image file is created of the selected view screen.

 The image file is created in the format specified in the “Export Preferences”.
 The location of copies of screenshot files is specified in the “Export Preferences”

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5 Using the 3D View Screen

WARNING: 3D rendering must not be used for diagnosis. Confirmation must be

performed using one or more of the two-dimensional slices used for Multi-Planar
Reconstruction (MPR).

The 3D View Screen

The 3D View Screen provides a fully rotatable view of the acquired 3D volume.

 To rotate the 3D view, click and drag in the 3D View Screen. The Orientation Indicator
rotates in synch with the rotation of the 3D view.

 To reset the orientation of the 3D view, use one of the following 3D orientation buttons.

Re-orients the 3D image to display it from the sagittal. The image is

Sagittal displayed as if the patient is looking to the left or right (depending on
the settings in the “View Orientation Preferences”).
Re-orients the 3D image to display it from the coronal. The image is
Coronal displayed as if the patient is looking towards you or away from you
(depending on the settings in the“View Orientation Preferences”).
Re-orients the 3D image to display it from the axial. The image is
Axial displayed from underneath, looking up or from above, looking down
(depending on the settings in the “View Orientation Preferences”).
Resets the 3D view to display it from the default perspective. The
Perspective image is displayed so that the front, top, and left sides are visible.

 To zoom in and out, move your mouse pointer over the 3D View Screen and scroll the
mouse wheel.

 To pan the 3D view, right-click and drag in the 3D View Screen.

 Use view screen toolbar buttons to take a snapshot, maximise the view screen, or open
the 3D view in a separate window.

 To move the slice planes using the 3D View Screen, right-click on a slice plane and drag
to a new position. See “Moving and Tilting Slice Planes in 2D MPR View Screens”.

 Use the 3D sliders to control the overall display of the 3D view and the different tissue
types displayed. See “Click to reset both sliders. The other sliders in the 3D
Adjustments panel are color sliders that you can use to control the display of different
tissue types in the 3D view.”.

 To crop the 3D view, either use the Clipping Box on the Oblique Slicing tab, or use the
Custom Region of interest tools (See “Using the Custom Region of Interest Tool (2D)” or
“Using the Custom Region of Interest Tool (3D)”.).

Note: If your 3D View is not displayed, check to see if it has been deactivated in
the “3D View Preferences”.

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Using the Orientation Indicator

The Orientation Indicator is displayed in the bottom left corner of the 3D View
Screen.

As you rotate the 3D view, the Orientation Indicator rotates at the same time to
help you understand which perspective of the 3D view is being displayed.

The letters displayed on the Orientation Indicator are described below. If reviewing Wrist, use L
& R.

H Head, view from above

F Foot, view from below
L Left, view from the patient's left
R Right, view from the patient's right
A Anterior, view from in front of the patient
P Posterior, view from behind the patient

These letters are also used throughout CS 3D Imaging to show the orientation of 2D images
within the volume.

View Screen Letters

2D MPR view screens

A typical 2D MPR view screen displays four

orientation indicators (A) that use the same
letters as the 3D orientation Indicator
shown above.

Coronal Slice View Screen

In this case, different letters (B and L) are

used to show specific orientation:
B - Buccal
L - Lingual

Note: Bilateral will be disabled when Wrist is in use.

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Displaying MPR Planes
The 3D View Screen displays the three orthogonal MPR planes in different colors. You can use
the Planes button in the 3D View Screen to choose different planes display options.

In the 3D View Screen, click the Planes button in the View Screen toolbar to select one of the 3D
Planes settings as follows.

Planes: No plane No slice planes displayed.

Displays the positions of slice planes in the

Planes: Wireframe 3D view as transparent planes with colored
edges.

Displays the positions of slice planes in the

3D view as MPR planes with colored edges.
See “Repositioning MPR Planes in the 3D
Planes: MPR View Screen”.
Note: In order to see MPR detail on the slice
planes more clearly, slide the 3D opacity
slider towards 0. See “Using the 3D Sliders”.

Displays the position of the slice planes in

Planes: Color the 3D view as colored, opaque planes.

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Repositioning MPR Planes in the 3D View Screen
To quickly reposition your MPR planes using the 3D View Screen, follow these steps:

1 Click the Planes button in the view screen toolbar and select either or .
This will make it easier to click on an MPR plane.

2 Right-click on an MPR plane and drag it to a new position.

Note: You must click carefully on a plane in the 3D View Screen for this function
to work. If you do not right-click on a plane, you will pan the 3D view instead.

Using the Reformatting Tool

The Reformatting Tool opens automatically when you open a 3D volume acquired from a
specified device type and allows you to derive a new volume from the existing 3D volume.

In the Reformatting Tool dialog box, you can do the following to derive this new volume:

 Adjust the angulation of the 2D MPR planes to set the patient position.
 Change the voxel size to create a lighter volume (and lower resolution), which is useful
for example for compatibility with other software applications.
 Use the Cropping box to focus on a specific region of interest.

Important: When you use the Reformatting Tool, a duplicate volume is created in
the same patient folder. Make sure you have sufficient disk space available before
using this tool.

To use the Reformatting Tool, follow these steps:

1 From an imaging software application, open the 3D volume you want to reformat.
The Reformatting Tool window appears.

2 On the Axial Slice View Screen, Coronal Slice View Screen, and Sagittal Slice View Screen,
you can do the following:

 To select a slice thickness, click in the top right corner of a view screen and
select a thickness.

 To select a thickness mode, click and select a mode.

 Use the end handles (A) to move the slice planes, and the tilt handles (B) to adjust

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 angles.

3 To crop a 3D volume and display only part of the volume, select the Cropping box option,
and adjust the white handles (A) around the three 2D MPR slices.

4 To change the voxel size, select a higher voxel size from the Voxel Size drop-down list.

5 Enter a name in the Volume Name field and click OK.

You must enter a name to be able to save the reformatted volume.

Note: If you decide you do not want to use the Reformatting Tool for a volume:
 Click Skip so that CS 3D Imaging opens to show the 3D volume without any
reformatting.
 Click Quit. The CS 3D Imaging software application closes.

Using 3D Color Palettes

CS 3D Imaging provides a library of different color palettes that define how different tissue
types are displayed in the 3D view.

To use these palettes, you can either select a predefined palette or, if necessary, activate color
sliders to fine tune the appearance of the 3D view. See “Click to reset both sliders. The other
sliders in the 3D Adjustments panel are color sliders that you can use to control the display of
different tissue types in the 3D view.”.

To select a 3D color palette, follow these steps:

1 In the Display section of the tool box, click to activate the 3D adjustment tools.

The tool box expands to display the 3D adjustment tools. The text alongside the icon
displays the name of the 3D color palette that is currently active.

2 In the 3D adjustment tools, click the current palette name (for example Bone).

A drop-down list of all available palettes is displayed.

3 Click on a different palette name to select it.

The new palette is applied to the 3D view.

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 By default, the following 3D color palettes are available:

Bone Displays a realistic 3D view by highlighting bone rendering.

Transparent Bone Displays bone tissue at lower opacity to highlight dental structures.
Grayscale Displays the 3D View as a grayscale image.
Realist Displays the 3D view with a wider range of colors.
Displays the 3D view similar to the Bone palette but with a shiny
Shiny Bone
rendering.
Displays the 3D view similar to the Realist palette but with a shiny
Shiny Realist
rendering.

Creating a 3D Color Palette

To create a 3D color palette, follow these steps:

1 Select an existing 3D color palette.

2 Use the 3D color sliders to adjust your 3D view.

An asterisk (*) appears alongside the palette name to show that you have changed the 3D
color palette.

3 In the 3D section of the Display panel in the tool box, click .

The Palette library window is displayed.

4 In the Palette library window, click the Create palette button.

Save palettes options are displayed.

5 Enter a name for the palette.

Click to select Favorite if you want the palette to appear on the drop-down list of palettes or
click to select Default if you want it to be applied by default to the 3D view.

Note: The color sliders are provided here so that you can make any final
adjustments to your preset before you save it.

6 Click OK to save the palette.

Editing or Deleting a 3D Color Palette

To edit or delete a 3D palette, follow these steps:

1 In the Display section of the tool box, click to activate the 3D adjustment tools.
The tool box expands to display the 3D adjustment tools.

2 In the 3D section of the Display panel in the tool box, click .

The Palette library window is displayed.

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3 In the Palette library window, do one of the following:

 Click to edit a palette.

 Click to delete a palette.

Note: You cannot delete default palettes.

4 Click OK.

Adding 3D Color Palettes to Your Favorites

When the Palette library window is displayed, Favorite status is displayed as follows.

All presets with this icon alongside are displayed in the favorites list when you select an
existing 3D color palette.

All presets with this icon alongside are not displayed in the favorites list.

To select a 3D color palette for inclusion in your favorites list, follow these steps:

1 In the Display section of the tool box, click to activate the 3D adjustment tools.
The tool box expands to display the 3D adjustment tools.

2 In the 3D section of the Display panel in the tool box, click .

The Palette library window is displayed.

3 In the Palette library window, for any palette that is not currently in your favorites list, click
.

 When you move your mouse pointer away, the icon changes to to show that the
selected preset is now a favorite. To unselect it, click .

 When you move your mouse pointer away, the icon changes to to show that the
selected preset is not a favorite.

4 Click OK.

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Using the 3D Sliders

To activate the 3D Adjustments panel, click in the tool box.

The 3D Adjustments panel contains sliders that you can use to control the appearance of the 3D
view.

Use this slider to remove unwanted “noise” around dense

Gradient
regions such as metal objects.

Opacity Use this slider to adjust the overall opacity of the 3D view.

Click to reset both sliders. The other sliders in the 3D Adjustments panel are color sliders
that you can use to control the display of different tissue types in the 3D view.

Using 3D Color Sliders

You can define which voxels in a 3D volume are considered based on the voxel intensity. You
can decide how much tissue, and even which tissues appear in the 3D volume. For example, you
can set all skin at 20% opacity to appear in light blue.

You define the intensity based on voxels using color sliders or using the color palette. See
“Changing 3D Palette Colors”.

Each slider is identified by a letter (A) that represents a different tissue type.

S Skin
F Flesh
B Bone
D Dentin
E Enamel
A Amalgam

Click to reset the sliders to current preset values.

To use the 3D color sliders, follow these steps:

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1 In the Display section of the tool box, click .
The tool box expands to display the 3D Adjustment tools.

2 Do one of the following:

 Use the color sliders to adjust the opacity of different tissue types in the 3D View
Screen.

 Click (see A below).

The icon changes to and a 3D Color Bar (C) is activated beneath the 3D View Screen.

3 On the 3D color bar, click and drag the adjusters (D) to adjust the opacity levels of different
tissue types.

4 Click the reset icon (E) to reset to current preset values.

Changing 3D Palette Colors

To change the colors used in a 3D palette, follow these steps:

1 In the Display section of the tool box, click .

The tool box expands to display the 3D Adjustment tools.

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2 In the 3D Adjustments tools, click on a color block (B).

A color picker window appears.

3 In the color picker window, click to select a new color and click OK.

The new color is applied in the 3D color palette and in the 3D View Screen.

Using Presets (Image Rendering)

CS 3D Imaging provides two libraries of image rendering presets:

 MPR presets for setting brightness, contrast and sharpness in all MPR views.
Brightness and Contrast are referred to as “Windowing” presets. This is a radiological
term that relates to the brightness and contrast levels in radiological images.

 3D color palette presets for setting color levels. These allow you to control the
appearance of different tissue types in the 3D view.

