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Referring: About the CD You Will Recieve

When you open the CD you will see three folders:


First Folder: Patient Images

This folder contains images of the patient, in BMP format, and can be easily imported into presentations, letters, management programs, Ceph programs, etc.


Second Folder: Patient Presentation

This folder contains a Microsoft Power Point Presentation which starts with the referring doctor and patient information, and then shows the patient's images. An executable version of the presentation is also included in case Power Point is not installed on the computer.

We find this presentation format an easy way to look at and show the images in a consultation environment.

Powerpoint Folder

Powerpoint Slides

Third Folder: Advanced Viewer

The advanced viewer is a DICOM viewer program that does not need to be installed on your computer to run. Even though the viewer can run directly from the CD, it is recommended to copy the complete Advanced Viewer Folder to the computer with which you will open it. The program requires a good amount of memory RAM, and at least 512 MB would be advisable for good performance.

After copying the advanced viewer folder to your computer, here is what you see inside the folder:

Advanced Viewer Folder

The Help PDF file is a manual for the program in case you want to explore all possible options. The dcm folder is where your patient's data is located. You will have 512 slices in DICOM format. This data may also be opened with any other DICOM viewer.

The CdStart file will get things started. After double-clicking on CdStart, here is what opens:

CD Start

In the yellow column, you will see all options for this program. If you select images, you will see all images in HTML format:

HTML Images

You can here make the images larger by clicking on them:

Enlarged Image

Videos and Reports work in a similar way.

When clicking on Patient Data DICOM Viewer, here is what opens:

Patient Data DICOM Viewer

Double click on the patient series (highlighted in blue in the picture above), and the data will load. You will see a green bar in the bottom right corner showing you the progress. Here is where the available memory RAM makes a difference.

DICOM Viewer Progress

After the green bar is finished, you can click on the viewing modes MPR or 3D MIP, located in the toolbar towards the right side.

Here is the MPR mode:

MPR Mode

On the right side you see a column with Coronal, Sagittal, and Transaxial Views. You can move the green lines to see through the slices. The enlarged image will change in real time. The orientation of this enlarged image can be changed with the drop down menu located in the upper right-hand corner. In the above image, the transaxial view was selected. If your computer is working really slowly, you can increase the slice thickness, which will reduce the amount of images the computer has to work with.

If you want to switch to the 3D MIP mode, it is recommended that you close everything and start again by loading the patient data, otherwise your computer will probably be working much slower than it could be.

Here is the 3D MIP mode:

3D MIP Mode

In this mode, you can rotate the image and view it as a 3D object. To enlarge one of the views, click on the desired view and then click on the black square located in the View Control Box. View Control:

View Control

Other features in this Control Box are: Magnification, Moving of the entire image without rotation, window levels (brightness/contrast), and rotation as a 3D image.

Final Tips:

When loading a patient's data, you may be prompted to compress the data or increase the slice thickness. These are features available in order to improve the computer performance. If you are having problems with slow images or the computer crashing, choose the compression and increasing the slice thickness options when prompted.

Dr. J. Martin Palomo

Dr. J. Martin Palomo, Director

Dr. J. Martin Palomo is Associate Professor and Program Director in the Orthodontics Department in addition to his work with the CIC. He earned his DDS from Universidade Estadual de Ponta Grossa School of Dentistry in Brazil and his MSD at Case Western Reserve University.

CWRU School of Dental Medicine     2124 Cornell Road     Cleveland, OH 44106-4905     216.368.3200