Netters 3D Interactive Anatomy

Professional Edition Online

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Learning Anatomy in a Whole New Dimension

User Reference Manual

Netters 3D Interactive Anatomy:Professional Edition Online version 1.0.01

Copyright Elsevier, Inc., 2010.

All rights reserved. Read our Terms and Conditions of Use and our Privacy Policy at the
end of this manual.

Information in this document is subject to change without notice and does not represent a
commitment on the part of Cyber-Anatomy, Inc. or Elsevier, Inc. The software system described in this
document is furnished under the Software License Agreementas accepted by the user. Software may be
used only in accordance with the terms of the License. See Software License Agreement and Registered
User Agreement at the end of this manual.

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Table of Contents

Table of Contents............................................................................................................ 2
1 Getting Started ......................................................................................................... 4
1.1 Before We Begin............................................................................................... 4
1.1.1 The 3D Via Web Player ............................................................................. 4
1.2 Supported Software and Systems..................................................................... 7
1.2.1 Windows .................................................................................................... 7
1.2.2 MAC........................................................................................................... 7
1.3 Using the Software For The First Time ............................................................. 7
1.4 The Mentor Window.......................................................................................... 7
1.5 Text Hovering Over Buttons.............................................................................. 8
1.6 Moving Menus and Tool Palettes...................................................................... 9
2 A Simple Example.................................................................................................. 10
3 User Interface......................................................................................................... 17
3.1 Overview......................................................................................................... 17
3.2 Anatomy Builder Window................................................................................ 17
3.2.1 Manipulating the Anatomy Builder Window.............................................. 17
3.2.2 Systemic, Regional, Group approaches................................................... 20
3.2.3 Male and Female Models......................................................................... 21
3.3 Navigate Tool Palette...................................................................................... 22
3.3.1 Navigate Overview................................................................................... 22
3.3.2 Orbit ......................................................................................................... 22
3.3.3 Zoom........................................................................................................ 23
3.3.4 Pan .......................................................................................................... 24
3.3.5 Reset View............................................................................................... 25
3.3.6 Walk......................................................................................................... 26
3.4 Dissect Tool Palette ........................................................................................ 27
3.4.1 Dissect Overview ..................................................................................... 27
3.4.2 Peel.......................................................................................................... 28
3.4.3 Stick ......................................................................................................... 29
3.4.4 Hide ......................................................................................................... 30
3.4.5 Unhide ..................................................................................................... 31
3.4.6 Explode.................................................................................................... 32
3.4.7 Implode .................................................................................................... 33
3.4.8 Transparent-Opaque Toggle.................................................................... 34
3.4.9 Select....................................................................................................... 35
3.5 Label Tool Palette ........................................................................................... 36
3.5.1 Label Overview ........................................................................................ 36
3.5.2 Mark......................................................................................................... 37
3.5.3 Delete Mark ............................................................................................. 38
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 3.5.4 Label........................................................................................................ 39
3.5.5 Pins.......................................................................................................... 40
3.6 Labeling Example ........................................................................................... 41
4 Netter Plates .......................................................................................................... 45
4.1 Launching the Netter Plates window............................................................... 45
4.2 Selecting the Netter Plates.............................................................................. 45
4.3 Viewing a Netter Plate in the Simulation Window ........................................... 46
4.4 Transparency and Hiding Occluded Objects................................................... 48
4.4.1 Transparency........................................................................................... 48
4.4.2 Hiding Occluded Objects ......................................................................... 49
4.5 Netter Plate Labeling and Searching .............................................................. 51
5 Imaging Scans ....................................................................................................... 54
6 Search.................................................................................................................... 56
6.1.1 The Search Menu .................................................................................... 56
6.1.2 Transparency........................................................................................... 57
6.1.3 Building Anatomy Using Search .............................................................. 58
7 Explore Exercises .................................................................................................. 59
8 Quizzing ................................................................................................................. 60
9 Control Shortcut Quick Reference.......................................................................... 62
10 Help .................................................................................................................... 64
10.1 Website Support ............................................................................................. 64
11 Appendix: Conventions....................................................................................... 64
11.1 Mouse Control Conventions............................................................................ 64
11.2 Tool Palette Conventions................................................................................ 65
11.3 Documentation Conventions........................................................................... 66
11.4 Active Selection Convention ........................................................................... 67
12 Frequently Asked Questions (FAQ).................................................................... 69
12.1 General Questions .......................................................................................... 69
12.2 Download Questions....................................................................................... 70
12.3 Navigation Questions..................................................................................... 70
12.4 Dissect Questions ........................................................................................... 71
12.5 Label Questions .............................................................................................. 71
12.6 Anatomy Builder Questions............................................................................. 72
12.7 Imaging Questions .......................................................................................... 72
12.8 Mentor Questions............................................................................................ 73
12.9 Search Questions ........................................................................................... 73
12.10 Netter Plate Questions ................................................................................ 73
13 Software License Agreement.............................................................................. 74
14 Registered User Agreement ............................................................................... 76
15 Terms and Conditions ........................................................................................ 78
16 Privacy Policy ..................................................................................................... 83

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1 Getting Started

1.1 Before We Begin

1.1.1 The 3DVIA Web Player

Upon accessing the software for the first time, a 3D viewer must be downloaded and
installed. This viewer will facilitate the visualization of 3D models on both PC and MAC.

Note that these steps will occur only once and that you may need administrative access
to your computer to complete the installation.

Important: You may need administrative access to your computer the first time
that you access the software.

Here is the experience you may see when installing 3DVIA using Internet Explorer and
Windows.

When you first launch Netters 3D Interactive Anatomy, the following message may
appear depending on whether you have blocked pop-ups from your browser.

In order to allow for the 3D Via player, use the Right Mouse Click on the message and
allow the installation of the ActiveX Control module.

The following message will prompt you to install the Player

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3. Click on <Install>

The 3D Via Player will be downloaded and the following message will appear.

Note: Please do not use your computer during this installation as in some cases, the
installation process may become un-responding.

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4.Upon completing the 3D Via player installation, the system will continue to download
the InteractElsevier file and the following screen will be visible.

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5. If Player does not properly install, please visit the 3Dvia website for troubleshooting
http://www.3dvia.com/software/3dvia-player/troubleshooting/

6. Subsequent sessions will require, in some cases, the update of the interface
elements and/or the 3D Via player. A screen showing download progress will appear as
shown in step (4) above.