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6 Aligning a Patient Face Scan Image
with a Volume
CS 3D Imaging Automatic Face Scan Alignment provides:

 Automatic alignment of a patient Face Scan image with a patient image volume

 Easy-to-use tools to semi-automatically or manually adjust the alignment

Aligning a Patient Face Scan Image with a Volume

To align a patient face scan with a patient image volume, follow these steps:

1 In any workspace tab apart from the Review tab, in the Tools pane in the tool box, click

to select a face to align with your patient image volume.

The Patient Face Scan window opens and available faces are displayed in the window's side
pane, sorted by date.
You can hover the mouse over a face to display the following Acquisition type (Face)
information:

Note: Only supported patient face scan formats are available for

2 In the list of faces displayed in the Patient Face Scan side pane, select the face to be
aligned to the patient image volume.

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 Note: Only one patient face can be aligned to a patient image volume at
a time.

3 Click Align to launch the automated face alignment process.

If a discrepancy is found between the data associated with the selected face scan and the
patient image volume data, a dialog box appears displaying details of the patient image
volume and the face. After you have reviewed the information, click Confirm to continue with
the alignment, or Cancel to select a different face.

CS 3D Imaging launches the automatic alignment of the face with the patient image volume.

If the automatic registration is not successful, you are sent directly to the “Accessing the
Alignment Adjustment Window”.

When the face is aligned with the patient image volume:

 The aligned face scan and patient image volume are displayed in the 3D View Screen.

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  The outline of the face is displayed as a line (the default color is pink) in each 2D view
screen.

 The face appears in the Face Scan object list.

4 Check that the alignment has been performed correctly by comparing the patient's face with
the patient image volume. “Manually Adjusting a Face Scan Alignment”.

Adjusting a Face Scan Alignment

You can adjust the automatic alignment of a patient face scan with a patient image volume, in
order to refine the result based on a careful analysis of anatomical details.

Accessing the Alignment Adjustment Window

To adjust the automatic alignment of a patient face with a patient image volume, follow these
steps:

1 In any workspace tab apart from the Review tab, in the Tools pane in the tool box, click
and select Face Scan in the object drop-down list.

2 In the object list, for the selected face, click to edit the automatic alignment of the face.

The Adjust a Face Scan alignment window opens automatically.

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Visualizing Adjustments in the 3D View Screen
When you open the Adjust a Face Scan alignment window, the following tab pages are available:

 Semi automatic: enables you to semi-automatically adjust the alignment of a patient

face by clicking matching facial features on the Face Scan image and a facial image
based on the patient image volume. “Semi-Automatically Adjusting a Face Scan
Alignment”.

 Manual: enables you to make manual adjustments by dragging or rotating the patient
face in 2D view screens. “Manually Adjusting a Face Scan Alignment”.

Semi-Automatically Adjusting a Face Scan Alignment

To semi-automatically adjust the alignment of a Face Scan with a patient image volume, follow
these steps:

1 In any workspace tab apart from the Review tab, in the Tools pane in the tool box, click
and select Face Scan in the object drop-down list.

2 In the Face Scan object list, select the Face Scan object and click .

3 In the Adjust a Face Scan alignment window, click the Semi automatic tab.

Editing objects are displayed in the following view screens:

 Left side: A monochrome representation of the patient face based on the patient image
volume.

 Right side: The Face Scan object.

4 To determine the threshold of the skin, adjust the density by moving the threshold slider.
Then add a minimum of 3 common points on the face.

5 Then click an identical feature in each view screen to indicate that they should be matched.

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 The points that you click are marked with identically colored spheres. For example, first click
the tip of the nose in the Face Scan view screen, and then click the tip of the nose in the
view screen based on the patient image volume:

6 Continue marking identical points.

You must mark a minimum of three and a maximum of eight points.

Note: Misplaced marks can be left-clicked and moved to the proper

7 Click Align.

CS 3D Imaging launches the semi-automatic adjustment of the Face Scan:

When re-alignment is complete, the face and patient image volume are displayed in the 3D
View Screen.

Modifying Opacity Settings in the 3D View Screen

Tip: On the Manual tab in the Adjust a Face Scan alignment window, the opacity of the
patient face and the patient image volume in the 3D View Screen are set to 50% by default.
You can modify these settings to better highlight the relative position of the patient face
and patient image volume.

To modify the opacity of a patient image volume to which a Face Scan has been matched, in the
left-hand pane of the Adjust a Face Scan alignment window, click and drag the upper of the two
slide adjusters.

The opacity setting of the patient image volume is displayed dynamically in the 3D View Screen.

You can adjust the opacity of the patient face in the same way by dragging the lower of the two
slide adjusters.

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Manually Adjusting a Face Scan Alignment
To manually adjust the alignment of a Face Scan with a patient image volume, follow these
steps:

1 In any workspace tab apart from the Review tab, in the Tools pane in the tool box, click
and select Face Scan in the object drop-down list.

2 In the Face Scan object list, select the Face Scan object and click .

3 In the Adjust a Face Scan alignment window, click the Manual tab.

Editing objects are displayed in the following view screens:

 Axial Slice View Screen

 Coronal Slice View Screen

 Sagittal Slice View Screen

Note: You cannot adjust an automatic alignment directly in the 3D View

Screen.
The 3D View Screen is intended as a visual aid while carrying out
adjustments to the Face Scan alignment.

4 To move the Face Scan, in a view screen select the Face Scan's object outline, or one of the
left-and-right or up-and-down handles, and drag to move it to a new position.

These handles enable constrained movement (left-and-right or up-and-down), to ensure

greater precision when repositioning a Face Scan object.

5 To move an object without any directional constraint, click on the omnidirectional handle.

Note: Use of this adjustment feature requires particular care. To undo manual
adjustments see "Undoing Manual Face Scan Adjustments".

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6 To rotate an object, select the rotation handle and drag the axis to a new position.

You can drag the rotation handle outwards,

in order to increase the precision of the
adjustment.
As you rotate the Face Scan, the angle of
rotation is displayed in real-time.

7 To complete repositioning of the Face Scan, release the object.

8 When you have finished carrying out Matching Refinements:

 Click OK to validate modifications and close the Adjust a Face Scan alignment window.

 Click Cancel to cancel modifications carried out and not saved in the Adjust a Face Scan
alignment window.

Undoing Manual Face Scan Adjustments

You can undo manual adjustments made to an automatic face alignment on the Manual tab of
the Adjust a Face Scan alignment window.

To undo a Face Scan alignment adjustment, in the configuration side-panel

on the Manual tab of the Adjust a Face Scan alignment window, click . The last adjustment
carried out in the Adjust a Face Scan alignment window is undone.

You can undo prior modifications by clicking again on .

Each prior modification is undone with each click.

Note: The Undo feature is persistent; if you leave the Adjust a Face Scan
alignment window and return, you can still undo modifications that have been
validated and saved during a prior session.

Redoing Manual Face Scan Adjustments

You can redo manual adjustments made to an automatic face alignment on the Manual tab of
the Adjust a Face Scan alignment window.

To redo a Face Scan alignment adjustment, in the configuration side-panel

on the Manual tab of the Adjust a Face Scan alignment window, click . The last adjustment
undone in the Adjust a Face Scan alignment window is redone.

You can redo each prior undone adjustment by clicking again on the required number of
times. Each undone adjustment is redone with each click.

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Resetting a Semi-Automatic Face Scan Alignment
You can reset an automatic face alignment to which manual adjustments have been applied in
the Adjust a Face Scan alignment window. This removes all manual adjustments applied and
returns the automatic face alignment to its original position.

In the configuration panel on the Manual tab of the Adjust a Face Scan

alignment window, click .

All manual adjustments applied in the Adjust a Face Scan alignment window are removed, and
the automatic face alignment returns to its original position.

Exporting a Face Scan Alignment

You can export the alignment of a Face Scan with a patient image volume to a third-party guided
surgery software application. See the PDIP Instruction Manual for more information.

Managing Face Scans Using the Object List

Face Scans that are aligned with patient image volumes are displayed in the object list in the
Tools pane on every workspace tab other than the Review tab.

You can manage and configure preferences for existing Face Scans.

Showing and Hiding Face Scans

To show/hide a Face Scan, follow these steps:

1 In any workspace tab other than the Review tab, in the object list in the Tools pane, click
to open the drop-down list and select Face Scan.
The object list displays the information bar of the Face Scan aligned with the patient image
volume:

2 In the list of Face Scans, click on the desired icon as follows.

 Click to hide a Face Scan.

 Click to show a hidden Face Scan. The selected Face Scan is hidden or displayed in
the volume.

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Configuring Color Preferences for a Face Scan (2D Display)
The color of Face Scan object outlines is displayed by default in pink in the 2D MPR view
screens. This color can be customized to suit your requirements.

To change the color of 2D Face Scan object outlines, follow these steps:

1 On any workspace tab apart from the Review tab, in the objects list in the Tools pane, click
to open the drop-down list and select Face Scan.
The Face Scan configuration panel containing the information bar of each Face Scan object
is displayed.

2 Click on the square icon in a Face Scan information bar as shown.

This will open the Color selector dialog box.

3 Select the color of your choice and click OK.

Tip: General color preferences for CS 3D Imaging can be customized in

the “Color Preferences”.

Deleting a Face Scan

To delete a Face Scan that has been aligned with a patient image volume, follow these steps:

1 On any workspace tab apart from the Review tab, in the object list in the Tools pane, click
to open the drop-down list and select Face Scan.
The object list displays a list of existing Face Scans.

2 In the Face Scan list, click in the information bar of the Face Scan you wish to delete.

The Face Scan is deleted and disappears from all workspace tab view screens.

Note: Deleting a Face Scan will only delete it from the patient image volume and
corresponding workspace tab view screens. The Face Scan itself is not erased.

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7 Aligning a Model with a Volume

The CS 3D Imaging software's Automatic Model Alignment module integrates easily into your
Prosthetic-Driven Implant Planning (PDIP) workflow, to enhance the planning of virtual crowns
and implants.

CS 3D Imaging Automatic Model Alignment provides:

 Automatic alignment of a model with a patient image volume

 Easy-to-use tools to manually adjust the automatic model alignment

Before You Start

Before aligning a model with a patient image volume, follow these steps:

1 Take a 3D x-ray scan of the Field of View using a Carestream Dental systems CBCT unit (CS
8200 3D & CS 9600 Families). For recommended Fields of View, see "Using the
Prosthetic-Driven Implant Planning Workflow".
2 Take a 3D digital impression of the patient's dental arch using a Carestream Dental CBCT
unit (CS 8200 3D & CS 9600 Families) or CS Intraoral scanner, or use a previously imported
3D digital impression from CS Imaging 8 software.

3 Open the patient image volume in CS 3D Imaging, and in the Curve tab draw a trace along
the dental arch.

Using the Prosthetic-Driven Implant Planning Workflow

Before matching a Model to a patient image volume, make sure you have carried out the
following:

1 Take a 3D x-ray scan of the region of interest using a Carestream Dental CBCT unit (CS
8200 3D & CS 9600 Families). The following Carestream Dental CBCT units and Fields of
View (FoV) are specifically adapted for this use:

Carestream Dental CBCT unit CS 9600 CS 8200 3D

jaw 8x8, 12x10, 10x10 16*10 jaw 8x9 (or 8x8), 12x10,
Field of View (Jaw) - mandibula and maxilla 8x5, 10x10 - mandibula and
12x5, 10x5 maxilla 8x5, 12x5, 10x5
Field of View (Head) 16*12, 16*17, 16*10, 12*10 NA
Acquisition mode LD STD HR LD STD HR

Important: During the scanning process, make sure that the patient is not in
occlusion. Follow the guidelines for using your CBCT device.
To facilitate data registration, ask the patient to use the appropriate 3D bite
block during the X-ray acquisition process.

