EVA Twain Installation & User Guide - ImageWorks - Home

Table Of Contents
Revision Record 3
About This Product 4
Theory of Performance 4
Disposal 4
Contact Information 4
Important Before Installation Notes 5
Intended Use 5
Markings and Symbols 5
EVA Vet Safety Precautions 6
Service and Maintenance 6
Cleaning and Infection Control 6
Daily Care 6
Technical Specifications 6
Minimum Computer Requirements 7
Environmental Specifications 7
Getting Started 8
Unpacking the EVA Vet System 8
Contents 8
Hardware & Software Installation 9-10
Introduction 10
Installing Software 10
Starting the Software 10
Overview of the Software 11
Patient Image Database Overview 12
Entering Dentist Information 13
Entering Patient Information 14
Update Dentist Info 15
Selecting A Template 16
Standard Mode (Explanation) 16
Exposing X-rays 17
Standard and Endo Mode 17-18
Import Mode For Images 19
Review Mode For Images 20
Viewing and Working with Images 21
Multiple Images per Thumbnail Position 22
Image Processing Screen 22
The Menu Bar 23
File 23
Edit 24-26
Tools 26
Image 27-28
Calibrate and Measure Image - Making Calibrated Measurements 29-30
Annotations 31-32
Window 33
Help 33-34
Icon Toolbar 35
Advanced Toolbar Style 36-37
Patient Database 38
Searching 39
Loading, Exiting, Selecting All and Clearing All 40
Composing/Printing 41
2

REVISION RECORD
Title: EVA Vet (Enhanced Visual Assessment) Intraoral Digital X-ray System with ProImage
Software Suite, Installation and Operation User Guide
P/N: 870-000155 (Manual only)
Revision Effective Date Description
01 January, 2003 Initial Release (Preliminary)
02 February, 2003 Publication Revision
03 November, 2004 Full Revision to Ver. 6.1.1
EVA is a registered trademark of AFP Imaging Corporation.
AFP Imaging is an ISO 9001 certified establishment.
3

About This Product
Theory of Performance
The EVA Vet Intraoral Digital X-ray System is a CMOS (Complimentary Metal Oxide
Semiconductor) X-ray sensitive, sensor-based, filmless radiographic system. It is
designed to acquire veterinary radiographs using an external X-ray source and transferring
them via Universal Serial Bus (USB) into a computer. This is accomplished by placing
the EVA Vet sensor into the mouth in the same position as a film and exposing with a
reduced dose of X-ray. The radiograph, in a digital format, is immediately transferred
through a wire attached to the sensor to a Docking Station which is connected via
the USB cable to the computer. The ProImage Dental Image Management software
program is designed to interface with the EVA Vet Digital Intraoral X-ray System as
well as veterinary cameras that utilize either a composite or an “S” video signal. Upon
acquisition of these radiographs and images, ProImage will create a patient database
into which the images may be stored and manipulated. Slide shows and movies may
be made from video images as well.
Performance qualification criteria is available from AFP. The system has been designed
and manufactured to perform in accordance with AFP's specifications.
Disposal
There are no special disposal requirements.
Contact Information
AFP: 914.592.6100
Technical Support: 914.592.6100 Ext. 428
Fax: 914.592.7613
e-mail:
support@afpimaging.com
Authorized CE Representation
Visiplex Medical Systems (Europe) Gmbh
Von-Braum-Str.25
D-52511 Geilenkirchen, Germany
Telephone: 49-2451-62630
Fax: 49-2451-626364
4