1.2 Supported Software and Systems

1.2.1 Windows

Microsoft Windows (2000, XP, Vista )

Pentium III or equivalent
1 GB of RAM
Internet Explorer (6.0+), Firefox (2.0+), Netscape (6.1+)
Direct3D or OpenGL compatible 3D accelerator graphics card with at least 32 MB of
RAM DirectX 9.0C

1.2.2 MAC

PowerPC G5 or Core 2 Duo

1GB of RAM
Mac OS 10.3.9 (Panther) and above. 10.3.0 Users can update to 10.3.9 for free

1.3 Using the Software For The First Time

After 3DVia is installed, the software will open and offer you a choice: Novice User or
Expert User.

If the software does not automatically open, return to www.netter.interactelsevier.com

where you will be presented with an option to Launch, log-in, or set-up a personal
account. Those with IP access through their institutions will automatically be
recognized and able to Launch without a personal log-in.

For first-time users, the Novice setting is recommended. For the Novice, the Mentor
window is automatically open to show you the major functions of any button selected.

1.4 The Mentor Window

The Mentor consists of a window that appears inside the application that provides an
image or short video, instructions, and definitions of each tool in the system. The mentor
can be used anytime to obtain help in better understanding tool functionalities.

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 Operation: Activate the Mentor Window by selecting the Mentor button
The button will appear as highlighted by red

Once the Mentor window is open, a button can be selected and the window will illustrate
the buttons functionality. Use the scroll bar in the Mentor window to read more text
about shortcuts, hints, and comments about using the button.

1.5 Text Hovering Over Buttons

Immediate identification of functionality can be obtained by hovering over the button in

question. A text box will appear providing brief information regarding tool functionality.
In some cases where multiple functionalities exist, they will be separated by commas.
Delete Mark [D], Alt: Delete All Marks
For example, hovering over will show

The hover text in this example means that a click of the button will then allow you to
click on a Mark to delete it. The [D] refers to a keyboard shortcut for activating this
button. Alt: Delete All Marks means that holding down the Alt keyboard button (on a

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PC) while clicking will delete all visible Marks. Please note that on a Mac, the Command
key functions like Alt.

1.6 Moving Menus and Tool Palettes

The menus and tool palettes are flexible objects that can be manipulated, positioned
elsewhere, and called when needed.
For example, click and expand the lower right corner of the Anatomy Builder window to
expand revealing the entire selector buttons for the body.

Once expanded, click on the upper bar and drag the menu to your preferred location.

Similarly, the Navigate Tool Palette can be moved to a preferred location. Double click
the upper bar to dock the Palette to its original location.

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2 A Simple Example
This example will demonstrate some of the inherent capabilities of the software.
We begin with the objective of building and visualizing the left upper limb muscles,
identifying the muscles, peeling a muscle, and marking labels.

(1) Building the left upper limb muscles.

Click on the Left Upper Limb dot in the Anatomy Builder window

Select the Skeleton and Muscle systems -> buttons will turn green and
anatomy will be visible in the simulation window

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(2) Navigating the models in 3D

Select the Orbit tool from the Navigate Tool Palette -> Button will
turn active red
Left click on the mouse and drag (move left, right, up, or down) to rotate
the models -> models will rotate in real-time

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Select the Zoom tool from the Navigate Tool Palette.
Click and drag the mouse pointer on models and drag the mouse toward
you -> Models will magnify. Going the other direction will zoom out.

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(3) Use the Peel tool to peel muscles

Select the Peel tool from the Dissect Tool Palette

Click and hold on the Deltoid muscle and peel away from the body ->
muscle will move away from the body

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(4) Label and Mark the muscles

Select the Label tool from the Label Tool Palette. Move your mouse
over the model. As you hover over a structure, the structures name will
appear as hover text.

Select the Mark tool from the Label Tool Palette.

Click and drag on the Deltoid muscle -> The name of the muscle will
appear connected to a leader pointing to the muscle.

Select the Pin tool from the Label Tool Palette

Click on the Deltoid muscle -> Several blue pins will appear on the muscle

Select the Mark tool from the Label Tool Palette -> Click on each
blue pin and drag the mouse -> A leader showing the name of the
landmark will appear.

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Click on Orbit
Click and drag the mouse on the model -> models will orbit about the new
point of rotation on the hand

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16
3 User Interface
The application interface consists of Tool Palettes and Windows.

3.1 Overview

This diagram illustrates the major areas of the interface.

3.2 Anatomy Builder Window

The Anatomy Builder window provides the user with the ability to load anatomical
structures and build the virtual body in the Simulation Window. This window is versatile
in functionality and readily provides both systemic and regional approaches to loading
the anatomy.

3.2.1 Manipulating the Anatomy Builder Window

a. Resizing: Click and drag the corner of the Anatomy Builder to expand the window
gradually, leading to an expanded view with anatomy selector radio buttons.

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Moving: By clicking on the Anatomy Builder upper bar and dragging, the window
position can be changed.

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Docking: By double clicking on the Anatomy Builder bar, the window will dock to its
default position and default size. NOTE: Alt + click (Command on Mac) on the bar also
docks and expands the window.

Panning the menu: Clicking and dragging inside the menu (when in small size) will pan
the selections among the various regions.

Quick Selections: The Anatomy Builder window can also directly expand itself to the
appropriate region. For example, clicking on the Back and Spine (purple circle) will
immediately expand to the system selection for that region.

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Hint: Double clicking on the Anatomy Builder Window bar (Command + click on
Mac) will launch the large view of the window. Double clicking again will dock
the window in its home position.

Building the anatomy:

Once a selection menu has appeared in the Anatomy Builder window, a user can select
the appropriate anatomical system for visualization and interactivity in the Simulation
window.

Clicking on any radio selector button will immediately download the corresponding
anatomy.

3.2.2 Systemic, Regional, Group approaches

The Anatomy Builder window provides for both systemic and regional approaches to
building the anatomy in the Simulation window.

Systemic: Selecting the skeleton button in each region will build the entire skeleton
system

Regional: Selecting the set of buttons for an entire region will build that region
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Group: Sliding button at bottom of Anatomy Builder window from Region to Group
allows you the option to load preselected major organs and joints individually.