Carry out a classic evaluation of the region of interest and take necessary measurements.

2 To take a 3D digital impression of the patient's dental arch, do one of the following:

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  Generate the 3D model from a conventional impression (silicon or alginate) obtained
using a Carestream Dental CBCT Unit's 3D object acquisition module.

 Take an intraoral digital impression using the CS 3700 or CS 3800 IO scanner.

Important: HD color rendering is available only with 3D models acquired

using intraoral scanning.

Note: The following acquisition modes can be used to perform a digital

impression adapted to the PDIP workflow:
 Orthodontic
 Restoration
 Implant

3 Open the patient image volume in CS 3D Imaging.

4 In the Curve tab draw a trace along the dental arch. See “Drawing a Trace along a Dental
Arch”.

Aligning a Model with a Patient Image Volume

Note: It is recommended you draw a trace

along the dental arch before aligning a
model with a patient image volume.
To do so, open a patient image volume in
the Curve tab and draw a trace along the
dental arch.
The Reconstructed Panoramic View Screen
and the Oblique Coronal Slice View Screen
become visible when you start to draw a
trace along the dental arch.

To align a model with a patient image volume, follow these steps:

1 In the Curve tab, in the Tools pane in the tool box, click to select a model to align with
your patient image volume.
The Patient Models window opens and available models are displayed in the Patient Models
window's side pane, sorted by date.
You can hover the mouse over a model to display the following information:

 Acquisition type (Orthodontic, Restoration, Implant)

 Equipment (CS 3500, CS 3600, CS 9300/9300 Select, CS 3700, CS 3800, CS 8100 3D,
CS 9600, CS 8200 3D, including Intraoral scanner competitors...)

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  Scan area information if available.

2 Select your model alignment preference to the volume, either Open mouth (if the volume of
the patient has been captured with an open mouth) or Occlusion (if you want to merge the
model to a patient volume performed in occlusion).

3 Select the model to be aligned to the patient image volume by Maxilla or Mandible.

4 To align both Mandible and Maxilla models in Occlusion on a Patient Volume performed in
an Open mouth, choose the option in the bottom left-hand corner:

5 Click Align to launch the automated model alignment process.

CS 3D Imaging launches the automatic alignment of the model with the patient image
volume.

When the model is aligned with the patient image volume:

 The aligned model and patient image volume are displayed in the 3D View Screen.

 The outline of where the Model's soft tissue meets the slice planes is displayed as a line
(the default color is green) in the following view screens:

 Axial Slice View Screen

 Reconstructed Panoramic View Screen

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  Oblique Coronal Slice View Screen (Cross-section)

 The model appears in the Model object list.

6 Check that the alignment has been performed correctly by comparing the patient's teeth
with the model. See “Adjusting a Model Alignment”.

Aligning a Model Manually

You can adjust the model alignment with landmarks to a patient image volume, in order to refine
the result based on a careful analysis of anatomical details.

The virtual tools proposed by CS 3D Imaging are intended to enhance and simplify implant
supported restoration. No algorithm, however fine, can replace the dental practitioner's
experience and skill.

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Accessing the Semi-Automatic Alignment Adjustment Window

To manually adjust the alignment of a model with a patient image volume, follow these steps:

1 In the Curve tab Tools pane in the tool box, click and select Model in the object
drop-down list.

2 In the object list, for the selected model, click to edit the semi automatic or manual
alignment of the model.

The Adjust a Model Alignment window opens automatically.

3 Adjust the segmentation slider to modify the model threshold, and know that any landmarks
placed previously to moving the slider will be cancelled.

4 To align correctly a model, place a minimum of 3 landmarks (max. of 8) required for

re-alignment and click, Align.

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Aligning a Patient Waxup
To align a waxup design with a patient image volume, follow these steps:

1 In the Curve tab, in the Tools pane in the tool box, click to select a waxup design to
align with your patient image volume.
The Waxup window opens and available waxup designs are displayed in the window's side
pane, sorted by date.

2 In the list of waxup designs displayed in the Waxup side pane, select the design to be
aligned to the patient image volume and click Align.

3 Choose the waxup design to associate to by clicking on one of the specified colored regions
designated by the circular zone shown below. In order to distinguish the design properly,
select different colors for each design.

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4 After clicking in the green zone, corrections may need to be made, so click on the in the
toolbar.

After proper adjustments have been made, click Ok.

Visualizing Adjustments in 3D View Screen Mode

When you open the Adjust a Model Alignment window:

 The aligned model and patient image volume are displayed in the 3D View Screen

 The outline of where the model's soft tissue meets the slice planes is displayed as a
line (the default color is green) in the following view screens:

 Axial Slice View Screen

 Reconstructed Panoramic View Screen

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  Oblique Coronal Slice View Screen (Cross-section)

Note: You cannot adjust an automatic alignment directly in the 3D View

Screen.
The 3D View Screen enables you to visualize adjustments you make to
the automatic alignment.

Tip: If you move the model it may disappear from view in other View Screens. If

this happens click in the side pane to reset the model to its initial position.

Modifying Opacity Settings in the 3D View Screen Mode

Tip: In the Adjust a Model Alignment window, the opacity of the 3D View Screen is set to
50% by default. You can modify this setting to better highlight the relative position of the
model and patient image volume.

To modify the opacity of a patient image volume to which a Model has been matched, in the
left-hand pane of the Adjust a Model Alignment window, click and drag the slide adjuster.

The opacity setting of the patient image volume is displayed dynamically in the 3D View Screen.

Adjusting a Model Alignment

To manually adjust the automatic alignment of a model with a patient image volume, follow
these steps:

1 In the Curve tab Tools pane in the tool box, click and select Model in the object
drop-down list.

2 In the Model object list, select a model and click .

The Adjust a Model Alignment window opens with the Select mode activated automatically,
and editing objects are displayed in the following view screens:

 Axial Slice View Screen

 Reconstructed Panoramic View Screen

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  Oblique Coronal Slice View Screen (Cross-section)

Note: You cannot adjust an automatic alignment directly in the 3D View

Screen.
The 3D View Screen is intended as a visual aid while carrying out
adjustments to the model alignment.

3 To move an object, in a view screen select the model's object outline, or one of the
left-and-right or up-and-down handles, and drag to move it to a new position.

These handles enable constrained movement (left-and-right or up-and-down), to ensure

greater precision when repositioning a model.

4 To move an object without any directional constraint, click on the omnidirectional handle.

Note: Use of this adjustment feature requires particular care. To undo manual
adjustments see "Undoing Model Adjustments".

5 To rotate an object, select the rotation handle and drag the axis to a new position.

Tip: You can drag the rotation handle

outwards, in order to increase the precision
of the adjustment.
As you rotate the model, the angle of
rotation is displayed in real-time.

6 To complete repositioning of the model, release the object.

7 When you have finished carrying out Matching Refinements:

 Click OK to validate modifications and close the Adjust a Model Alignment window.

 Click Cancel to cancel modifications carried out and not saved in the Adjust a Model
Alignment window.

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Undoing Model Adjustments
You can undo adjustments made to an automatic model alignment in the Adjust a Model
Alignment window.

To undo a model alignment adjustment, in the configuration side-panel of the

Adjust a Model Alignment window, click . The last adjustment carried out in the Adjust a
Model Alignment window is undone.

You can undo prior modifications by clicking again on .

Each prior modification is undone with each click.

Note: The Undo feature is persistent; if you leave the Adjust a Model Alignment
window and return, you can still undo modifications that have been validated and
saved during a prior session.

Redoing Model Adjustments

You can redo adjustments made to an automatic model alignment in the Adjust a Model
Alignment window.

To redo a model alignment adjustment, in the configuration side-panel of the

Adjust a Model Alignment window, click . The last adjustment undone in the Adjust a Model
Alignment window is redone.

You can redo each prior undone adjustment by clicking again on the required number of
times. Each undone adjustment is redone with each click.

Resetting an Automatic Model Alignment

You can reset an automatic model alignment to which manual adjustments have been applied in
the Adjust a Model Alignment window. This removes all manual adjustments applied and returns
the automatic model alignment to its original position.

In the configuration panel of the Adjust a Model Alignment window, click

All manual adjustments applied in the Adjust a Model Alignment window are removed, and the
automatic model alignment returns to its original position.

Exporting a Model Alignment

You can export the alignment of a model with a patient image volume to a third-party guided
surgery software application. See the PDIP Instruction Manual for more information.

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Managing Models Using Model Object List
Models that are aligned with patient image volumes are displayed in the object list in the Curve
tool box.

You can manage and configure preferences for existing models.

Showing and Hiding Models

To show/hide a Model, follow these steps:

1 In the object list in the Curve tab Tools pane, click to open the drop-down list and select
Model.
The object list displays the information bar of the models aligned with the patient image
volume (maxilla and/or mandibula).

2 In the list of Models, click on the desired icon as follows.

Click to hide a model.

Click to show a hidden model. The selected model is hidden or displayed in the volume.

To hide/display all models in the volume, follow these steps:

1 In the object list, click the drop-down list and select Model.
The object list displays a list of all models in the volume.

2 In the Model section of the object list, click the show/hide toggle icon at the top of the
panel.

All models are hidden or displayed in the Curve tab view screens for the volume.

Configuring Color Preferences for a Model (2D Display)

The color of model object outlines is displayed by default in green in the 2D MPR view screens.
This color can be customized to suit your requirements.

To change the color of 2D model object outlines, follow these steps:

1 In the list of the Curve tab Tools pane, click to open the drop-down list and select Model.
The Model configuration panel containing the information bar of each model is displayed.

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2 Click on the square icon in a model information bar as shown.

This will open the Color selector dialog box.

3 Select the color of your choice and click OK.

 Axial Slice View Screen

 Reconstructed Panoramic View Screen

 Oblique Coronal Slice View Screen (Cross-section)

Tip: General color preferences for CS 3D Imaging can be customized in

the “Color Preferences”.

Note: Modifying 2D color preferences for models acquired using a CBCT scan will
modify the color of the model in the 3D View Screen.

Deleting a Model
To delete a model that has been aligned with a patient image volume, follow these steps:

1 In the object list of the Curve tab Tools pane, click to open the drop-down list and select
Model.
The object list displays a list of existing models.

2 In the Model list, click in the information bar of the model you wish to delete.

The model is deleted and disappears from the Curve tab view screens.

Note: Deleting a model will only delete it from the patient image volume and
corresponding Curve tab view screens. The model itself is not erased.

Deleting All Models for a patient image volume

To delete all models listed for a patient image volume, click at the top of the Model list.

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All Models aligned with the patient image volume are deleted (maxilla and mandibula) and
disappear from the Curve Tab view screens.

Important: Make sure you want to proceed before you click . There is no
confirmation message and no undo feature.

Integrated in your Prosthetic-Driven Implant Planning workflow,

the soft tissue data of the digital model can be used to enhance
your implant supported restoration.

For more information see "Prosthetic-Driven Implant Planning

Workflow".

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8 Working with Crowns

Using the Prosthetic-Driven Implant Planning Workflow

CS 3D Imaging supports Prosthetic-Driven Implant Planning (PDIP).