IMPORTANT!
BEFORE INSTALLATION
These instructions describe the installation and operation procedures for the EVA Vet Intraoral Digital X-ray System
with ProImage Dental Image Management Software. Please read the system requirements and installation
instructions of this manual in its entirety before attempting to install the hardware or software. Observe all safety
notations as well as local radiation codes when exposing patients to X-rays.
No part of this manual may be reproduced, stored in a retrieval system or transmitted in any form for commercial
purposes or in any means, i.e. electronic, mechanical, photocopying, translation, or otherwise, without the prior
written permission of AFP Imaging Corp.*
AFP has a company policy of continual development. Therefore, it reserves the right to make changes without
prior notice to all information, specifications and illustrations contained herein .
Intended Use:
The EVA Vet Digital Dental Radiology System is intended to be used as an X-ray image capture device for
veterinary dental radiography by a licensed veterinary professional, in a veterinary office environment, in place
of traditional dental X-ray film. The user of the EVA Vet system shall be responsible for meeting all applicable
local radiation safety procedures and codes.
Markings and Symbols:
ATTENTION – Important safety or operational information. Consult User Guide.
Type BF Applied Part (International Standard).
0459
This marking indicates that the product complies with the regulations for the
European Market According to CD 93/42/EEC 14 June 1993.
* © AFP, October, 2002 - 2004
® EVA is a registered trademark of AFP Imaging Corp.
5

EVA Vet
Safety Precautions:
• Οbserve all local radiation safety precautions and codes when exposing patients to X-rays.
• Do not immerse any part of the EVA Vet system in liquid of any kind.
• Should any solid or liquid fall into the unit, unplug the EVA Vet system immediately. Have the unit checked by qualified
personnel before using it again.
• Always use a new disposable protective sheath with each patient. Do not reuse sheaths.
• Always remove the disposable protective sheath before putting the sensor capsule into the docking station’s capsule holder.
• Unplug the USB cable from the computer if it will not be used during a five day or longer period.
• Do not install the unit near heat sources such as radiators or air ducts, a place subject to direct sunlight,
excessive dust, mechanical vibrations or shock.
• In case of electrostatic discharge (ESD), it may be necessary to manually reset the EVA unit.
• In case of a host computer related “lock-up” or crash, it may be necessary to manually reset the computer.
• Do not autoclave any part of the EVA Vet system.
Service and Maintenance:
• Qualified service personnel certified by AFP shall perform service for the EVA Vet system.
• Unauthorized repairs may invalidate applicable warranties.
Cleaning and Infection Control:
• Disposable protective sheaths must be changed before every patient
• All cables should be inspected for damage every 6 months. The sensor cable should be carefully
inspected each week. If damage is found, contact your dealer immediately.
• Once a year or as needed, carefully clean the unit, including cables. Use a 2% Glutaraldehyde
agent like Sporocidin or Septinol V. Make sure all cables are disconnected from the host computer
before cleaning the system. Dampen a paper towel with cleaning solution to wipe down the system.
Never apply liquid directly to any part of the EVA Vet system
Daily Care of the Sensor Unit
including Sensor Capsule and Cable:
The Sensor Capsule must be handled with care. Prior to each use, it must be disinfected by performing the following
procedure before each new patient:
• Clean the capsule and sensor cable with a locally approved cold disinfectant chemical.
Do not use petroleum based agents. Do not apply liquid directly. Use a damp paper towel.
• Slip the disposable protective sheath over the sensor capsule before placing the sensor in the patient's mouth.
• Remove and discard the protective sheath in accordance with local heath codes.
• Disinfect again after each use.
CAUTION:
NEVER HEAT-STERILIZE THE SENSOR UNIT AND CAPSULE.
DO NOT PULL ON THE WIRE CABLING. DO NOT IMMERSE IN
LIQUID DISINFECTANTS.
Technical Specifications:
EVA Vet is a filmless, digital, dental imaging radiology system that produces high resolution diagnostic quality images.
Utilizing patented “Active Column” CMOS technology, EVA Vet produces high efficiency, low noise images
which are digitized and transmitted to a host computer via a standard USB (Universal Serial Bus) port.
EVA Vet System Includes:
• One EVA Vet Sensor Unit - size 1 or 2 (corresponding to the standard dental X-ray film size)
• One Docking Station with USB Cable
• ProImage Dental Image Management Software Suite
• Disposable Protective Sheaths
• Quick Start Guide / Hardware Driver Installation Guide
• Ιnstallation and Operation User Guide (included on the software CD)
6