3.2.3 Male and Female Models

Sliding button at top of Anatomy Builder window from Male to Female will allow you to
load structures for each of the different models. Note that the Male and Female models
cannot be viewed simultaneously.

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3.3 Navigate Tool Palette
3.3.1 Navigate Overview

The Navigate Tool Palette provides a number of methods to rotate, pan, zoom and

examine the model.

Use this tool to rotate the model.

Orbit
Use this tool to change the magnification of the model
Zoom

Use this tool to move the model to a different part of the screen.
Pan

Use this tool to reset the position of the model on the screen in its
Reset view home position, and to clear the screen completely.
Use this tool to move your camera through the scene
Walk

The following text is also available through the Mentor window pop-up within the
software:

3.3.2 Orbit

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3.3.3 Zoom

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3.3.4 Pan

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3.3.5 Reset View

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3.3.6 Walk

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3.4 Dissect Tool Palette

3.4.1 Dissect Overview

The Dissect Tool Palette provides tools to manipulate the anatomical models. It allows
the user to explore the anatomy at various levels, by system or region, to peel, hide,
and make structures transparent, to stick in position and unhide hidden objects and to
explode regions.

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 Use this tool to move individual structures (or pieces of structures)
Peel away from their current positions.

Use this tool to move a structure (or piece of a structure) back into
Stick its original position after it has been Peeled or Exploded.

Use this tool to remove a structure from view

Hide
Use this tool to bring hidden structures back into view.
Unhide
Use this tool to burst a group of structures away from the midpoint of
Explode their location.

Use this tool to bring all moved structures (exploded or peeled) back
Implode to their original positions.

Use this tool to toggle an objects appearance between see-through

Transparent- and solid.
Opaque toggle

Use this tool to select several structures (or pieces of structures)

Select upon which to perform another Dissect action, such as Peel,
Explode, or Transparent.

The following text is also available through the Mentor window pop-up within the
software:

3.4.2 Peel

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 P

3.4.3 Stick

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3.4.4 Hide

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3.4.5 Unhide

31
3.4.6 Explode

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3.4.7 Implode

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3.4.8 Transparent-Opaque Toggle

34
3.4.9 Select

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3.5 Label Tool Palette

3.5.1 Label Overview

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The Label Tool Palette provides various ways of showing and marking structure and
landmark names.

Use this tool to create a label with a leader line in 3D space that will
Mark remain visible until it is either deleted or the parent object is hidden.

Use this tool to delete existing marks.

Delete Mark
Use this tool to turn on scroll-over hover text that appears as you
Label move your mouse over structures and pins.

The following text is also available in the Mentor window within the software.

3.5.2 Mark

37
3.5.3 Delete Mark

38
3.5.4 Label

39
 L

3.5.5 Pins

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3.6 Labeling Example

Here is an example using the two main methods for labeling:

1) Use the Anatomy Builder to load the skeleton of the right Upper Limb and
zoom into the scapula .

2) Click on the Label tool from the Label menu. Hold your mouse over
the scapula to see the label hover text appear.

3) Click on the Pin tool to select, and hover over the bone. You will
note that the system will show the number of anatomical landmarks
associated with that bone (a total of 19 pins).

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2) Using the Pin tool , click on the scapula. All 19 pins will be automatically loaded
and positioned to indicate the landmark.

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3) Select the Mark tool . Use the Mark tool to click on a pin and drag the mouse to
an appropriate location where the name of that landmark will be shown. Note that a

43
leader from the pin to the text has been drawn.

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4 Netter Plates
4.1 Launching the Netter Plates window

The 3D models have all been texture-mapped with digitial scans of the actual Netter
paintings. However, there are a number of views and schema in the Netter Atlas of
Human Anatomy that are more clearly conveyed in their original 2D form. A selection of
over 100 of these can be called-up and overlaid in the 3D model to show their relative
anatomic location.

Select the Frank Netter button to launch the Netter Plates window.

4.2 Selecting the Netter Plates

Once launched, the Netter Plates window provides several options.

Open a plate into the 3D model: Click on a Netter Plate to download the plate and show
its anatomic position relative to the 3D model.

Search: Typing a word in the Netter Plates window search box will search for all related
words and will yield a list of associated plates than contain the relevant anatomy.

Moving and resizing the window: Click and drag on the Netter Plates window upper bar
to move the window. Click and drag the lower right corner to resize

Viewing plates by Netter Atlas Sections: Default listing of Netter plates is a set of about
150 Plates. Click on the numbered buttons to filter the selection according to the Netter
Atlas regional sections.

Transparency: Click the Transparency button to make the anatomy in the Simulation
window transparent except for the Netter plate.

Hide occluding objects: Click on Hide occluding objects to show the Netter plates
without any anatomy structures that may be in between the plate and the viewer.

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Scaling the Netter Plates in the window: Drag the slider to scale the size of the plates.

4.3 Viewing a Netter Plate in the Simulation Window

Selecting a Netter plate will immediately download and position the plate in the
appropriate position corresponding to any 3D anatomy that has been loaded in the
Simulation window.

46
Note that once positioned in place, the Netter plate will become an object in the 3D
Simulation window. The Navigation menu tools can be used to navigate through the 3D
space. Similarly, the Dissect menu tools will work on all anatomy objects. Note,
however, that the Dissect anatomy tools will not work on the Netter plate.

Hint: A good exercise is to place the Netter Plate of internal anatomy structures
in the scene and use the Dissect Tool Palette to arrive at the same view.

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4.4 Transparency and Hiding Occluded Objects

Because Netter plates are positioned to correspond with the anatomy, they will
sometimes be positioned inside the body and hidden by the loaded 3D model
structures. As a result, they will not be seen by the user. In these cases, there are two
options to allow the Netter plate to become more clearly viewed.

4.4.1 Transparency

Use transparency to render all but the Netter plate transparent.

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4.4.2 Hiding Occluded Objects

The Hide Occluded Objects toggle button located on the lower bar of the Netter window
will remove any occlusions between the viewer and the Netter Plate.

For example, consider placing the Netter plate of the eye shown in the figure below.
The plate will be positioned inside the skull, invisible to the user.

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Upon clicking the Hide Occluded Objects on, any anatomical objects between the Netter
plate and the user are hidden. The button can be toggled several times to hide or
unhide the objects.