By combining visible soft tissue data of a digitized model with the patient x-ray volume, via the
automatic Model Alignment Module, and by taking into account the final positioning of the
crown (Prosthetic-Driven) at the beginning of the Implant planning process, CS 3D Imaging
greatly improves the positioning of implants and simplifies implant supported restoration.

Prosthetic-Driven Implant Planning Workflow

Align a Digital Model to a patient x-ray volume (Recommended)

See “Aligning a Model with a Patient Image Volume”.

Place a crown
See “Placing a Crown”.

Place an Implant
See:
"Working with Implants".
"Placing an Implant".
Generate an Implant Planning Report
See “Generating an Implant Planning Report within Export”.
or
Export datasets to 3rd party software as part of your guided surgery workflow

Using a Prosthetic-Driven Implant Planning Workflow

The Prosthetic-Driven Implant Planning workflow involves the following steps:

1 Take a 3D x-ray scan of the Field of View using a Carestream Dental CBCT unit (CS 8200 3D
& CS 9600 Families).
The following Carestream Dental CBCT units and Fields of View (FoV) are specifically
adapted for this use.

Carestream Dental CBCT

CS 9600 CS 8200 3D
unit
jaw 8x8, 12x10, 10x10 16*10 - jaw 8x9 (or 8x8), 12x10, 10x10
Field of View (Jaw) mandibula and maxilla 8x5, - mandibula and maxilla 8x5,
12x5, 10x5 12x5, 10x5
Field of View (Head) 16*12, 16*17, 16*10, 12*10 NA
Acquisition mode LD STD HR LD STD HR

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 Important: During the scanning process, make sure that the patient is not in
occlusion. Follow the guidelines for using your CBCT device. To facilitate
data registration, ask the patient to use the appropriate 3D bite block during
the X-ray acquisition process.

Carry out a classic evaluation of the region of interest and take necessary measurements.

2 We recommend that you generate a digital impression of the patient's dental arch to create
the 3D model in one of the following ways:

 From a conventional impression (silicon or alginate) obtained using a Carestream

Dental Systems CBCT Unit's 3D Object acquisition module. CBCT Impression Scanning

 By taking an intraoral digital impression using the CS 3700 or CS 3800 IO scanner.

Note: Color rendering of 3D Digital impressions in CS 3D Imaging is only available using

IOS acquisition (Intra-Oral Scanner).

3 Open the patient image volume in CS 3D Imaging, and in the Curve tab draw a trace along
the dental arch. See “Drawing a Trace along a Dental Arch”.

4 Align a model with the patient image volume. See “Aligning a Model with a Volume”.

Using the Crown Library

CS 3D Imaging allows Prosthetic-Driven Implant Planning (PDIP). This is carried out via the
Curve tab.

Before You Start

Before using the CS 3D Imaging Crown Library, follow these steps:

1 Take a 3D x-ray scan of the region of interest using a Carestream Dental CBCT unit (CS
8200 3D & CS 9600 Families).
2 Take a digital impression (referred to as a model) of the patient's dental arch.

3 Open the patient image volume in CS 3D Imaging, and in the Curve tab draw a trace along
the dental arch. See “Using the Curve Tab”.

4 Align the Model to the patient image volume. See “Aligning a Model with a Volume”.

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Placing a Crown
To place a crown in a patient image volume, follow these steps:

1 Draw a trace along the dental arch. See “Drawing a Trace along a Dental Arch”.
2 Align a model with the patient image volume (recommended). See “Aligning a Model with a
Volume”.

3 In the Curve tab, draw a trace along the dental arch of the patient image volume, and align a
model with the volume (optional).

Note: The Crown icon is only available on the Curve tab, and is deactivated
(grayed out) until a trace has been drawn along the jaw arch.

4 Based on your analysis of anatomical details, carefully select the initial crown position,
taking into account:

 The soft tissue data of the digital model

 The position and height of adjacent crowns

To select the initial crown position, use the slice plane handles and to adjust the
position of the axial slice plane in the Reconstructed Panoramic View Screen and Oblique
Coronal Slice View Screen.

Tip: To optimize crown placement, it is recommended you set the vertical handle of the
axial plane at a right angle in the Reconstructed Panoramic View Screen, and set the
horizontal handle with reference to the occlusal plane and the position of the adjacent

Reconstructed Panoramic (Trace) View Oblique Coronal

Axial Slice View Screen Screen Slice View Screen

5 After careful analysis of anatomical details, and when you are satisfied that you have

chosen the optimal position for your crown placement, in the Curve tab tool box, click
to select a crown from the crown library.

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 The Crown Selector window (A) is displayed.

A B C

6 In the Crown Selector window, choose the appropriate crown number by clicking on the
corresponding image (B).

 The crown is placed automatically in the position predefined by you in the patient image
volume (C).

 The crown appears in the Crown list of the object list.

Note: CS 3D Imaging can support up to 8 crown placements in the same volume.

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Repositioning a Crown
The position of an imported crown can be adjusted manually in the Curve tab, using the object
editing tools displayed in the following view screens:

 Axial Slice View Screen

 Reconstructed Panoramic View Screen

 Oblique Coronal Slice View Screen (Cross-section)

Axial Slice View Reconstructed Panoramic (Trace) View Oblique-Coronal

Screen Screen Slice View Screen

To reposition a crown in a patient image volume, follow these steps:

1 In the Tools pane in the tool box, click .

2 To move a crown in the 2D or 3D view screen of your choice, click on the object using
and drag to move it to a new position.

A - 2D B - 2D 3D

3 To rotate a crown in 2D view:

 select a rotation point by hovering the mouse outside one of the corners (A) and;

 click, drag and release to move the object to a new position (B).

In 3D view:

 select the proper circle to rotate the crown either in a buccal / lingual or mesio / distal
direction, then;

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  drag & release to rotate the object to the expected position.

A - 2D B - 2D 3D

4 To resize a crown in 2D view:

 click to select one of the corner handles (A) and;

 drag the object (B) outward (+) or inward (-).

 Release when the crown is in the desired size.

In 3D view:

 click and select one of the 4 corner handles and;

 drag the object outward or inward, then release.

A - 2D B - 2D 3D

5 To stretch or squeeze a crown in order to adapt its shape to anatomical conditions, click one
of the grab points located at the center of the sides (A), and drag the object inward or
outward. Release when the crown is the desired shape; this option is not available in 3D.

A B

When you place a crown in a patient image volume, it automatically appears in the object list of
the Curve tab tool box. See “Using the Curve Tab”.

Integrated in your Prosthetic-Driven Implant Planning workflow, the placed crown can be used
to guide implant supported restoration. See “Prosthetic-Driven Implant Planning Workflow”.

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Managing Crown Objects
When you import a crown, it is added to the object list in the extended Tools pane in the Curve
tab tool box.

This panel enables you to manage the full range of objects added using features in the Tools
pane.

Displaying Crown Information

To display information about a crown, follow these steps:

1 In the object list in the Tools pane, click the drop-down list
and select Crowns.
The object list displays a list of crowns that have already been
placed in the volume.

2 Click to automatically center all view screens on a selected

crown.

The Oblique-Coronal Slice View Screen, Axial Slice View Screen and
Reconstructed Panoramic View Screen are all repositioned so that
they center on the selected crown.

Showing and Hiding Crowns

To show/hide an individual crown, follow these steps:

1 In the object list in the Tools pane, click the drop-down list and select Crowns.
The object list displays a list of all crowns in the volume.

2 Click an individual crown icon as follows:

 Click to hide a visible crown.

 Click to show a hidden crown.

The selected crown is hidden or re-displayed in the volume.

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To hide/display all crowns in the volume, follow these steps:

1 In the object list in the Tools pane, click the drop-down list
and select Crowns.
The object list displays a list of all crowns in the volume.

2 Click the show/hide icon at the top of the panel.

 Click to hide all visible crowns.

 Click to show all hidden crowns.

The crowns are hidden or re-displayed in the volume.

Replacing a Crown
1 To replace an existing crown, follow these steps:In the object list in the Tools pane, click the
drop-down list and select Crown.
The object list shows the existing crowns

2 In the Crowns section of the object list, click the pencil icon for the crown you want to
replace.

The Crown Selector window appears, and the crown you wish to replace is highlighted.

3 Select the new crown you want to use to replace the selected crown.

Important: A replacement crown can only be selected from the same quadrant as
the original crown.

4 Click OK.

The crown is replaced in the Curve tab view screens. It is likely you will have to reposition
the newly replaced crown.

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Editing Crown Color Preferences
To change the color of an individual crown, follow these steps:

1 In the object list in the Tools pane, click the drop-down

list and select Crown.
The object list displays a list existing crowns.

2 Select a crown and click (existing crown color).

The Color selection window appears.

3 Select a Color and click OK.

The placed crown is displayed in the color option

selected.

Deleting Crowns
To delete crowns, follow these steps:

Note: Make sure you want to proceed before you click . There is no
confirmation message and no undo feature.

1 In the object list in the Tools pane, click the drop-down list and select Crown.
The object list displays a list of existing crowns in the volume.

2 Do one of the following:

 Click alongside the individual crown you want to delete.

 Click at the top of the Crown section to remove all crowns.

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9 Working with Implants

Note: The implant functionality is not available in the ENT version of CS 3D

Using the Prosthetic-Driven Implant Planning Workflow

CS 3D Imaging enables placing implants as part of the Prosthetic-Driven Implant Planning
(PDIP) workflow.

By taking into account the final positioning of the crown (Prosthetic-Driven) at the beginning of
the implant procedure, CS 3D Imaging enables you to greatly improve the reliability and
precision of Implant planning. See “Using the Prosthetic-Driven Implant Planning Workflow”.

Important: Carestream Dental software may contain data or content portraying

dental implant products provided by third parties. The products portrayed by such
data or content may not have regulatory approvals in all countries.

Placing an Implant
Before You Start

 Before you place implants, we recommend that you do the following:

 Set the implant preferences in the “Implant Preferences”.

 Select your favorite implant systems in the implant library. See “Using the Implant
Library”.

 In the Curve tab, draw a trace along a dental arch (See “Drawing a Trace along a Dental
Arch”.), create a reconstructed panoramic image (See “Creating a Reconstructed
Panoramic Image”.) and position the cross-section plane of the oblique-coronal slice

using the blue handles . See "Moving and Tilting Slice Planes in 2D MPR View
Screens".

 To make it easier to place your implant, we suggest you use the object list to hide all of
the other existing measurement objects on your images. See “Using the Objects Pane”.

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To place an implant, follow these steps:

1 On the Curve tab, in the Tools pane in the tool box, click .

Tip: An Implant creation tutorial window appears, indicating the process to

place an implant. To deactivate this tutorial, click Do not show this tutorial again.
This tutorial can be activated and deactivated in the “Implant Preferences”.

2 In the cross-section view, click to set the implant neck.

Note: If you are placing an implant based on a

crown, the first point must be within the
transparent blue circle.

3 Click again to set the apex position.

A line displaying the measured length between the defined implant neck and apex appears.

If the implant has been placed according to a crown axis, the angle calculation between the
implant position and the restoration appears.

An implant selection window appears, with a recommended implant selected.

Tip: In the implant selection window, you can click the arrow to the side (A) to
select the favorite implant types that you want to appear in the implant
selection window.

4 In the window, select a different implant if necessary, and then click OK.

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The implant appears in the Implant object list.

Using the Implant Object List to Edit Implants and Display Information
To display information about an implant that has already been placed, follow these steps:

1 In the object list in the Tools pane, click the drop-down list (B) and select Implant.
The object list displays a list of existing implants.