EVA Vet Sensor Size #2
Active Area: 25.83 mm x 36.03 mm (1.02" x 1.42")
Capsule Dimensions: 30.82 mm x 44.12 mm x 4.75 mm (1.21" x 1.74" x .19")
Pixel size:
30 microns square
Gray Shades:
4096 (12 bits)
Optical Imager Resolution: 16 lp/mm
Image size (unpacked):
2.1 MegaBytes
Sensor Cable Length:
2 m (~ 6 ft)
EVA Sensor Size #1
Active Area: 20 mm x 30 mm (.79" x 1.18")
Capsule Dimensions: 25.64 mm x 38.44 mm x 4.75 mm (1" x 1.5" x .19")
Pixel size:
30 microns square
Gray Shades:
4096 (12 bits)
Optical Imager Resolution: 16 lp/mm
Image size (unpacked):
1.3 MegaBytes
Sensor Cable Length:
2 m (~ 6 ft)
Power Supply:
USB powered device
No external power supply required
Less than 3 Watts when in operation
Interface: Universal Serial Bus “USB” device - Type 1 or Type 2
Safety: CUS # LR54464 and IEC 60601-1-2
AFP strongly recommends that you purchase a new computer for use with your EVA-Vet System.
Computer: (minimum requirements)*
Microsoft Windows XP (home or pro) or Windows 2000 Operation System
PC with Pentium 4 – 1.5GHz (or equivalent)
RAM 512 MB
Available USB (V2.0 or 1.1) port with full 500 mA capacity
External self (ac wall plug) USB Hubs may be used.
CD Rom drive (CD-R/CD-RW recommended but not required)
HD 80 GB minimum recommended
Image storage space for 5,000 images/year = 10 GB (est.)
High Quality Display (Flat Panel or CRT)
Minimum resolution of 1024x768 @ 32 bits color depth.
Optional Equipment
Printer: Color Photo Quality Inkjet with 1200+ dpi
Data Back-up System (highly recommended)
Video Capture Card (for use with intra-oral video cameras sold separately)
* Computer not provided as part of the EVA-Vet/ProImage System
Specifications subject to change without notice
Environmental Specifications:
Use:
Ambient Temperature: 10 to 30°C
Ambient Humidity: 30-75% RH non-condensing
Storage and Transport:
Ambient Temperature: -10 to 50°C
Ambient Humidity: 10-80% RH
Atmospheric Pressure: 500 hPa to 1060 hPa
7

Welcome To EVA Vet: Getting Started
The EVA Vet System was designed and developed for human and veterinarian dental
applications. The basic instructions and exposure procedures are the same for both.
The EVA Vet System is an important tool for advancing the quality of digital dental
radiology.
Unpacking the EVA Vet System:
System Contents:
EVA Vet Intraoral Digital Imaging System with
Registration/Warranty Card and Disposable Protective Sheaths
ProImage
Software CD
USB Cable
Sensor and Docking
Station
8

Hardware & Software Installation
Determine the best location for the computer and EVA Vet Docking Station in the operatory with respect to power
supply and work space. The Docking Station may be placed on a flat surface or mounted to a wall adjacent to
the examination or radiographic table. When mounting, be aware that the sensor cable length is 6 1/2 feet (2
meters) and the USB cable (Docking Station to computer) is 16 1/2 feet (5 meters).
Separate the Sensor/Docking Station
by gently pulling apart with an outward
motion.
Do not pull on the wire.
Use two (2) 6-32 X 1/2”self tapping screws
(included) for mounting the Docking Station.
For other surfaces, use appropriate mounting
hardware or Velcro strips.
The Sensor Capsule may be stored in its
Docking Station holder by gently sliding
it into place. Allow the cable to hang free
of knots or entanglement with the
Docking Station.
Note: Software should be installed at
this time (see page 10).
After software installation is complete,
connect the square end of the USB cable
to the Docking Station socket.
Connect the other end of the
USB cable to the USB port on
the computer. Verify the sensor is
plugged into the Docking Station.
The computer will recognize the
new hardware. Refer to the
Installation Instructions - EVA
Hardware Driver P/N 870-000169
included with the system.
9