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4.5 Netter Plate Labeling and Searching

Netter plates have been labeled just as they are in the printed Atlas. All Label Tool
Palette tools can be used on the plates. For example, we use the Pin tool on the Netter
Plate shown below.

Hint: Label menu tools will work on the Netter plates and Search will include the
Netter labels in its results.

We use the Mark tool to identify some of the anatomical landmarks, muscles, and
nerves in the Netter Plate.

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General searching of anatomical landmarks and objects will also search for Netter Plate
labels. Search results will include any labels (pins) that are associated with Netter
Plates and will show up in the results as Netter Plate.

Hint: Netter pins and labels can be included in the general Search text box

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To close the Netter Plate palette, select the Frank Netter button again or use the X
in the upper right corner of the palette. To clear any plates that have been uploaded,

hold down the Alt key and select the Frank Netter button.

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5 Imaging Scans
Several CT and MR imaging sequences have been included in the software. Scans are
positioned in the approximate anatomic location and correlated to the 3D anatomical
structures.

To launch the Imaging Window, select the imaging button .

The following window will appear and a set of green transparent planes will appear at
specific locations on the body. These green planes represent sets of scans of that
particular region.

Select one of the green planes by clicking the mouse on the plane.

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The Imaging Window provides the ability to browse through scans in multiple ways:
- Scroll the middle mouse wheel (while the mouse cursor is on the image)
- Slide the slider bar at the bottom of the Imaging Window
- Click on arrows located at the bottom of the Imaging Window

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6 Search
Searching provides an effective and powerful method for learning and for building
anatomy in the Simulation Window. Searching in this context refers to finding structures
that are labeled within the 3D anatomy models.

A search will render a list of both anatomy structures and pinned landmarks (on the 3D
model and those on the Netter plate labels).

Nomenclature used in this software is based on the international standard, Anatomica

Terminologia (TA). TA contains terminology for about 7500 human gross (macroscopic)
anatomical structures. The terminology and classification database part of this the
software is based on the FMA developed at the University of Washington by the FMATM
Research Project and is provided under license from the University of Washington.

6.1.1 The Search Menu

The search bar is located in the upper right corner of the screen.

The Search box enables a user to type in any word or set of words. Note that the (x) at
the end of the search box will clear the box of any text.

The Show search history button will provide a list of searches that were conducted.

The Search for related anatomy enables the user to select (click) an object in the 3D
world and search for related objects.

A typical search result will yield 4 types of entries:

a. A structure (e.g., Left femur)
b. A pin (representing a landmark or a region, e.g., Head of femur)

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 c. A Netter plate (e.g., Plate 509)
d. A pin on a plate (e.g., Medial condyle of femur)

6.1.2 Transparency

While in many cases a landmark that is found may be invisible to the user, The Search
window provides a method for turning all anatomy objects to transparent except for the
object that was found. A yellow pin will be shown on the object at the correct
anatomical location. The Transparency toggle can be turned on or off at any time.

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6.1.3 Building Anatomy Using Search

Once search results are displayed, a user can click on any object or pin to automatically
make visible the corresponding object in the Simulation window.

For example, clicking on the Left femur will show the femur in the Simulation window.

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7 Explore Exercises
Over 30 concise guides have been written to provide objectives and key points lists as
you explore various regions. Click to launch the Explore Exercises.

The Explore Exercises are a guide for self exploration. Not everything in the exercise
text has been modeled in 3D or labeled, however, the text outlines concepts that can
enhance an understanding and appreciation of both anatomic and clinical relevance.
Occassional Video Tips throughout the exercises suggest ways to use the various
software functions to help visualize the concepts covered.

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8 Quizzing
A quizzing module is available as a means to self-test. Anatomy must first be loaded in
the Simulation window.

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The interface will prompt the user for an object to be selected. This object launches
options for quizzes of related anatomy. For the purpose of demonstrating the Quizzing
module, we select the Deltoid by clicking on it in the Simulation window.

Once a user selects an item from the quiz list, the simulation will first gather all concepts
related to this object and related region, then will load detailed models associated with
this region.
For example, we will select the Left pectoral girdle to generate a number of quiz options.
Once selected, the system will show as visible an anatomical object in the Left pectoral
girdle (as shown in the figure below) and will make all other objects transparent.

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If the correct answer is selected from the multiple choice list, the program continues to a
second question by loading another object and making the rest of the surrounding
objects transparent.
If the incorrect answer is selected, the list item will turn red and will await an answer.
Clicking on the arrow at the bottom of the interface will skip the question.

9 Control Shortcut Quick Reference

An Expert mode is available to users who prefer using keyboard and mouse shortcuts
(shortcut keys, hotkeys). To invoke Expert Mode, press the SPACEBAR. To de-
activate Expert Mode, press SPACEBAR again.

Action Keyboard Shortcut

Left click-drag (all tools must be
Orbit deactivated)
Middle mouse click and drag (all
Pan tools must be deactivated); or Press
X and mouse click
Mouse wheel/roll (all tools must be
Dolly in and out deactivated)
Shift and Click
Target view

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 Home
Reset view
Press W and mouse click
Walk
Press M and mouse click
Mark
Press L and mouse click
Label
Press D or right mouse click to
Delete mark delete all
Press Y
Pins
Press P and mouse click
Peel
Press S and mouse click
Stick
Press U; or Right mouse button to
Unhide Unhide all
Press H and mouse click
Hide
Press E and mouse click
Explode
Press I
Implode
Click T and mouse click
Transparent

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10 Help
10.1 Website Support

A copy of this full reference manual for Netters 3D Interactive Anatomy:

Professional Edition Online, powered by Cyber-Anatomy, as well as other reference
manuals for products in the Interact Elsevier series are available in printable pdf as well
as html at www.InteractElsevier.com/help

CONTACT US

Online Support
Customer Service Center
Elsevier
3251 Riverport Lane
Maryland Heights, MO 63043
USA

Tel: 800-401-9962 (inside the US)

+1-314-995-3200 (outside the US)
Monday - Friday, 7:30 am - 7:00 pm CST
Fax: +1-314-997-5080
Email: interactelsevier.help@elsevier.com

11 Appendix: Conventions

11.1 Mouse Control Conventions

The mouse is an intuitive way of interacting with the application. The buttons can be
used singularly, in conjunction with each other, and in conjunction with other keys on
your keyboard to perform a variety of functions via shortcuts.