2 Do any of the following:

In the object list:

 To hide all of the implant objects in the image, click (A) in
To show or hide implant the object list toolbar. To show all hidden objects, click .
objects in an image...  To hide one implant object in the image, click (D) in the
implant object toolbar. To show the hidden object in the
image, click .

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  To delete all implant objects in an image, click (C) in the
object list toolbar.
To delete implant objects in an  To delete one implant object in an image, click and then
image...
in the implant object toolbar.
Note: A confirmation message will appear to make sure you
want to proceed before you delete the implant object(s).
To lock an implant in a volume and avoid overlapping object
issues, click and then in the implant object toolbar.
To lock an implant Note: Locking in an implant avoids manipulation errors after the
implant is properly positioned. (This is available for implants and
wax-ups).
To have the information for an Click (E).
implant object displayed in the
image... To hide the implant information displayed in an image, click .
To change the color of the
Click the color box (F) in the implant object toolbar, and select a
implant object in the 2D MPR
different color for the object.
view screens...
In the object list, next to the implant name (and the number for
To view the information for an
implant... the tooth on which the implant is placed) (G), click the
arrow.

To have the view screens Click the (H).

positioned with the implant in
the center... The view screens are repositioned so that they center on the
selected implant.
To modify the length of the
implant... Use the plus and minus buttons (J).

To modify the diameter of the

shoulder platform of the Use the plus and minus buttons (K).
implant...

1. Click (L).
2. Enter the desired Abutment parameters.
The implant and customized abutment are displayed in 3D
when selected/created, and relevant implant reference
information is displayed.
3. Click OK.
To add an abutment to the
implant...

1. Click (M).
To replace the implant... An implant selection window appears.
2. Select a different implant and click OK.

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Implant Security Box
Security Zones and Warning
To activate the implant security box go to Implant Preferences.

In normal behavior, there is

a white box of 1.5mm on
each implant body side and
2mm at the implant Apex.

Check that the implant is

well seated in the bone.

When the box is too close to

anatomical obstacles, it
becomes red.

The same behavior occurs

when 2 Implants are too
close to each other.

Activate or deactivate the

warning box in Implant
Preferences.

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Repositioning an Implant
Moving Implants in 2D MPR View Screens

Oblique- Coronal Slice

Reconstructed Panoramic Image Axial Slice View Screen
View Screen

To rotate an implant, in either the Oblique-Coronal Slice View Screen or on the reconstructed
panoramic image, click and drag the end handles (A) or (C).

To move an implant, do one of the following:

 In the Oblique-Coronal Slice View Screen or on the reconstructed panoramic image,

click and drag the center handle (B).

 In the Axial Slice View Screen, click and drag the Implant handle (D).

Note: If you move an implant in the volume, it may disappear from view in
other View Screens. If this happens click in the Implant object list to
automatically center all views on an implant. See “Using the Implant Object
List to Edit Implants and Display Information”.

Moving Implants in 3D View Screens

You can move an implant along its axis by dragging the tip of the implant as shown below.

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Generating an Implant Planning Report
When you have carried out your implant placement, you can generate an Implant Planning
Report. See “Generating an Implant Planning Report within Export”.

Creating Your Own Implant

To create an implant, follow these steps:

1 In the Main Toolbar Icons, to display the Implant Library, click .

The Implant Library window appears, showing the list of available implants and their details.

2 In the Implant Library window, click Create your own implant.

The Implant Library window displays fields for configuring an implant.

Note: Fields displayed in red are mandatory.

3 Specify the manufacturer, brand, reference, length, apical diameter, and diameter.

You can select the body style, connection type, and default color of the implant. New implant
dimensions must comply with the following ranges.

Head Length 0.4 - 20.0 mm

Head Diameter 1.0 - 10.0 mm Values are displayed
in red if they are
Body Length 2.0 - 100.0 mm
outside of these
Body Apical diameter 1.0 - 10.0 mm ranges.

Body diameter 1.0 - 10.0 mm

Note: Once you have saved the new implant, the manufacturer and brand
fields cannot be edited.

4 In the Implant Library window, use the Head, Body and Color pickers to configure the shape
and color of the new implant.

5 In the Implant Library window, click OK.

The new implant is added to the Implant Library.

6 Click Close to close the window.

Using the Implant Library

In the Implant Library window, you can do the following:

 View information on the available implants.

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  Create an implant. See “Creating Your Own Implant”.

Tip: You can select “favorite” implants in the implant selection window. In that
window you click the arrow to the side (A) to show an additional pane, in which
you select the favorite implant types that you want to appear in the implant
selection window.

See “Placing an Implant”.

To access the Implant Library window, follow these steps:

1 In the Main Toolbar Icons, to display the Implant Library, click .

The Implant Library window appears, showing the list of available implants and their details.

2 If necessary, create implants. See “Creating Your Own Implant”.

3 Click OK.

Updating the Implant Library

CS 3D Imaging provides a library of virtual implants for use on the Curve tab.

You can add and remove manufacturers, and import and export custom implant libraries.

Note:
 The number of implant manufacturers increases frequently. Check periodically for
updated information.
 You can only export implants that you have created yourself (you cannot export
manufacturers implants).

When updates are available, the icon appears in the CS 3D Imaging Main Toolbar Icons.

To update the Implant Library, follow these steps:

1 Verify that the computer is connected to the Internet.

2 Click in the Main Toolbar Icons.

The Implant Library Update window appears.

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3 In the Implant Library Update window, click one of the following:

Option Further Steps

1. If you select this option, click Next.
A list of available implant libraries not currently installed on your
computer is displayed, with all manufacturers are selected by
default.
Add Implant 2. Deselect the manufacturers you do not want to download, and
Manufacturer click Next.
Click Hide if you want to perform the implant update in the
background while you carry on working.
3. When the update is complete, click Close to close the window or
Previous to return to the window option menu.

1. If you select this option, click Next.

A list of the installed implant libraries is displayed.
Remove Implant 2. Select the manufacturers you want to remove from the computer,
Manufacturer and click Next.
3. When the action is complete, click OK to close the window or
Previous to return to the window option menu.
Note: Only available when there are updates available.
1. If you select this option, click Next.
A list of implant libraries available to install.
Update Implant 2. Deselect the manufacturers you do not want to download, and click
Manufacturers Next.
Click Hide if you want to perform the implant update in the
background while you carry on working.
3. When the update is complete, click Close to close the window or
Previous to return to the window option menu.
Note: The implants that you want to import need to be in ZIP file.s
1. If you select this option, click Next.
2. Click Browse and select the folder that contains the ZIP files
Import Custom containing the implants that you want to import.
Library 3. Click Next.
The file import is executed.
4. When the action is complete, click OK to close the window or Previous
to return to the window option menu.
Note: You can only export implants that you have created; you cannot
export manufacturers’ implants. See "Creating Your Own Implant". The
exported library will be saved in ZIP file format.
1. If you select this option, click Next.
2. Click Browse and select the folder in which you want to export the ZIP
Export Custom file and enter a name for the ZIP file.
Library Tip: Make note of this folder name so that you can easily locate the ZIP
file in the future.
3. Click Next.
The file export is executed.
4. When the action is complete, click OK to close the window or Previous
to return to the window option menu.

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Using the Implant Database Update Window
In some circumstances, the Implant Database Update window may appear following a software
update.

This is because your implants library contains custom implants that need to be recalibrated.

To do this you must decide how the “catalog length” for these implants is calculated in one of
the following ways:

 catalog length = head length + body length

 catalog length = body length only.

To use the Implant Database Update window, follow these steps:

1 Do one of the following:

1. Select the affected implants in the list (either use

For any implants where individual check boxes or click the Select All button to
catalog length = head length + select them all).
body length... 2. Click the Head+Body button to assign the catalog length =
head length + body length calculation.

1. Select the affected implants in the list (either use

individual check boxes or click the Select All button to
For any implants where select them all.
catalog length = body length...
2. Click the Body button to assign the catalog length = body
length calculation.

2 Click OK to close the Implant Database Update window.

Once you have completed this process the Implant Database Update window will not be
displayed again.

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10 Using Export Functions

Depending on the tab you have selected, the CS 3D Imaging horizontal toolbar shows the
following tools under each tab that you can click to access their settings.

Tool Workspace Tab

MPR, Curve, Bilateral

See “Using Patient Analysis”.
Patient Analysis
MPR, Curve, Bilateral
Cross-Sections See “Generating a Cross-Section”.
Curve
See “Generating an Implant Planning Report within
Implant Planning Reports Export”.

Printing Available in all workspace tabs.

See “Printing with Film Composer”.

Volume export MPR, Curve, Bilateral

See “Exporting a Volume”.
Export Scanned Object

Export Volume & PDIP

See “Generating and Exporting Virtual Cephalometric

Virtual Ceph Images”.

MPR, Curve, Bilateral

Workspace Screenshots See “Creating a Workspace Screenshot”.

MPR, Curve, Bilateral

Screenshot Directory See “Opening the Screenshot Folder”.
MPR, Curve, Bilateral
See:
"Exporting to a Compact Disc".
CD Export "When all data has been copied to the disc, it is
automatically ejected from the computer. When you give
the disc to someone else, make sure that the recipient is
USB Export aware that they need to launch ViewData.exe.".
Note: These tools belong to an icon group. See “Using
the Toolbox”.

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Using Patient Analysis
When you open a volume for the first time in CS 3D Imaging, a default patient analysis is
created. When you exit the software or switch to a different patient analysis, your settings are
stored in the current analysis.

This allows you to retain views and settings for future use. For example, you can then compare
two different implant placements for the same patient, or for two clinicians can work on the
same patient record using their individual analyses.

When you exit the software or switch to a different analysis, the following settings are retained:

 Drawings, measurements or other objects on the Curve and MPR.

 2D and 3D view adjustments, including palettes

 View screen settings (for cut plane positions, integration, split views and others)

 Gallery images

Note: The following are not saved:

 Review tab views
 Cross Section Tool (Slicing) settings

You can maintain several analyses, but only one analysis can be open at a time.

Creating an Analysis
To create an analysis, follow these steps:

1 Above the Adjustments pane, click .

The Patient Analysis window appears. Any previously saved analyses are listed in date
order. The current analysis is listed without an icon next to it.

2 Click +New Analysis, and enter a name for the analysis. You can also add a comment.

3 Click OK.

The new analysis is displayed in the list with the date, time, and any comment you entered.

4 Select the new analysis in the list by clicking on it.

The selected analysis is highlighted in blue.

5 Click OK.

The Patient Analysis window closes and the volume reloads in its original state.

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 When you exit CS 3D Imaging, your changes are saved automatically to the new analysis.

Editing or Deleting an Analysis

To edit or delete an existing analysis, follow these steps:

1 Above the Adjustments pane, click .

The Patient Analysis window appears.

2 In the Patient Analysis window, do one of the following:

 Select the analysis you want to edit by clicking on . The selected analysis is
highlighted in blue. Edit the item as necessary and click OK, and then OK a second time
to close the Patient Analysis window.

 To delete an analysis, click next to the analysis you want to delete, and then click OK
to close the Patient Analysis window.

Generating a Cross-Section
A cross-section is a series of slices through a selected region of interest in the 3D volume which
you can view in the Review tab or print using Film Composer.

Each slice in the series is displayed on the Review tab with a slice number.

There are two methods for using this tool:

 To select a mode and spacing requirements and then adjust region of interest lines as
required, use "Method 1: Flexible Region Of Interest".

 To specify the slice count and then adjust the entire region of interest as required, use
"Method 2: Fixed Region Of Interest".

