CS 3D Imaging

Quick User Guide

Notice
This CS 3D Imaging Quick User Guide contains information on what you need to get started
with the CS 3D Imaging software as quickly as possible. For more details on any of the topics
covered in this guide, or for information on the full range of functionality available - see the online
help.
CS 3D Imaging is a digital imaging software application for analysing two-dimensional and
three-dimensional digital x-ray images of the dento-maxillo-facial and ENT areas, to be used at
the direction of healthcare professionals as diagnostic support.
No part of this Guide may be reproduced without the express permission of Carestream Health,
Inc. U.S. Federal law restricts this device to sale by or on the order of a dentist or physician.

WARNING:
3D rendering must not be used for diagnosis. Confirmation must be done with the 2D,
MPR images (MPR=Multi-Planar Reformatting).
This software has been designed to be used 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.
This document is originally written in English.
Manual Name: CS 3D Imaging Quick User Guide (SM804)
Part Number: SM804
Revision Number: 01
Print Date: 2011-12
The CS 3D Imaging Software complies with Directive 93/42/EEC relating to medical
equipment.

0086

Manufacturer
Care stream Hea lth, Inc.
150 Verona Street
Roche ster, NY 1 4 60 8, USA

Authorized Representative in the European Community

EC REP
TROPHY
4, Rue F. Pelloutier, Croissy-Beaubourg
77435 Marne la Valle Cedex 2, France

Minimum System Requirements

Item
CPU
RAM
Graphics
board

Requirement
2.4 GHz Intel Duo Core

Nvidia/ATI based board supporting Open Glide 1.2

with 512 Mb of video RAM.

Hard Disk

Display
Operating
system

30 Mb free space on a local disk to install the

product
1 Gb of free space on local disk to install
implant Library
80 Gb free space to use the software.

17 or larger; 1024 x 768 minimum screen resolution

- 32 bit color mode.

CD/DVD
drive

4 Gb (recommended)
2 Gb (minimum).

Windows XP Home/Pro edition SP3

Windows Vista 32 bit
Windows 7, 32 and 64 bit.
A CD-ROM/DVD drive is required to install the
product
A CD burner is also required to export data to
media.

See your computer documentation for details of your current

hardware and display specifications.
To obtain maximum image quality and visual comfort, position
the screen to avoid direct light reflections from internal or
external lighting.
Always use Microsoft Windows Update to make sure that the
latest security patches are correctly installed on your computer.

CS 3D Imaging Quick User Guide (SM804)_Ed01

Installation and Upgrade

When a new version of CS 3D Imaging becomes available, the
upgrade procedure is the same as the installation procedure.
See SM788_CSI_QUG_Ed01 for details.
Note: If you have already installed the CS Imaging Suite without
installing the CS 3D Imaging application, run the installation
wizard again and make sure you click the 3D Viewer check box
on the Choose Components screen in the wizard.

Managing License Keys

In order to provide a consistent and secure experience when
accessing Carestream Dental applications, some CS 3D
Imaging functionality requires activation with a license key.
For more information see your Representative.

Overview
Interface Overview

1 Title bar: displays selected patient name (in the center).

2 Mode tabs: Click one of these four tabs to switch between

functionality modes.
3 System icons:
Update available: If your computer is connected to the
internet, this icon appears when there are updates to the Implant
Library available. Click this icon to display the Implant Library
Update dialog box.
Patient Information: click this icon to display the Patient
Information window.
About: click this icon to display the application About
information. You can also access the Licensing module from the
About window.
Edit Preferences: click this icon to set application
preferences.
Online help: click this icon to open the online help.
4 Windows icons: standard Windows icons - minimize, restore and
close.
5 View Screens: Each of the four Mode Tabs contains multiple view
screens. In this example there are four (three multi-planar
reformatting [MPR] views and one 3D view).
6 Gallery: Displays thumbnails of images taken with the Snapshot
tool.
7 Tools panel: contains icons for Adjustments, Measuring tools and
Export tools.

CS 3D Imaging Quick User Guide (SM804)_Ed01

Tools Panel Overview.

1 Adjustment icons: Use these icons to modify MPR settings

(brightness, contrast etc), 3D settings (opacity, color palettes,
planes tools etc) and Mouse settings (left button and mouse
wheel).
2 Measuring tool icons: Use these icons to add and manage
measuring annotations on your images. Some of these will
change according to the Mode Tab you have selected.
3 Export icons: Use these icons to print images and export data.
4 Gallery control: Click
to display the snapshot gallery at the
bottom of the CS 3D Imaging window.
Click
to hide the Gallery.

Mode Tabs Overview

Orthogonal Slicing
This tab contains:

Three multi-planar reformatting (MPR) View Screens

(displaying planes at right angles to each other - axial,
coronal and sagittal planes). These screens provide a
single movable slice view in each plane.
One 3D View Screen. This provides a rotatable 3D
view of the entire volume.

Curved Slicing
This tab enables you to plot a curve along the mandibular arch
and display it as a reconstructed panoramic image. This tab also
enables you to plot a nerve canal or create a Temporal Bone
view. This tab contains four View Screens (once a curve has
been drawn):

Axial plane View Screen. Use this to manually draw a

curve along the mandibular arch.
3D View Screen.
Reconstructed-panoramic View Screen or Temporal
bone View Screen. These views appear once a curve is
drawn on the axial plane.
Trans-axial or cross-section View Screen. This is a
vertical slice through the curve drawn on the axial plane
that you can move along the curve.