Typical mouse operations used in this software system are:

- Click left mouse button: Referred to simply as the 'mouse, 'left-click', or click. It
is used for a number of selection functions including selecting objects, menu
commands, buttons, sliders, and check boxes.

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 - Click and hold left mouse button: Referred to simply as click and hold or long
click. It is used with some selection buttons to invoke additional menus.

- Double click left mouse button: Referred to simply as double click.

- Middle/wheel button (scroll): Pressing and holding the middle or wheel button is
used to perform certain zoom functions. Scrolling the middle mouse button is
used for zooming and for scrolling some of the detailed menus.

11.2 Tool Palette Conventions

The Tool Palettes are the main means of interacting with the application. Each palette
contains buttons used to perform various functions that relate to the application.

Floating the mouse over a button will explain the function of this button. In some cases,
the button may have two functions. For example, the Reset button function will reset
the view such that the model is re-centered on the screen. Double Click of the button
will reset the scene so that all anatomy is in proper relative position.

Manipulating the palettes is also possible in Cyber-Anatomy.

To move the palette: Click and drag the right side bar to re-position the palette

To dock the palette: Double click the right side bar to move the palette to its original
location.

Hint: Hovering your mouse over a button will display a tool tip showing its
function. Some buttons may have more than one function.
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Keyboard shortcuts: Shortcuts are typically used by an expert user to expedite
interactivity with the Cyber-Anatomy system. See Control Shortcut Quick Reference for
shortcuts.

11.3 Documentation Conventions

Certain conventions are used within this document:

Commands, tools, and selections are displayed in bold typeface.

For example, click OK.

Menu and submenu commands are separated by the greater-than (>) sign.
For example, Click Start>Program Files.

Specific keystrokes are represented in capitals. For example, DELETE.

Instructions are displayed as numbered steps.

Related section headings are displayed in italic typeface if the section is within
the current Help topic.

Related section headings are linked (underlined), to the appropriate section if it is

located in another Help topic.

Where the word 'the application' is mentioned, the content relates to the Cyber-
Anatomy software system.

Where the word 'image' is mentioned, the content relates specifically to a 2D

representation.

Where the word 'scene', 'model', or 'object' is mentioned, the content relates
specifically to a 3D representation.

Where words are displayed within square brackets [ ], substitute the relevant text
for the described action.

Where the plus (+) and minus (-) keys are mentioned, they relate to the number
pad and not the QWERTY section of the keyboard.

Where modules are mentioned, the term refers to products for which modules
may be purchased.

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11.4 Active Selection Convention

In general, once a tool is selected, the border of the selected button is highlighted.

For example, Zoom tool is shown as , but after it is selected, it will be highlighted

as

A grayed-out button signifies that it is inactive and does not have a function at this time.
A gray button may become active once the corresponding functionality becomes
available.

For example, the Unhide button is gray until at least one object has been hidden.

Only then the Unhide button becomes available for selection and is colored .

67
68
12 Frequently Asked Questions (FAQ)

12.1 General Questions

Q: How does the interactive 3D model work?

A: The technology is based on advances in engineering, computer graphics, and

gaming. 3D models of anatomical representations are developed and loaded into an
interactive simulation environment. The simulation executes in real-time for direct
manipulation.

Q: What are the 3D models based on?

A: The 3D wire frames for the models are based on accurate representations of
anatomy. Larger models (e.g., bones) are based on stratified CT scans. The fine details
of the geometry are developed through a collaboration between 3D artists and
anatomists. The wire frames are then overlaid with digital scans of the actual Netter
paintings. For areas in which a Netter painting was not available, artists created a
Netter-like texuture to make the model complete.

Q: Are the models accurate?

A: Yes. All models are verified for accuracy by anatomists.

Q: Can these models be viewed in stereoscopic 3D?

A: Yes, one can interact with the anatomy using virtual reality systems and peripherals,
web deployments, and standalone applications. Contact h.licensing@elsevier.com for
information on Virtual Reality Systems.

Q: Is this software suitable for medical student teaching levels?

A: Yes, the detail of the models were developed for the highest level of medical
teaching. It is suitable for students from the first course of anatomy at colleges to the
attending physician who wants to review anatomy prior to surgery.

Q: What display technology is the system based on?

A: The display technology uses real-time engines, behavior/logic programming, and

advanced interface design to provide an intuitive method for learning anatomy.

69
12.2 Download Questions

Q: Does download speed depend on my Internet Service Provider (ISP)?

A: Yes, the download speed of the anatomy chunks are directly associated with your
ISP.

Q: Why does the system download parts of the anatomy again, when it was
downloaded once before?

A: Anatomy chunks are stored in your internet temporary folder for a certain time,
specified by the settings in your browser. If they were removed, the system will
download them again.

Q: My program is running slowly, especially when rotating the model, is it

because I have a slow internet connection?

A: No. It is most likely running slowly because the graphics card has reached its limit.
Program execution time (frames rates per second) are unrelated to internet connection
speed. Deselecting some of the anatomy regions/systems may help with speed.

Q: It is not my first time using the software on the web, so why is the system
downloading the entire file again before I start?

A: From time to time updates are added to the content and/or interface, which will
cause a download of the entire file again to update your system.

12.3 Navigation Questions

Q: Is there an expert mode?

A: Yes, see Navigation menu section. By double clicking on the background or hitting
the spacebar any active tools will be deactivated. Using the mouse, navigation becomes
available hands-free.

Q: Is there a limit to zoom?

A: Yes, one can zoom until the camera hits the object.

Q: Does Walk change the camera location?

A: Yes, extensive use of Walk will change the camera location.

Q: How do I reset the scene?

A: By double clicking on the Reset View button

70
12.4 Dissect Questions

Q: Why are the Stick, Unhide, and Implode buttons sometimes grayed out and
other times they are colored?
A: Their default state is grayed out and inactive until their counterpart buttons have
been used. If, for example, the Peel tool has been used, then the Stick tool will change
from gray to colored, which means that it now can be used.

Q: How do I unhide all?

A: You can unhide all by double clicking on Unhide button.

Q: How do I make all transparent objects turn to opaque?

A: You can make all objects opaque by double clicking the Transparent button.