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Method 1: Flexible Region Of Interest
In this method, you select the mode and spacing requirements, while leaving the slice count
unlocked, so that you can manually adjust the boundaries of the region of interest.

To generate a cross-section, follow these steps:

1 In the Tools pane, click .

The Cross Section Tool appears, showing a configuration pane (A) and two region of
interest views (B and C).

2 In the Cross Section Tool pane, select a Slice type.

The type of slices available depends on the tab you are working on when you generate the
cross-section.

Tab Slice types available in the Slicing Tool

Panoramic, Arch/temporal bone cross-section, Implants (grayed out if
Curve
there are no implants in the volume)
Bilateral Lateral, Anteroposterior
MPR Oblique axial, Oblique coronal, Oblique sagittal

The two region of interest views change to reflect your Slice type selection.

3 To select the Slice count, do one of the following:

 Manually enter the slice number.

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  In one of the region of interest views, click and drag one of the region of interest
handles (A).

The region of interest boundaries (dotted lines) can move independently because the
Slice count in the configuration panel is not locked. By moving the region of interest
boundaries, the Slice count is recalculated automatically.

4 In the configuration panel, where appropriate, select a Slicing mode.

Slicing mode Spacing

Parallel
Measured in mm, this is the
Use this mode to generate parallel slices between your distance between each parallel
region of interest boundaries. This is the default setting for slice.
all workspace tabs except in the Curve tab.
Angular (Curve tab only) Measured in degrees (°), this is the
Use this mode to generate slices in a circle around the angle between slices.
point where the oblique-coronal slice (blue line) crosses A spacing of 30° will generate 12
the plane of the axial slice (yellow line). slices (360/30=12).

The region of interest views change to reflect your Slicing mode selection.

5 Select an Integration parameter: Thickness or Mode.

6 Click the name of the selected Print template to activate a drop-down list and select a
different template name. This template will be applied in Film Composer when you print
your slices.

7 Select a Mouse scroll wheel mode:

 Slide enables you to scroll through the visible slices using the scroll wheel of the
mouse.

 Zoom enables you to zoom in and out on the visible slices using the scroll wheel of
the mouse.

8 To add a description, enter text in the Description field. This text will appear as a part of the
DICOM tag “Series description”.

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9 To print the slices, click the Print button to launch Film Composer. The print template
selected above is used to layout pages containing the generated slices.

10 To display your slices on the Review tab, click the Review button.

The generated slice series is displayed on the Review tab with two locator images on the
right.

Thumbnails of the slice series and associated locator images are also added to the Gallery.

Method 2: Fixed Region Of Interest

You can use this method to specify and lock the slice count so that you can manually adjust the
entire region of interest.

To generate a cross-section, follow these steps:

1 In the Tools pane, click .

The Cross Section Tool appears, showing a configuration panel (A) and two region of
interest views (B and C).

2 In the Cross Section Tool pane, select a Slice type.

The type of slices available depends on the tab you are working on when you generate the
cross-section.

Tab Slice types available in the Slicing Tool

Panoramic, Arch/temporal bone cross-section, Implants (grayed out if
Curve
there are no implants in the volume)
Bilateral Lateral, Anteroposterior
MPR Oblique axial, Oblique coronal, Oblique sagittal

The two region of interest views change to reflect your Slice type selection.

3 To select the Slice count, do one of the following:

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  Manually enter the slice number.

 In one of the region of interest views, click and drag one of the region of interest
handles (A).

The region of interest boundaries (dotted lines) can move independently because the
Slice count in the configuration panel is not locked. By moving the region of interest
boundaries, the Slice count is recalculated automatically.

4 Click to lock slice spacing.

Slice count and Spacing are locked and grayed out. The lock icon changes to .
Click if you need to unlock slice spacing.

5 In the configuration panel, where appropriate, select a Slicing mode.

Slicing mode Spacing

Parallel
Measured in mm, this is the
Use this mode to generate parallel slices between your distance between each parallel
region of interest boundaries. This is the default setting for slice.
all workspace tabs except in the Curve tab.
Angular (Curve tab only) Measured in degrees (°), this is the
Use this mode to generate slices in a circle around the angle between slices.
point where the oblique-coronal slice (blue line) crosses A spacing of 30° will generate 12
the plane of the axial slice (yellow line). slices (360/30=12).

The region of interest views change to reflect your Slicing mode selection.

6 Select an Integration parameter: Thickness or Mode.

7 Click the name of the selected Print template to activate a drop-down list and select a
different template name. This template will be applied in Film Composer when you print
your slices.

8 Select a Mouse scroll wheel mode:

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  Slide enables you to scroll through the visible slices using the scroll wheel of the
mouse.

 Zoom enables you to zoom in and out on the visible slices using the scroll wheel of
the mouse.

9 To add a description, enter text in the Description field. This text will appear as a part of the
DICOM tag “Series description”.

10 To print the slices, click the Print button to launch Film Composer. The printer template
selected above is used to layout pages containing the generated slices.

11 To display your slices on the Review tab, click the Review button.

The generated slice series is displayed on the Review tab with two locator images on the
right.

Thumbnails of the slice series and associated locator images are also added to the Gallery.

Saving Slicing Presets

If you make any changes to the slicing settings in the Cross Section Tool, these changes are
retained during the current software session but not saved when you exit the software.

To save slicing presets for future use, follow these steps:

1 In the Tools pane, click .

The Cross Section Tool appears.

2 In the Cross Section Tool, set the preferred slicing presets.

3 Click the Save Presets button. The new presets are saved and available for future use.

Note: Once you have saved your presets, the Restore Presets button is enabled
to allow you to reload the saved presets.

Generating an Implant Planning Report within Export

The contents and format of a Implant Planning Report depend on the settings in the "Implant
Planning Report Preferences".

WARNING: Indications of use described here are meant only as a quick guide to
specific features.

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A Implant Planning Report can contain the following information.

The digest page contains the following:

 Administrative information including dental practice, referring physician,
and patient details.
 Treatment Planning information & images

Digest page

 The reconstructed panoramic image shows virtual implants and crowns

placed in the volume.
 Relevant implant information, like the label, implant site, manufacturer,
brand, reference, catalog length, and diameter.
The Implant information includes the following:
 Implant details including the label, implant site, manufacturer, brand,
reference, catalog length, and diameter.
 Curve views of the implant.

Implant information

You can activate and deactivate a 3D view page in the “Implant Planning
Report Preferences”.

3D view page

To generate an Implant Planning Report for printing or export, follow these steps:

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1 Open the Curve tab.

2 In the horizontal tool box, click .

The Implant Planning Report is opened in Film Composer.

Note: Film Composer is a separate software application that handles all print
requirements for CS Imaging products. For information see the Film Composer
online help.

Creating a Workspace Screenshot

To create a screenshot of the workspace in the tab, click in the horizontal toolbar. A
thumbnail of your screenshot is added to the Gallery.

Tip: CS 3D Imaging also provides the following methods for creating snapshot
images:
 To create a screenshot of a view screen, click in the view screen toolbar. See
“Creating a View Screen Screenshot”.
 To create a slice series, see "Using Split Views in 2D MPR Views".

When you create a tab screenshot, an image file is created of the entire workspace in the
screenshots folder.

Note: Screenshot and snapshot image files and the file location are created in the
format specified in the “Export Preferences”.

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Opening the Screenshot Folder
When you create a workspace screenshot, copies of these files are saved in the folder you
define in the “Export Preferences”.

To open the screenshot folder, click in the Export pane of the horizontal toolbar.

WARNING: This feature is provided to allow access to screenshot image files only.
Accessing any other files with this feature can seriously damage your system.

Printing with Film Composer

All printing is carried out using Film Composer, a separate software application that handles all
print requirements for all CS Imaging products. For information on using this software
application, see the Film Composer online help.

To open Film Composer in the horizontal toolbar (MPR, Curve and Bilateral tabs), click .

Any images or views currently in the Gallery and all 2D MPR and 3D views are made available in
the Film Composer gallery.

These images and views are arranged into compositions using pre-defined templates. You can
modify these compositions if required before printing them to a printer or PDF file. You can also
define which Film Composer templates should be applied to each mode tab.

Important: A print error can occur if certain slice planes do not intersect, because
several functions in CS 3D Imaging depend on the intersection of these slice
planes.
For example if the oblique-coronal slice is angled such that it no longer intersects
the axial slice, then an error message will appear when you export the image to
Film Composer.

A Oblique-coronal slice

B Axial slice

C Gap between the

oblique-coronal and axial slices

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Exporting a Volume
You can use the Volume export function in the Export toolbar (MPR, Curve and Bilateral tabs) to
export a 3D volume for use in third-party DICOM software.

WARNING: An exported 3D volume may be subsampled, which may lead to

diagnosis errors. Use subsampled data at your own risk.

Note:
 Only axial slices are exported. Other details such as implants and annotations are
not exported.
 If you use increased slice thickness or a smaller axial matrix size, the exported
volume will use up less storage space than the original volume.
 You can use the Volume export:
 If the third party software does not support JPEG lossless compressed
images.
 If you need to export your volume with a DICOMDIR.

To export a 3D volume, follow these steps:

1 In the toolbar (MPR, Curve and Bilateral tabs), click .

The Volume export appears.

2 Configure the export settings as required.

Click the Browse button and select the output directory (folder) in
which you want the 3D volume to be exported.
1: Select file and
directory
You can add a text description in the Description field if required.
The text is added to the DICOM tag “Series description”.

Select axial matrix size (pixels): Set the resolution of the axial
slices for the exported 3D volume.

Select slice thickness: Use the drop-down list to select one of the
following slice thickness options:

 Isotropic: If selected, the Volume export automatically

2: Select resolution calculates slice thickness when you adjust the axial matrix
(voxel size remains cubic or uniform).

 Anisotropic If selected, you can modify the slice thickness

settings to give a volume with non-cubic (nonuniform)
voxel dimensions.

Note: Changing slice resolution and/or thickness will decrease

image quality. Use these options at your own risk.

166
 Select file format: Select an axial slice format that matches the
third-party software's requirement:

 Click Anonymize to remove all Patient Health Information

(PHI) from the exported volume.

 Click Create DICOMDir to add a DICOMDir data file to the

3: Select output file exported volume.
format
Select compression: Select compressed or uncompressed DICOM
output.

Note: DICOM images are usually exchanged as compressed JPEG

images in order to conserve file space and bandwidth. However it
is not mandatory to do so. An uncompressed DICOM volume can
require up to 350 Mb of disk space.

3 Click the Export button.

The current 3D volume is exported to the folder you selected in section 1.

A window will open allowing you to choose the type of volume selections.

4 Choose the selection and Click OK.

To export a scanned object, follow these steps:

1 After having opened a scanned object appliance, format STL, in CS Imaging, proceed to the
Export toolbar.

Note: Appliance volume acquired with CS 8100, CS 8200 or CS 9600 only

2 In the horizontal toolbar (MPR, Curve and Bilateral tabs), click .

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 The scan object export dialog window appears.

3 Select the Output folder, file name.

The mesh contour can be adjusted with the dedicated slider.

4 Click the Export button when finished.

Exporting Volume and PDIP

Export PDIP project in STL files, and CBCT volume, along with an implant planning report, for
sending to select lab partners.

Prerequisites
Note: A PDIP license must be activated and an already-aligned intraoral model with a volume for
use.

1. In the Curve tab, select the Volume & PDIP Export icon in the horizontal toolbar.

In this window, the user will choose the output directory for the export.