Introduction to ProImage Software
The software is designed to make it easy and efficient to capture, store, search, annotate and maintain veterinary
dental radiographs and video images. It is simple to use with digital X-ray such as the EVA Vet Digital Imaging
System or intraoral cameras. Video image management will be discussed in the video manual. Using the
software modules will help the veterinary dental professional communicate with pet owners and provide them
with proposed treatments. It is an important aid to motivate pet owners to adhere to the treatment plan. It will
also enable pet owners to see progress. By utilizing before and after images, they will feel confident they have
participated in the right decision for their pet's oral care.
By using a computer and software to capture radiographs and images, the veterinary dental professional gains
considerable flexibility and control over those images. Images may be stored at a fraction of the cost of hard
copies. Image appearance such as size, color, brightness and contrast may be adjusted. Helpful diagnostic tools
such as zoom and invert will display anatomical structures from a different viewpoint.
The simplicity of the user interface makes the software practical for any office staff to use. By keeping the number
of different screens within the software to a minimum, the software is easy to learn. There are few screens to
navigate and many functions can be done with just one click of the mouse.
Installing Software from the supplied CD
If Autorun is enabled on the host computer, the Installation Wizard will pop up automatically and guide the
installation process. Otherwise:
1) Quit all other programs which are running.
2) Insert the CD into your CD ROM drive.
3) Choose Run from the Start Menu. The Run dialog box will appear.
4) Enter the letter of the drive which corresponds to the CD ROM drive (normally the "D" drive), followed by
a colon and a backslash, then the word “setup.exe” and click OK. (Example: D:\setup.exe)
The Setup Wizard will start.
5) Follow the Setup Wizard instructions. Read each screen carefully then click Next to continue to the next
screen. The installation software will select a default directory for the program. If a different directory is
desired, type in the new path of the folder when the Install Location screen comes up. On the last
screen, the Setup Wizard will report that the setup is complete.
6) Check the indicated box if you want the software to start when the setup wizard is complete.
7) An EVA Vet/ProImage icon will appear on your desktop screen.
Starting the Software
Double Click on the EVA Vet/ProImage Icon on the Windows Desktop.
As in other computer programs using Windows based software, a single left mouse click is the standard method
for selection of a function or step. When necessary, a right mouse click is specified.
Additionally, many functions can be accessed using a "Hot Key". Hot Keys are identified by the underlined letter
in a menu bar or drop down menu. They are not case sensitive.
To use a hot key on a menu bar or button, press and hold the "Alt" key on your keyboard while pressing the
corresponding underlined letter.
To use a hot key on a drop down menu, only press the corresponding underlined letter. The "Alt" key is not
required.
The ProImage Software should now be ready to use.
10

Overview of the Software
The Image Processing Screen is the central viewing screen of the software. Included at the top of this screen
are the Menu Bar and the Icon Toolbar. From this screen, images may be imported and exported. Adjustments
and annotations may be made to images and slides, and preferences may be set. The image/patient database,
the X-ray acquire screen, the veterinary video capture screen, and the slide show screen may all be accessed
from this screen.
The software will always start with the Image Processing Screen shown above including an Update Patient
window. Initially, this is a demo patient, but after additional patient data is entered, it will display the last patient
viewed upon startup. Changes to patient data are made on this screen. Click on Exit to close the Update
Patient window.
11