Q: How do I select only systemic anatomy models?

A: By clicking and holding (a long click) on the Select button, a sub-menu will appear
where various systems can be selected.

Q: Does the Select tool work on parts of an object (for example, parts of a bone)?
A: No, the Select tool selects the entire object that it comes across.

12.5 Label Questions

Q: How do I mark an entire object all together?

A: Select the Mark tool, then double click on the object.

Q: How do I delete all marks from an object?

A: Double click on the Delete Mark button

Q: How do I hide all pins from an object?

A: Double click on the Pin button.

Q: What standard does the nomenclature follow?

A: It follows the International standard called Anatomica Terminologia.

Q: How is the anatomy searched?

A: The search is connected to an SQL database.

Q: What is the difference between a pin and an object name?

71
A: A pin is associated with an anatomical landmark or a region. An object name is a
label assigned to the main object that may have many landmarks.

12.6 Anatomy Builder Questions

Q: What is the fastest way of opening/closing the Anatomy Builder window?

A: Double clicking on the Anatomy Builder top bar will quickly expand the menu.
Similarly, double clicking again will contract the window.

Q: What do the dot colors mean inside the Anatomy Loader window?
A: The colors are identical to the chapters of the Netter Atlas, referring to each region.

Q: What is the fastest method to access the loading menu for one specific
region?
A: Click on the colored dot that represents that area, the radio buttons for loading the
systems of that area will be shown in the small window.

Q: While the window is small, how can I show the selection buttons for the other
regions?
A: Click on the background of the Anatomy Loading window and pan the menu.

Q: Why do some of the buttons show as green and others as orange?

A: Green means that you have downloaded those anatomy parts and they are shown in
the simulation window. Orange means that the models have been downloaded and are
ready to be shown when requested.

12.7 Imaging Questions

Q: How many scans are there?

A: There are a total of 674 CT and MR scans.

Q: How do I move through the scans to visualize the series?

A: There are several ways to accomplish this
a. Click and drag on the green transparent plane
b. Scroll your mouse on the image in the scan window
c. Click and slide the slider bar at the bottom of the scan window
d. Click the arrow at the bottom of the scan window

Q: How do I re-size the scan window?

A: Click and drag the bottom right corner of the window.

72
12.8 Mentor Questions

Q: Can I pause and play the video running in the Mentor window?
A: No, not in this release. One can only playback the video.

Q: Is the Mentor window available for all buttons in the program?

A: Yes, it is.

12.9 Search Questions

Q: What database is search using?

A: It uses an SQL database.

Q: Is the search box in the main simulation window identical to the search box in
the Netter window?
A: No. The search box in the simulation window searches for all objects and landmarks
in both the 3D model as well as in the Netter plates. The search box in the Netter
window only looks for anatomy on the Netter plates.

Q: What does Search for related anatomy mean?

A: It allows the user to pick an object or a landmark and the system will look for all
related items in terms of classes, super-classes, and part-of-groups.

Q: Can one build anatomy in the simulation window using search methods?
A: Yes, by searching for objects and selecting these objects, the corresponding
anatomical model is automatically loaded.

12.10 Netter Plate Questions

Q: How many Netter plates are there in the system?

A: There are 140 Netter plates

Q: Are the Netter plates labeled as well?

A: Yes, the Netter plates are labeled.

Q: Are the Netter plates part of the search database when searching for a term?
A: Yes, they are part of the database.

73
Q: How do I show the Netter plates within the anatomy while making all anatomy
models transparent?
A: Click the transparent button located at the bottom of the Netter Plates window.

Q: How do I search for terms only on the Netter plates?

A: Use the search box at the top of the Netter Plates window.

Q: What are the numbers and colors at the bottom of the Netter Plates window?
A: These are the same section numbers and colors used in the Netter Atlas, and can be
used as filters to only show associated Netter plates.

Q: How do I look at the labels on a Netter plate?

A: Use the same tools from the Label menu to show the pins, labels, and marks.

13 Software License Agreement

IMPORTANT READ CAREFULLY BEFORE USING THIS SOFTWARE

BY USING Netters 3D Interactive Anatomy: Professional Edition Online, or Elseviers

3D Interactive Anatomy: Professional Edition Online,
powered by Cyber-Anatomy.com, (henceforth referred to as Software)
YOU ARE AGREEING TO BECOME BOUND BY THE TERMS OF THIS AGREEMENT.

You have obtained a software license granting you the right to use the Software. The
publisher, Elsevier, Inc., retains copyright of the software as well as any subsequent
copies on any media or in any form. This is a user license granting certain individuals
within your institution permission to access this software and its contents. Consult your
contract regarding the license you have purchased, which states who in your institution
may use the software.

Your license grants you permission to use the software and its contents in works such
as presentations and teaching materials. This license does NOT permit use of the
software or any of its contents in active, extracted, or recorded form in any publications
including but not limited to books, journal articles, dissertations, public Web sites, or in
any form or media for any commercial application. Use of this software or any contents
contained in this program is subject to the following conditions and limitations.

1. GRANT OF LIMITED LICENSE

1.1 Elsevier grants to licensee the non-exclusive, non-assignable, non-transferable

limited right and license to use and display the software for personal and educational
use in a presentation or as part of a presentation that is posted on a password-
protected intranet.
1.2 Licensee must include the following credit line in any presentation of the
software or its contents:

74
Netters 3D Interactive Anatomy: Professional Edition Online, powered by Cyber-
Anatomy. Copyright Elsevier, Inc., 2010. All rights reserved. or Elseviers 3D
Interactive Anatomy: Professional Edition Online, powered by Cyber-Anatomy.
Copyright Elsevier, Inc., 2010. All rights reserved. (depending on which product you
are using) if the copyright line embedded in the software is not in view. Credit language
must appear adjacent to the image (s) or in an obvious credits page or screen.