2. Click on Export. The export file is a compressed zip version that includes PDIP project with
STL files, CBCT volume, and an implant planning report. It can also be shared with the lab.

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Exporting to a Compact Disc
You can copy a 3D volume to a blank compact disc.

Important: Data review is available with CS 3D Imaging Lite on a CD or USB Key

for users who do not have access to the complete version of CS 3D Imaging.

The export disc allows you to do the following:

 Copy 3D volume and data to a computer.

 Install CS 3D Imaging lite on the computer, if needed.

 Launch CS 3D Imaging.

To export the current 3D volume to a disc, follow these steps:

1 Insert a blank, writable disc in the computer disc drive.

2 In the horizontal toolbar (MPR, Curve and Bilateral tabs), click .

The disc burning wizard starts up automatically.

3 Enter a title for your disc (maximum 16 characters) or accept the default (the current date).

Note: This name will be displayed in the operating system's file-browser

when the disc is inserted into a computer disc drive.

4 Select a recording speed.

Consult your computer documentation for assistance with this step.

5 Click Next to continue.

The disc burning wizard starts copying data to the blank disc.

When all data has been copied to the disc, it is automatically ejected from the computer. When
you give the disc to someone else, make sure that the recipient is aware that they need to
launch ViewData.exe.

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Exporting to a USB Key
To export the current patient file to a USB key, follow these steps:

1 Insert into the computer USB port a USB key with sufficient free space to hold your file.
Note:

 You must insert the USB key before clicking .

 The quality of the USB key used will have a direct impact on how quickly your data
is saved.

2 In the horizontal toolbar (MPR, Curve and Bilateral tabs), click .

The Select a folder window appears.

3 In the Select a folder window, select or create a folder on the USB key.

4 Click OK.

A Please Wait message is displayed while your data is written to the USB key. The data
transfer may take several minutes.

When exporting Volumes only, select one of three choices: FDK, MAR or both, as shown
below:

Once the export has completed, the folder you selected will contain:

 Data: This folder contains the exported data from your 3D volume.

 ViewData.exe: When all data has been copied to the disc, it is automatically ejected from
the computer. When you give the disc to someone else, make sure that the recipient is
aware that they need to launch ViewData.exe.

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Generating and Exporting Virtual Cephalometric Images
In CS 3D Imaging, you can use the Virtual Ceph tool to generate images of integrated lateral,
facial and axial views. These images are exported to the patient’s record in CS Imaging, from
which you can export the images that a third-party cephalometric tracing software can open.

To use the Virtual Ceph tool to generate a virtual cephalometric image, follow these steps:

1 In the Tools pane, click .

The Virtual cephalometric images window appears.

2 Select any of the following view options.

This view shows the fully integrated

Lateral
skull.

This view shows the half integrated

Lateral Left
left side of the skull.

This view shows the half integrated

Lateral Right
right side of the skull.

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 This view shows the fully integrated
Frontal
skull.

This view shows the fully integrated

Submento-vertex
skull from below or above.

3 Enter a description.

4 Adjust 2D MPR sliders to set the brightness, contrast and enhancement in the virtual
cephalometric images.

5 Click Create.

Thumbnails of your screenshot are added to the Gallery and the image files are saved in the
screenshots folder.

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11 Setting CS 3D Imaging Preferences

The Preferences window allows you to customize CS 3D Imaging tools, functions and
performance, which are grouped together into functional categories.

“Application Preferences”

“3D View Preferences”

“Color Preferences”

“Measurement Units Preferences”

“Template Preferences”

“MPR Preferences”

“View Orientation Preferences”

“View Order in Split Views Preferences (Imaging Center Software Only)”

“Export Preferences”

“Implant Preferences”

“Annotations Preferences”

“Implant Planning Report Preferences”

“Virtual Cephalometric Preferences”

“Airway Preferences”

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Application Preferences

In the Application preferences, you can do the following:

 Choose whether MAR volume should be displayed by default or not.

 Switch between the Easy and Advanced modes (Dental and ENT only).

 Select the workspace tab you want to see every time you open the software.

 Activate/deactivate previews of images being loaded by CS 3D Imaging.

To set the Application preferences, follow these steps:

1 In the Main Toolbar Icons, click .

The Preferences window appears.

2 In the Preferences window, click .

The Application preferences appear.

3 Do any of the following.

To display fewer tools in the tool box, click Easy.

To display all available tools in the tool box, click Advanced.
To switch between the Easy
and Advanced modes... Note: This setting only applies to Dental and ENT versions of
the software because the Imaging Center version can only be
run in Advanced Mode.

To display available MAR data Next

to When available, display MAR volume by default, click
Yes. Click No, always display FDK to display FDK
by default...
reconstructions by default.

To select the default Click one of the following:

workspace tab that should  MPR
appear when you launch CS  Curve
3D Imaging...  Bilateral

To deactiveate this feature and have no preview volume,

deselect View preview version of a volume while the complete
To configure the preview of a volume is loading.
volume while the complete To activate this feature and have a preview volume, indicated by
volume is being loaded...
the label in the upper corner of the image, select
Show a preview version of the volume while it is loading.
To reset the preferences to the
installation defaults... Click .

4 Click Save.

174
3D View Preferences
Important: 3D rendering is not intended for diagnostic use.

In the 3D View preferences, you can optimize performance by configuring the following
settings:

 Activate and deactivate the 3D View Screen.

 Set 3D rendering prioritization.

 Allow shading.

 Select a rendering technique.

 Set the tissue limit adjustment mode.

To set the 3D View preferences, follow these steps:

1 In the Main Toolbar Icons, click .

The Preferences window appears.

2 In the Preferences window, click .

The 3D View preferences appear.

3 Do any of the following.

Click 3D View.
To activate or deactivate the
3D View Screen... Note: You must restart CS 3D Imaging for this setting to take
effect.
Select a Rendering prioritization:
To set the prioritization of the  Rendering Speed for high speed.
software's performance...  Speed/Quality balance for medium speed.
 Rendering Quality for low speed, but better images.

To activate or deactivate Click Shading.

shading in the 3D View Note: To get the best image results, make sure Shading is
Screen... selected when you take screenshots.

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 Select one of the following from the Desired rendering
To select a 3D rendering option technique drop-down list:
that matches your computer  Enhanced hardware-accelerated rendering
performance...  Standard hardware-accelerated rendering
 Software rendering

Select one of the following:

 To have the tissue limit automatically set, click Automatic.
 To be able to manually set the tissue limits in the 3D View
Screen, click Custom.
Note: When you select Custom it is applied to every new
volume loaded, regardless the machine’s settings for the
To set the tissue limit Program field of view.
adjustment mode... The following tissue limit adjustment bar appears under the
setting and in the 3D View Screen in the applicable
workspace tabs:

Note: For changes to this setting to take effect, you need to

close and restart CS 3D Imaging.
To reset the preferences to the
installation defaults... Click .

4 Click Save.

176
Color Preferences

In the Color preferences, you can modify the default colors for the View and Annotation
color elements used in CS 3D Imaging.

To customize the color settings, follow these steps:

1 In the Main Toolbar Icons, click .

The Preferences window appears.

2 In the Preferences window, click .

The Color preferences appear.

3 For either View colors or Annotation colors, select the color you want to change.

The Color window appears.

4 Choose a color and click OK.

5 To reset the preferences to the installation defaults, click .

6 Click Save.

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Measurement Units Preferences

In the Measurement Units preferences, you can select measurement units and font size.

To change the Measurement Units preferences, follow these steps:

1 In the Main Toolbar Icons, click .

The Preferences window appears.

2 In the Preferences window, click .

The measurement unit preferences appear.

3 Do any of the following.

Select millimeter or inch.

To set the measurement unit... Note: You can only use inches for measurement
units. They cannot be used for other objects, for
example, implant diameters or segmented airways.
To select the font size for the
measurement labels displayed on your Manually enter or use the arrow boxes to specify a
Measurement font size.
images...
Measurements and notes attached to... Slice or Volume.
To reset the preferences to the
installation defaults... Click .

4 Click Save.

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Template Preferences

In the Template preferences, you can do the following:

 Select print templates to use with Film Composer.

Note: You need Film Composer installed on your computer for this action.

 Select a view screen layout for the MPR tab. See “Using the Horizontal Toolbar in MPR”.

 Select the number of columns used to display slice series on the Review tab. See
“Using the Review Tab”.

To set the Template options, follow these steps:

1 In the Main Toolbar Icons, click .

The Preferences window appears.

2 In the Preferences window, click . The Template preferences appear.

3 Do any of the following.

In the Print templates section, select from the relevant list the
templates that will be used when you print images using Film
Composer (MPR, Curve, Bilateral, Review tabs and Maximized
To select the Print Templates view.
you want to use for each Note:
workspace tab and maximized
view screen...  You must restart CS 3D Imaging for this setting to take
effect.
 This section only appears if Film Composer is installed on
your computer.
In the Layout for orthogonal slicing section, click one of the
To select a default layout for Template for orthogonal slicing icons. The position of the blue
the MPR tab... square determines the position of the 3D View Screen on the
MPR tab.
To select the default number of In the Review default column count section, select a number
columns displayed on the
from the drop-down list.
Review tab...
Default application for
Choose from Report Editor or Film Composer.
printing...
To reset the preferences to the
installation defaults... Click .

WARNING: Film Composer templates fit images within placement frames as

either “Best Fit” or 1:1. Therefore the dimensions of a printed image can vary
depending on the template used.

4 Click Save.

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MPR Preferences

In the MPR preferences, you can do the following:

 Select Reformatting Tool options. See “Using the Reformatting Tool”.

 Select the default slice spacing for 2D MPR view screens.

 Set the thickness for views.

 Activate automatic arch creation.

 Select the automatic Region of interest setting.

Note: Updates to these preferences are only applied to 3D volumes acquired

after these changes are applied to the CS 3D Imaging software.

To set the MPR preferences, follow these steps:

1 In the Main Toolbar Icons, click .

The Preferences window appears.

2 In the Preferences window, click .

The MPR preferences are displayed.

180
3 Do any of the following.

To specify which image Select an acquisition device type.

acquisitions should activate The Reformatting Tool will be applied to images acquired from
the Reformatting Tool.... the selected device types the next time you open the images.
Select a slice spacing value from the drop-down list.
To set the default slice spacing
for split views in 2D slice Important: If Split Views are already displayed in the 2D MPR
views... view screens when you change this setting, you must restart the
software for the spacing changes to take affect.
To set the thickness for Select a thickness from the Thickness for panoramic view
panoramic views... drop-down list.
To set the thickness for other Select a thickness from the Thickness for other views
views that are not panoramic... drop-down list.
Enable synchronization for
MPR tab
slice values and mode in...
Enable synchronization for Bilateral tab
slice values and mode in...
Click Automatically create an arch.
To activate automatic arch
creation... To deactivate the automatic arch creation function, click the
activated option.
Use the Auto-ROI on volumes bigger than picker to specify the
To set the default volume size size of the volume that you want to automatically crop.
applied by the Basic Region of Note: This setting must be between 30 to 180 mm.
Interest (ROI) tool...
See “Using the Basic Region of Interest Tool”.
To reset the preferences to the
installation defaults... Click .

4 Click Save.

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View Orientation Preferences

In the View orientation preferences, you can control how 2D MPR slice views appear in CS
3D Imaging.

To control the orientation of the 2D slice views, follow these steps:

1 In the Main Toolbar Icons, click .

The Preferences window appears.