To get to the Patient Image Database Screen click on the Open Icon or select Open Patient Database
from the File pull down menu. Note: One of several sample patients provided with the software will show up
initially. These are provided with X-ray images to help new users gain experience on working with the images
within the program. These may be deleted later at your discretion when no longer needed.
A demo Patient Image Database is shown below:
Note: Deleting a patient from the Database will remove all radiographs of that patient as well and place
them in a Recycle Bin until permanently deleted
From the Patient Image Database you can:
Select and load images from a patient's history
Search for images with user generated search criteria
Create multi-picture images
Delete images
Make notes for specific images
Search for patient files
For detailed instructions on patient database management, see page 38.
12

Entering Your First Patient's Data
Before exposing and capturing X-ray images for the first time, determine the method you will use for identification
and data retrieval for your client's pets and enter both the vet/vet tech and the patient information into the
database. Entering patient information requires a Vet ID. Therefore, enter the vet information first. This will also
allow patient files to be sorted or stored by a specific professional in a multiple operatory/practitioner environment.
The software has multiple methods of sorting so that any vet/vet tech can reference any patient's file.
Click on the File menu to drop it down:
Now, click on Add New Vet.
The window shown below will appear:
After filling in sufficient identification information
(name and select an appropriate I.D. as a
minimum), click on the Add Dentist button and a
message should appear notifying that the dentist
has been added to the database. Not all fields
need be completed in order to proceed to the next
step.
13

Next, click on Add New Patient, (which is located just below
Open Patient Database) in the file menu.
Add New Patient
The following window will appear: (Completing the left hand column
of information is required.)
After filling in the information, click on the Add Patient button.
Clicking on Update Patient in the File menu or the icon
will produce the window below:
From the Update Patient window shown
to the right the operator may update
patient information, add new patients,
or delete the current patient as well as
search for patient information.
Additionally, X-ray images may be
acquired and the patient database
accessed from this window.
Deleting a patient will place the data and
radiographs in a Recycle Bin for final
disposition.
14

Clicking on Update Vet under the File menu
will bring up a window as shown below:
In addition to allowing changes to be made to vet or other
personnel information, this window offers further options of
deleting the current personnel information or adding a new one.
Update Vet
Enter a
minimum
of one
digit
Once a patient and vet are entered, X-ray images may be
acquired. The first step is to select a template for storing
and displaying the radiographs. The EVA Vet system will not
record radiographs unless a patient has been
selected or new patient data is entered.
15

Selecting A Template
Before exposing an X-ray or set of X-rays, click on the Update Patient icon
or click on File > Update Patient.
Select a Tooth Template from the drop-down list of styles within the window. Various veterinarian configurations
for dogs and cats are selectable. A custom template is shown below.
Click on the X-ray Images button located to the right of the drop-down list of templates.
A template will appear with a Toolbar above it.
Review Import Standard Endo
Exit
Select Standard, Endo, or Import exposure mode from the icons on the Toolbar.
Standard Mode
When the Standard Mode is selected, all the tooth positions on the template change colors and appear as
below:
16

The initialization
message will appear at the bottom of the
template. This short period occurs each time the Standard Mode is chosen.
Next, choose the exposure order for a sequence of X-rays by clicking on the Tooth Positions on the
Tooth Template in the desired sequence.
The illustration above shows the order that seven radiographs will be recorded. Note the sequence number in
the upper left corner of each box. The software will remember this exposure sequence for future patients until
it is changed or erased.
Exposing X-rays - Standard Mode
Once the expose order has been chosen, click on the Start Exposure
icon from the Toolbar.
The first in the selected sequence of tooth position(s) will turn red
and the Ready
message will appear at the
bottom of the template. At the same time, the Start Exposure icon will turn from green and black to
red and black.
This now becomes the Abort Exposure icon should it be desired not to make an
exposure.
In the lower right-hand corner of the template, a 600 second (10 minute) countdown will begin and will
appear for example as:
(230 shown).
During the ten minute countdown, put the sensor into a disposable protective sheath. Next, position the sensor
in the area of the patient's mouth that corresponds to the first box of the exposure order and align the X-ray tube.
The EVA Vet System is now ready to process and store radiographic images.
Make an X-ray exposure by using the controls provided on the dental X-ray unit regardless of the balance
of time left in the countdown. Start with a 60% time reduction of that used with Ultra "D" speed film OR
the same exposure time as used with Insight "F" speed film.
A thumbnail image (miniature size) of the X-ray just taken will appear in the first Tooth Position and the next
chosen position will now turn red. The countdown will start over.
Repeat the above procedure and continue the process until all the desired X-rays are taken.
17