Custom Slicing
The tab enables you to focus on specific regions of interest to
create a Temporal-Mandibular Joint (TMJ) or Ear view.
This tab contains up to seven view screens once a view (TMJ or
Ear) has been created:

Axial plane View Screen - this view is always displayed

in the top half of the tab workspace. Once you have
clicked on a tool (TMJ or Ear) in the Tools panel, you
can click and drag on the Axial plane view to set the
position of your custom views.
Two Custom View Screens - these appear either side of
the axial view when you draw custom view axes on the
Axial plane.
Note: these are empty the first time you use this tab.
Two Trans-axial plane View Screens- these appear
either side of the 3D views when you draw custom view
axes on the Axial plane. These are movable vertical
slices displaying cross-section views along your
Custom view axes.
Two 3D View Screens of your Custom view regions.

CS 3D Imaging Quick User Guide (SM804)_Ed01

Oblique Slicing
The Oblique Slicing tab provides the same views as the
Orthogonal Slicing tab, but with the added function of rotatable
MPR planes.
For more information on how to use the Mode Tabs, see the
online help.

View Screens Overview

Each of the four Mode Tabs (Orthogonal Slicing, Curved
Slicing, Custom Slicing and Oblique Slicing) contain different
View Screens according to the functionality provided on the
selected tab.
The View Screens are independent viewing frames with their
own toolbars. You can use these toolbars to print a snapshot of
the view and to control how the View Screen functions.

1 Toolbar in the Sagittal plane MPR View Screen.

Launching the CS 3D Imaging Application

You can launch the CS 3D Imaging application by:

Double clicking

Clicking and dragging a DICOM file (.DCM) onto

Clicking and dragging a DICOM file onto the open CS

3D Imaging application window.

on your desktop

Taking and Managing Measurements

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 measure anatomical detail in CS 3D Imaging, you can draw a

measuring annotation (line or angle) on top of an image and
compare the dimensions of the annotation with the underlying
image.
Note: you cannot draw on the 3D views.

Drawing a Measurement Line on an Image

To draw a measurement line on an image, follow these steps:
1

Make sure the image view that you want to draw on is

visible.

Click
in the Tools panel. The icon is displayed in blue to
show that you have switched it on.

Click in the image where you want the line to start and drag
to the lines end point.

Double click to set the lines end point.

A new line is drawn on the image and the calculated length
of the line is displayed alongside (in SI units) :

CS 3D Imaging Quick User Guide (SM804)_Ed01

Drawing a Measurement Angle on an Image

To draw a measurement angle on an image, follow these steps:
1

Make sure the image view that you want to draw on is

visible.

Click
in the Tools panel. The icon is displayed in blue to
show that you have switched it on.

Click in the image where you want to set the end point of
the first straight line.

Drag your mouse pointer and click again to set the apex.

Drag your mouse pointer again and double click to set the
end point of the second straight line.
A new angle is drawn on the image and the size
of the angle is displayed alongside (in degrees).

Managing Measurement Annotations

Existing measurement annotations (lines and angles) can be
managed using the Measurement section of the Tools panel.
Each new annotation you add is automatically added to this
panel.
To manage your measurement annotations, follow these steps:
1

Click on a Mode Tab that contains images with existing

measurement annotations. The Measurement panel
automatically appears in the Tools panel.

Use the icons in the Measurement panel to manage your

measurements:
A Hide/Unhide all measurements.
B Delete all measurements.
C Delete this measurement.
D Dimensions of measurement.
E Type of measurement indicator.
F Adjust measurement color (click on the colored square).
G Hide/Unhide this measurement.

Printing an Image Using Film Composer

For the purpose of communication, you can print images in CS
3D Imaging using the Film Composer. This allows you to print
images either to a printer or to a PDF file.

Printing an individual image

To print an individual image, follow these steps:
1

Click
in the toolbar of the View Screen that you want to
print. A snapshot of the image is added to the Gallery.

Click
in the Export section of the Tools panel.
This launches the Film Composer and copies all the
images in the CS 3D Imaging Gallery into the Film
Composer Gallery.

In Film Composer, click on the template tab and select a

single image template from the list by double-clicking on it
(for example use A4 black - Single View).

Click and drag the image you want to use from the Film
Composer Gallery and drop it into the frame in the middle of
the page design.

Click
printer.

to print to PDF or

to print to your default

WARNING: Printed image sizes vary according

to the selected Film Composer template. Do
not take measurements from a printed page.

CS 3D Imaging Quick User Guide (SM804)_Ed01

Exporting Methods
This section describes the most common methods of exporting
images and data from CS 3D Imaging.

Exporting a Snapshot of Your Workspace

To create a snapshot image of your entire workspace, follow
these steps:
1

Click
in the Export section of the Tools panel.
This creates a snapshot image of your workspace (and also
adds it to the Gallery).

Click
in the Exports panel section of the Tools panel.
This opens the folder on your computer where all snapshot
images are stored as .TIFF files.
Note: The Snapshot folder also contains
all View Screen snapshots as .DCM files.

Exporting a 3D Volume to a CD or USB Key

To export the entire 3D volume to a CD or a USB key, follow
these steps:
1

Make sure you have writable media available (blank CD in

your CD drive or a good quality USB key plugged into your
computer).

Click

or

in the Export section of the Tools panel.

To switch between these icons click

These export icons copy the current patient data and a

copy of the 3D Imaging software onto your chosen media.

For more information on using CS 3D Imaging see the

online help.
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