2. LIMITATIONS

2.1 Licensee may not use the software or its contents for posters or trial exhibits
without express written permission from the Publisher.
2.2 Licensee may not share the software or its contents on a public Web site
without express written permission from the Publisher.
2.3 Licensee may not share the software or its contents within a presentation or
other document on a CD-ROM or other media, FTP or email. No part of the software or
extracts may be sublicensed or made available for use or distribution as art for
reproduction, any form of stock design, prints, negatives, positives, mats, engravings,
animations, etc. without express written permission from the Publisher. No rights to the
software or its contents or extracts may be granted other than the right to use such as
part of the single work made by you, the licensee.
2.4 Licensee will not resell as a collection, individually or as part of a document or
presentation or exploit in any other manner, the software or its contents.
2.5 The software, its contents, or extracts used in an electronic form, including
multimedia applications and intranet sites, are for viewing purposes only and cannot be
in a downloadable or FTP format.
2.6 Pornographic, defamatory, libelous or otherwise unlawful use of the software
and its contents is prohibited.
2.7 Licensee will not disassemble or otherwise reduce the software to a human-
perceivable form. The Licensee will not modify, rent, lease, loan, distribute, or create
derivative works based upon the software in whole or in part. The Licensee shall take
reasonable precautions to prevent any unauthorized use or dissemination of the
software. Rights assigned the Licensee in this agreement are not transferable. Licensee
may not use the software in whole or in part for any commercial applications.

Except as specifically provided above, you may not share the software its contents or
extracts. Written permission to use the software, contents, or extracts in any way other
than provided above must be obtained by contacting H.Licensing@elsevier.com

LIMITED WARRANTY

Elsevier, Inc. warrants that the software will substantially conform to published
specifications and to the documentation, provided that it is used on the computer
hardware and with the operating system for which it was designed.

Except as provided above, Elsevier, Inc. makes no warranty or representation, either

expressed or implied, with respect to this software or documentation, including their
quality, performance, merchantability or fitness for a particular purpose.

75
BECAUSE SOFTWARE IS INHERENTLY COMPLEX AND MAY NOT BE
COMPLETELY FREE OF ERRORS, YOU ARE ADVISED TO VERIFY YOUR WORK.
In no event will Elsevier, Inc. be liable for direct, indirect, special, incidental, or
consequential damages arising out of the use of or inability to use the software or
documentation, even if advised of the possibility of such damages. Elsevier, Inc. is not
responsible for any costs, loss of profits, loss of data, or claims by third parties due to
the use of, or inability to use the software.

Elsevier, Inc.
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1-800-5452522

14 Registered User Agreement

This Registered User Agreement (Agreement) sets forth the terms and conditions
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expressed or implied, with respect to this software or documentation, including their
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BECAUSE SOFTWARE IS INHERENTLY COMPLEX AND MAY NOT BE

COMPLETELY FREE OF ERRORS, YOU ARE ADVISED TO VERIFY YOUR WORK.
In no event will Elsevier, Inc. be liable for direct, indirect, special, incidental, or
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Last revised: 22 June 2009

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These terms and conditions shall be governed by and construed in accordance with the
laws of the State of New York, without regard to its conflicts of law principles. You
hereby submit to and agree that the sole jurisdiction and venue for any actions that may
arise under or in relation to the subject matter hereof shall be the courts located in the
State of New York.

Cyber-Anatomy
Cyber-Anatomy models, pictures, textures, simulation engine, interface, and all
associated computer code, intelligent engines, and menus are all the property of Cyber-
Anatomy. Copyright 2007-2008 Cyber-Anatomy, Inc. All rights reserved.

This software and any accompanying documentation contain the proprietary information
of Cyber-Anatomy and its licensors. This software and documentation are provided
under a license agreement containing restrictions on their use, disclosure, reproduction,

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transmission and distribution, and are protected by copyright law. As stated in the
license agreement, reverse engineering of the software is prohibited.

The product and company names appearing in this software and documentation may be
trademarks or registered trademarks of Cyber-Anatomy and third parties.

Portions of this software are based in part on Viz-Tek, Inc. (c) 2001-2008. All
rights reserved.
Portions of this software are powered by Virtools, a Dassault Systemes company,
2002-2009. All rights reserved.
Computed Tomography(CT) and Magnetic Resonance Imaging (MRI) and are
under permission from DICOM: Digital Imaging and Communication in Medicine
managed the Medical Imaging & Technology Alliance http://medical.nema.org/.
Nomenclature used in this software is based on Anatomica Terminologia
developed by the Federative Committee on Anatomical Terminology (FCAT) and
the International Federation of Associations of Anatomists (IFAA) and released in
1998.
The terminology and classification database part of this the software is based on
the FMA developed at the University of Washington by the FMATM Research
Project and is provided under license from the University of Washington.
All other intellectual property of the Cyber-Anatomy software system are property
of Cyber-Anatomy, Inc.
The following notices are provided as required by certain Cyber-Anatomy
agreements with its licensors. They do not govern the use, disclosure,
reproduction, transmission or distribution of this software as a whole.

16 Privacy Policy
This web site (Site) is owned and operated by Elsevier Inc., 1600 John F. Kennedy
Blvd., Suite 1800, Philadelphia, PA, 19103-2899, USA ("Elsevier," we, us or our).

Elsevier is committed to maintaining your confidence and trust with respect to the
information we collect from you. This privacy policy sets forth what information we
collect about you, how we use your information, and the choices you have about how
we use your information.

Collection of Information Provided By Your Browser And Through Use Of

Cookies

This Site automatically collects information on our server logs from your web browser
regarding your use of the Site. Examples of information we collect automatically from all
users include the Internet protocol (IP) address used to connect your computer to the
Internet; computer and connection information such as browser type and version,
operating system, and platform; and full Uniform Resource Locator ("URL") click stream
data, including date and time, and content you viewed or searched for on the Site.

This Site also collects information through the use of "cookies." Cookies are anonymous,
unique alphanumeric identifiers sent to your browser from a web sites computers and
stored on your computer's hard drive. The type of information we collect as a result of a
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cookie being stored on your computer is specific to your computer. We use session
cookies to collect information about your use of the Site (e.g., whether you are logged
in) and so that you may view articles, abstracts or other records and browse from page
to page. These cookies are temporary and are deleted when you close your browser.
We use persistent cookies to give you a more personalized browsing experience and
help you navigate the Site more efficiently.

We collect and use, and may from time to time supply third parties with, this information
only as anonymous, aggregated user data for the purposes of usage analysis, quality
control and administering and improving the Site.