To reposition the sensor or X-ray tube and/or if it is necessary to re-shoot the X-ray, click on the Back button
and re-expose the previous position. To skip a position, click the Next button and continue taking X-rays. The
600 second countdown time will automatically be reset.
Re-Expose (Back)
Skip to Next X-ray
All images will be stored in the selected Patient Database.
To clear the exposure order completely, click on the
Exposing X-rays - Endo Mode
icon.
If no X-rays are taken within the 600
second alloted time, the sequence
will abort in the same way as
clicking on the "abort" icon. Click
"OK" on the "Time is over" icon.
The Endo Mode is intended for taking repeated exposures on the same tooth, as in root canal therapy.
To select the Endo mode, click on the endo icon
on the template Toolbar.
The following message will appear at the bottom of the template:
After a brief warmup period, the following message will appear:
With the endo mode selected (endodontics), select a tooth position on the chart. When selected, the position
turns blue briefly and then the chart is replaced by a single enlarged window that is red with the message
Ready to get X-Ray.
When the X-ray is taken, the image will appear in the window. Click on the Next Endo Exposure
icon
on the Toolbar to make another exposure. The current window will be minimized and a new
window in red will appear waiting for another X-ray. This can be repeated as many times as you like.
When finished, click on the Exit Endo Mode icon
appear in the Main Image Processing Screen.
to exit the endo mode. All images taken will then
After the last image has been closed, the template will reappear. All images will be stored in the Patient
Database.
Additional icons on the X-ray Toolbar are:
View Selected Images
Brings all images up in the main processing screen
Unselect All Images
Deselects all selected images
Delete Selected Image
Will delete one currently selected image at a time
Print Chart
Prints the entire template
Show Original Images
Toggles between modified and unmodified (original) images
Close Patient Template
Closes the template and Exits the window
18

Import Mode For Images
Importing images is typically used to review images supplied electronically.
To select the import mode, click on the Import Images icon. The following message will appear:
Select a position on the template and the File Import screen
will appear. This screen has a window on the left for selecting and loading files. To the immediate right of this
is a larger segment of the screen that contains thumbnail images of image files present in the currently selected
folder.
Note: These files are normally brought into the folder of your choice from a network folder, e-mail folder, floppy
disk, CD, etc., using standard Windows commands (such as Cut or Copy, and Paste). Below is a sample
(partial) window:
A number of file
formats may be
imported, the most
common of which
are:
Currently selected folder
.JPG
.BMP
.TIF
The .JPG format is
usually used for
e-mail.
After choosing the search criteria, select the thumbnail image(s) wanted for import. After all selections are made,
click on Load. The template will be called up with the image(s) as thumbnail images in the selected position.
19

Review Mode For Images
Clicking on the Review Mode icon
in the upper left hand corner of the template will bring up any
X-ray images already placed on the template.
If, for example, a sequence has been chosen in Standard Mode as shown below:
Clicking on the Review Mode icon would show the same template with images already in memory
as shown below:
20