2 In the Preferences window, click .

Three sets of view orientation options are displayed.

3 Use the options on the left to configure the orientation of the Axial Slice View Screen.

View screen Setting Effect on view

When used with Dorsal view, the

dental arch faces upwards.

View from top

When used with Frontal view, the

dental arch faces downwards.

Axial Slice View Screen

When used with Dorsal view, the

dental arch faces downwards.

View from bottom

When used with Frontal view, the

dental arch faces upwards.

Dorsal view Patient image is facing away from you.

Coronal Slice View Screen
and reconstructed
panoramic images
Frontal view Patient image is facing towards you.

This is the view from the patient's left

Left to right
side.
Sagittal Slice View Screen
This is the view from the patient's
Right to left
right side.

182
4 To reset the preferences to the installation defaults, click .

5 Click Save.

View Order in Split Views Preferences (Imaging Center Software

Only)

In the View Order in Split View preferences, you can control the slide direction through the
volume.

If you have set your Mouse Wheel settings to “slide”, you can use the mouse wheel to scroll
through slices in 2D MPR view screens.

To set the View Order in Split View preferences, follow these steps:

1 In the Main Toolbar Icons, click .

The Preferences window appears.

2 In the Preferences window, click .

The Split view sort order preferences are displayed.

3 Use the following options to set the scrolling direction for each slice plane.

Applies to
Slice plane Slide order setting Result
View screen Tab
forward scroll moves the
top to bottom
slice plane downwards
Axial Axial slice
forward scroll moves the
bottom to top
slice plane upwards
forward scroll moves the
anterior to posterior
slice plane front to back Orthogonal
Coronal Coronal slice
forward scroll moves the Slicing, MPR
posterior to anterior
slice plane back to front
forward scroll moves the
right to left
slice plane right to left
Sagittal Sagittal slice
left to right forward scroll moves the
slice plane left to right
forward scroll moves the
external to internal
curve plane inwards Arch/temporal
Panoramic
forward scroll moves the bone
internal to external
curve plane outwards
Curve
forward scroll moves the
right to left
slice plane right to left Arch/temporal
Oblique
forward scroll moves the bone lateral
left to right
slice plane left to right

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 Applies to
Slice plane Slide order setting Result
View screen Tab
forward scroll moves the
posterior to anterior
slice plane back to front
Anteroposterior TMJ/Ear
forward scroll moves the
anterior to posterior
slice plane front to back
Bilateral
forward scroll moves the
internal to external
curve plane inwards TMJ/Ear
Lateral
forward scroll moves the cross-section
external to internal
curve plane outwards

4 To reset the preferences to the installation defaults, click .

5 Click Save.

Note: Slice order also determines the order in which slices are generated in
multi-slice views.

Export Preferences

In the Export preferences, you can do the following:

 Select the folder in which copies of screenshots and snapshots are saved.

 Select a screenshot file format.

 Activate the DICOM description prompt.

To set the Export preferences, follow these steps:

1 In the Main Toolbar Icons, click .

The Preferences window appears.

2 In the Preferences window, click .

The Export preferences are displayed.

184
3 Do any of the following.

Select the Save a copy in the specified folder option and click
Browse to navigate to the folder you want to use.
To select a screenshot folder... Note: This is the screenshot folder that you can open from the
horizontal toolbar below each tab. If you do not select this
option, screenshots are saved in the same folder as the original
volume. See “Opening the Screenshot Folder”.
To select a file format to use
for view screen and workspace Select the file format you want to use (TIFF, JPEG or PNG).
screenshots...
To activate the DICOM
description prompt each time
Select Prompt for description.
you create a DICOM
snapshot...
Select either FDK only; MAR only or both FDK and MAR
Volume(s) to Export
Select or unselect, the option to Ask volume type to export
Select to modify the DICOM tag “Modality” (for cross section
DICOM tag
generation) with DX value.
To reset the preferences to the
installation defaults... Click .

4 Click Save.

Implant Preferences

In the Implant preferences, you can do the following:

 Edit implant color preferences.

 Configure the restorative length setting.

 Select implant visibility settings.

 Activate and deactivate the implant tutorial for the implant placement tool in the Curve
workspace tab.

To set the Implant preferences, follow these steps:

1 In the Main Toolbar Icons, click .

The Preferences window appears.

2 In the Preferences window, click .

The Implant preferences are displayed.

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3 Do any of the following.

1. Click a color box (for Abutment or Restorative).

2. In the Color window, select a color and click OK.

To select implant colors...

To specify the length of the Click in the Length of Restorative Space field to set the length of
restorative space used for restorative space automatically applied when you place a virtual
implant placement... implant.

186
 To select implant visibility In the Visibility section, click to select which parts of your virtual
options... implants you want to display in the volume.
To activate the Implant tutorial
for the implant placement Activate Show Implant Tutorial. To deactivate the tutorial,
deactivate this option.
tool...
To reset the preferences to the
installation defaults... Click .

3 Click Apply.

Annotations Preferences

In the Annotations preferences, you can manage predefined captions for annotations on

the Review tab.

To set the Annotations preferences, follow these steps:

1 In the Main Toolbar Icons, click .

The Preferences window appears.

2 In the Preferences window, click .

Any existing annotations are listed in the Preferences window.

3 Do one of the following:

 Click to create a caption and enter a caption name and text.

 Select and edit an existing caption.

 Click to delete an existing caption.

4 Click Apply.

Note: Each caption is comprised of a caption name and caption text. When you
use these captions to create annotations, the drop-down list in the annotations
editor displays only the caption names.

Implant Planning Report Preferences

To configure Implant Planning Report preferences, follow these steps:

1 In the Main Toolbar Icons, click .

The Preferences window appears.

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2 In the Preferences window, click .

The Implant Planning Report preferences are displayed.

3 Configure the following settings.

Select an A4 or US Letter format and page orientation for

Template
reports.
Select the number of slices (1 - 10) to be included in a report
Slice count
per implant.
From the drop-down list, select the desired slice resolution for a
Slice thickness
report.
Slice spacing Select the default spacing for slice images.
From the drop-down list, select the output mode for images:
Mode AVG (Average Intensity Projection) or MIP (Maximum Intensity
Projection).

Prompt for description Select to have a prompt window automatically request a

description for a report.
Include 3D views Select to include 3D views in reports.

4 To reset the preferences to the installation defaults, click .

5 Click Apply.

188
Virtual Cephalometric Preferences

To configure the Virtual cephalometric preferences, follow these steps:

1 In the Main Toolbar Icons, click . The Preferences window appears.

2 In the Preferences window, click . The Virtual cephalometric preferences are displayed.

3 Select the image types that you want to use by default when creating a Virtual
cephalometric image.

This view shows the fully integrated

Lateral
skull.

Lateral Left This view shows the half integrated

left side of the skull.

This view shows the half integrated

Lateral Right
right side of the skull.

This view shows the fully integrated

Frontal
skull.

This view shows the fully integrated

Submento-vertex
skull from below or above.

4 To reset the preferences to the installation defaults, click .

5 Click Apply.

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Airway Preferences

To configure Airway preferences, follow these steps:

1 In the Main Toolbar Icons, click .

The Preferences window appears.

2 In the Preferences window, click .

The Airway preferences are displayed, showing the cross-sectional area entries.

By default there are four entries that represent cross-sectional areas of a segmented airway.

3 Do any of the following.

1. Delete the thresholds that you do not want to use (see “To
delete an entry” below.
2. Enter the cross-section area in square millimeters and
click the + button.
The color setting is added in the list.
You can drag the pointer to refine the placement of the setting
on the color scale.
To create and change the
cross-sectional area value...

The color setting changes in the entry list.

Note: You cannot assign the same area to more than one
entry.

To delete an entry... In the entry list, click for the entry you want to delete.
To reset the preferences to the
installation defaults... Click .

3 Click Apply.

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12 Managing Backups

Types of Backup Media

Depending on your system, there are many types of backup media available, including tapes,
CD-ROMs, and Internet-based services.

It is recommended that you work with your hardware vendor to determine the best media type
for your practice.

Storing Backup Media

Make sure you store your backups in a safe place. For all types of media, you should avoid
excessive heat or moisture. Avoid magnets of any type; they can erase data. Always follow the
manufacturer’s backup, storage, and replacement guidelines.

Note: We recommend that you keep one or more backups off site. This should be
your most recent backup and should be rotated on a daily basis.

Data Backups
Data backups are a vital part of any computer-based system.

This is a process of regularly copying important data and storing it in a safe place to help
minimize the disruption caused by an unexpected computer failure.

As CS 3D Imaging is a component of the CS Imaging Suite of software applications, CS 3D

Imaging data will be backed up as part of the CS Imaging backup process.

Contact your representative for technical assistance with this.

Testing Your Backup System

The installer of the backup system should test the system to confirm that it operates properly
and saves all the necessary data. Make sure you understand the methods for verifying your
backup system.

Consult your hardware technician to provide specific steps for your office.

Maintaining Backup Devices

Your backup device may need periodic maintenance.

The manufacturer of your backup equipment should provide you with the service requirements
for the system.

CS 3D Imaging User Guide (SMA22) - Ed10 191

To ensure the most reliable performance of your backup system, follow the recommended
service schedule.

Note: Always follow the manufacturer’s maintenance instructions.

Replacing Backup Media

Regular use of backup media eventually degrades the quality of the media. The more often
backups are used, the quicker they degrade.

The only way to know if media is no longer functional is to attempt to restore data from it. By
periodically replacing the media, you can avoid deterioration problems.

Follow the replacement schedule recommended by the media manufacturer.

To keep track of the replacement dates, mark them on the disk or tape label for easy reference.

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13 Contact Information

Manufacturer’s Address

Authorized Representatives
Authorized Representative in the European Union
EC REP

TROPHY
4, Rue F. Pelloutier, Croissy-Beaubourg
77435 Marne-la-Vallée Cedex 2, France

Responsible Person in the United Kingdom

CARESTREAM DENTAL LTD

Jessica Igies-Mikaelson
Wiltron House, Rutherford CI., Stevenage
SG1 2EF, United Kingdom

Authorized Representative in Brazil

CARESTREAM DENTAL BRASIL LTDA
Rua Romualdo Davoli, 65
1º Andar, Sala 01 - São José dos Campos
São Paulo - Brazil
CEP (Zip code): 12238-577

 CNPJ: 27.462.540/0001-43

 Responsável Técnico: Joyce Miliati - CRF-SP N°85.482

 ANVISA registration n°: 81522400001

CS 3D Imaging User Guide (SMA22) - Ed10 193

List of Importers for European Union according MDR 2017/745

CARESTREAM DENTAL FRANCE SAS

4, Rue F. Pelloutier, Croissy-Beaubourg
77435 Marne-la-Vallée Cedex 2, France

CARESTEAM DENTAL GERMANY GmbH

Hedelfinger Str. 60, 70327 Stuttgart, Germany

CARESTEAM DENTAL SPAIN

S.L.U. Paseo de la Castellana, 79 Madrid 28046, España

CARESTEAM DENTAL Italy S.r.l.

Via Mario Idiojmi 3/3, Assago 20090 (MI), Italia

List of Importers for Switzerland

CURADEN AG
Riedstrasse 12
CH-8953 Dietikon
Switzerland

Dema dent AG
Furtbachstrasse 16
CH-8107 Buchs
Switzerland

Jordi Röntgentechnik AG
Dammstrasse 70
CH-4142 Münchenstein
Switzerland

E. Schweizer AG
Bernerstrasse Nord 182
CH-8064 Zürich
Switzerland

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