You can prevent your browser from accepting new cookies, have the browser notify you
when you receive a new cookie, or disable cookies altogether by accessing your
browsers preferences menu. If you choose to disable cookies altogether, you can use
the Site but will not be able to register, login to the Site with a personal User Name and
Password, or make use of the advanced personalization features of the Site, although
the basic features and functionality offered to unregistered users of the Site will be
possible to use.

Collection and Registration of Personal Information

We sometimes request users of the Site to provide personal information. The
information collected from a user is strictly voluntary and may include contact
information such as the users name, e-mail address, and postal address.

In order to access certain content and to make use of the full functionality and advanced
personalization features of the Site such as full text online, image banks, saved
searches, and integration links, we may ask you to register and obtain a personal User
Name and Password. You may be prompted to register when you:

Choose the "Register link from the home page or login screens
Use personalization features

The information collected from the registration form that is presented to users when they
choose to register may include contact information such as the user's name, e-mail
address, postal address, institution, and country ("Registration Information"). The
Registration Information is linked directly to a personal User Name and Password
chosen by the user and can only be retrieved by supplying the correct User Name and
Password that is linked to that profile.

How Personal Information Is Used

We use the personal information that you provide for such purposes as:

completion and support of the activity for which the information was provided,
such as allowing access to or delivery of our products or services, processing or
fulfilling an order, or responding to your requests or inquiries
website and system administration, such as for the technical support of the Site
and its computer system, including processing computer account information,
information used in the course of securing and maintaining the Site, and
verification of Site activity by the Site or its agents

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 research and development to enhance, evaluate and improve the Site and our
services
tailoring or customizing content or design of the Site during a single visit to the
Site and individualized personalization of the Site on repeat visits
pseudonymous analysis to create a profile used to determine the habits, interests
or other characteristics of users for purposes of research, analysis and
anonymous reporting
communicating with you about changes or updates to the Site and our services
and, with your consent, special offers, promotions or market research surveys

Disclosure of Personal Information to Third Parties

Access to your personal information is restricted to our employees, agents,
representatives and service providers, such as our data processing, printing and
fulfillment operations, and entities for whom we are acting as an agent or publisher,
such as societies and our affiliated group companies, for the purposes set forth above.
Your personal information may be used by all of our trading names and transferred to
countries outside of the European Economic Area (EEA), including to the United
States, for processing. These countries may not have similar data protection laws to the
EEA. If we transfer your information outside of the EEA in this way, we will take steps to
ensure that your privacy rights continue to be protected. In addition, if you access the
Site while you are outside of the EEA, your information may be transferred outside of
the EEA in order to provide you with such access.

With your consent, we also may share your personal information with our affiliated
group companies located both inside and outside of the EEA in Argentina, Australia,
Brazil, Canada, China, India, Japan, Malaysia, New Zealand, Philippines, Russia,
Singapore, South Korea, Switzerland, Taiwan and the United States and/or with non-
affiliated third parties located inside and outside of the EEA that wish to send you
information about their products and services that may be of interest to you, and users
who have consented to receive such information may receive communications from
these third parties. If you wish us to pass your personal information to third parties,
please tick the appropriate check box when you register for personalized services or
access.

We will not otherwise disclose any personal information without your consent except
under the following circumstances:

in response to subpoenas, court orders, or legal process, or to establish or

exercise our rights to defend against legal claims;
if we believe it is necessary to investigate, prevent, or take action regarding
illegal activities, suspected fraud, safety of person or property, violation of our
policies, or as otherwise required by law; and
if Elsevier, this Site or a related asset or line of business is acquired by,
transferred to or merged with another company.

Access and Changes to Your Registration Information and Preferences

Registered users may access their identified contact information and other Registration
Information and correct any discrepancies or update information by contacting our
Customer Service Center at the email address or telephone number detailed below or
selecting the relevant My Profile link at any time. The accuracy of such information is
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solely the responsibility of the user. No access is given to other data that may have
been collected about users.

If you wish to receive alerts, newsletters, new product announcements, market surveys,
special offers or promotions, please tick the appropriate check box when you register for
personalized services or access. If you wish to cease receiving any of this information,
amend your preferences either by contacting our Customer Service Center at the email
address or telephone number detailed below, selecting the relevant My Profile link at
any time or by using the opt-out or unsubscribe option or other means provided within
the communications you receive. We reserve the right to notify you of changes or
updates to the Site whenever necessary.

Retention of Personal Information

We retain the personal information we collect from you for as long as the information is
relevant to our business purposes or until you request that we remove the data by
contacting our Customer Service Center at the email address and telephone number
detailed below.

Our Commitment to Data Security

We recognize that your privacy is important to you, and therefore we endeavor to keep
your personal information confidential. The personal and demographic information
about each user is stored on our servers that are behind a firewall and physically
housed within a secured data center. Furthermore, our internal practices help protect
your privacy by limiting employee access to and use of such information. However, we
do not represent, warrant, or guarantee that your personal information will be protected
against unauthorized access, loss, misuse, or alterations, and do not accept any liability
for the security of such information submitted to us nor for your or third parties' use or
misuse of such information.

About This Privacy Policy

The foregoing is the current privacy policy of the Site. We reserve the right to change
this policy at any time without notice. Any changes to this policy will be posted on this
webpage. Our policy does not create a contract or any legal rights.

This privacy policy applies solely to the information you provide while visiting this Site.
The terms of this privacy policy do not govern personal information furnished through
any means other than this Site (such as via telephone or postal mail).

This Site may contain links to other websites that are beyond our control. Other
websites to which you link may contain privacy policies that are different from this
privacy policy. We encourage you to check the privacy policy of each website you visit
before submitting any information to them.

Questions, Complaints and Dispute Resolution

If you have any questions or comments regarding this privacy policy, please contact our
Customer Service Center at:
Online Support
Customer Service Center
Elsevier
3251 Riverport Lane
86
Maryland Heights, MO 63043
USA

Tel: 800-401-9962 (inside the US)

+1-314-995-3200 (outside the US)
Monday - Friday, 7:30 am - 7:00 pm CST
Fax: +1-314-997-5080
Email: interactelsevier.help@elsevier.com
If at any time you believe that we have not adhered to this privacy policy or you have a
complaint regarding the way your personal information is being handled, please contact
our Customer Service Center. Disputes under this privacy policy will be resolved by our
Customer Service Center, which will use commercially reasonable efforts to promptly
investigate, and if necessary, to correct any problem.

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