Viewing and Working with Images
Once thumbnail images have been recorded on the template they may be viewed and worked with in Review
Mode. Select one thumbnail image at a time by double clicking on it to bring it into the image processing
screen.
Alternately, multiple thumbnail images may be selected by clicking on them one at a time in the template. Each
time a selection is made, the thumbnail image will be surrounded by a yellow border.
Two Thumbnail Images Selected
After selecting multiple thumbnail images, click on the View Selected Images button.
The images will open in the Image Processing Screen.
21

Multiple Images per Thumbnail Position - (See page 21)
Multiple images can be stored to a single thumbnail image position. Since they are stored with
the time and date, they provide an available history of radiographs taken on a specific position.
When a thumbnail image is selected that contains more than one image,
the number of X-rays will be listed in the bottom right-hand corner of the template.
To select or change the thumbnail image, a drop-down list of the stored images may
be obtained by right clicking on the thumbnail image:
Image Processing Screen
The Image Processing Screen is where much of the power of the software comes into play.
Within the image-processing screen, up to 32 images may be loaded. Each is treated as a single image.
Regardless of how many images are loaded from the database, the software will size the images so that all of
the images chosen to load will fit on the screen. Since each image is treated as a separate window, one can
arrange, resize, close and view each image.
Moving or Arranging Windows - To move or arrange a window into a different position, click on the blue tile bar
and drag the window to the desired location.
Resizing Windows - To resize a window, click on the top, left, or right border of the window and resize the
window.
Note: The window automatically resizes to a fixed ratio in order to prevent distortion of the image.
Closing a Window - To close a window, click on the X in the upper right corner of the blue window bar of that
image.
Viewing an Image in Full Screen - To view an image in full screen, double click on that image. This will bring it
to full screen. To return to multiple images, double click on the full screen image.
Status Bar - The status bar runs along the bottom of the screen. The status bar shows the information relating
to the currently selected image in the image-processing screen. It shows the patient’s name, date and time the
image was captured, type of image and comments related to that image.
This screen also enables images to be manipulated in many ways. From this screen, one is able to view images
in different formats, create slide shows, create full motion video clips, paste and cut images or regions of images,
change color preferences and draw on images.
22

The Menu Bar
Drop - down windows may be accessed from the Menu Bar, allowing access to many different functions.
The various windows are defined on the following pages:
File
In addition to accessing the patient database and adding and
modifying new vets and patients, this window also controls saving,
exporting and importing of images. It allows database maintenance
and connection options, direct image acquisition from Twain sources
(scanners, etc.), and printing options.
Save Image - This allows saving a single image to a patient file. When
this option is selected, the program will ask you to choose a patient
from the database or to create a new patient file.
Save All Images - Saves all images to a patient file. If there is a patient
currently selected in the database, the save function will have that
patient’s name in the save function. If a patient is not selected, it will
indicate the last patient selected. When this option is selected, it will
ask you to choose a patient to save it to or create a new patient.
Import Image - This function allows importing virtually any image
from another source. When this function is selected, the File Import
screen will open. From here, navigate to the desired drive and folder.
Select the desired images from the thumbnails and click on the Load
button. This will import the image and treat it like any other image
in the database.
Export Image - This function allows exporting an image to another
program or disk. When this function is selected, the Save File window
will pop up. Select a destination and name for the file. Then click Save.
Follow the prompts for additional options.
Export All Images - This function allows exporting all the images
loaded in the image-processing screen at one time.
Database Maintenance - The database maintenance option allows customizing the search field to the vocabulary used.
The search field and information fields in the database have pull down menus from which to choose terms to search and
file images. The pull down menus are used in the annotation, type, class and tooth # fields of the database. Select these
terms to search for images. When the database maintenance option is selected, it will bring up the Data Maintenance
Screen. The left side of the screen shows the annotation, type, class and tooth # fields. Click on the down arrow in each
field to see the current list of terms and select the term or just start typing a term to add. Next, select what function to
perform. Select Add to add the term to the chosen data field. If a term in the data field needs to be changed, type the
new term in the field to the right of the Change To button and select the button. To delete a term, select a term to delete
and select the Delete button.
23

(Partial Window)
Database Connection - The database connection allows the software
to be networked. Please contact AFP for information on this topic.
Note: The term "Twain" refers to an industry standard term for a
computer interface that allows peripherals such as scanners and
digital cameras to communicate with image processing software.
Scan Image (Twain Input) - This function will allow acquisition of
images from Twain input scanners.
Select Scanner (Twain) - This function will allow the choice of a Twain
input source from the devices installed on the computer. They will
appear in the Select Source window.
Print Set-Up - Consult a Windows manual.
Print - Within the software there are two ways to print images. If print
is selected from the file menu or the print Icon from the Toolbar, it will
print the selected image or template. For the other printing method
see Compose/Print in the database section.
Exit - Exits program
Edit
Undo - Allows the last function performed to be undone.
Copy Area - Copies a selected region to the clipboard.
Copy Image - Copies a selected image to the clipboard.
Paste - Pastes a copied region or image from the clipboard.
Resize - Allows the size of an image to be changed, which will make
larger images more manageable.
Exact Size - This function will return an image to its exact original
size.
Select Region - This command will allow the selection of a region
of any shape of an image to manipulate, change color, copy, cut or
paste.
To select a region:
1. Click on the desired image to edit to make it the active
image.
2. Click the Select Region from the Edit pull down menu.
3. Choose the desired shape to select.
Rectangle - the selected region will be any size rectangle.
Ellipse - the selected region will be any size ellipse.
Rounded Rectangle - the selected region will be any size
rectangle with rounded corners.
Free Hand - use the mouse to draw a selected region.
4. Click and hold the left mouse button at the point on the
image to select.
5. Enlarge the shape until it encompasses the desired area.
6. The area selected will be shown by a blinking dotted line.
7. You may now cut, copy, brighten, contrast, hue, invert
and rotate the selected region of the image.
Cancel Region -This command deselects the selected region.
24

Preferences - This feature allows customization of certain parameters of the program. Choosing this brings
up the following dialogue:
Toolbar Style - Allows a choice between advanced and basic (recommended).
Close Images Prior to Load - If this command is checked, the software will close the images which are currently
loaded before it loads more images from the database.
Close Images Prior to Load Chart Template - If this command is checked, the software will close the images
which are currently loaded before it loads more images from the X-ray template.
Delete Images to Recycle Bin - If this command is checked, the software will put all deleted items in a recycle
bin before permanently deleting the item. The Recycle bin is accessed through the patient database. When
delete is selected, the recycle bin button will appear asking whether or not to empty the recycle bin.
Communication Port - For Sens-A-View veterinary camera only - When using the Sens-A-View camera, one
may need to choose the COM port which has the hand-piece control cable (9 pin serial) connected to it.
Capture Test Intraoral Images - When this command is checked, it allows the simulation of capturing images
in the capture screen. It will automatically open the capture screen and when images are captured, the software
will pull images from the database. This is used to demonstrate and test the software when no camera is
connected to the computer.
Load Test X-ray Images - When this command is checked, it allows the software to simulate capturing X-rays
into a template or tooth chart. Images are pulled from the database to demonstrate and test the software when
EVA Vet is not attached.
Change X-ray Unit Label - Not used.
Change Background Color - This feature opens a color palette, allowing the background color of the application
to be changed.
25

X-ray System - Allows the selection of EVA Vet.
Software Method - Allows a choice between Stand-Alone or Practice Management.
Language - Opens the Language window. Options are English, Spanish, German and Polish.
Options - For saving X-rays, this allows for DICOM, compressed TIFF, and uncompressed TIFF in either 8 or
16 bit format.
Extended Options - For service only.
Tools
This drop-down menu pertains to both video images and
radiographs. Spotlight On/Off and Spotlight Size can be used
on both radiographs and video images.
Spotlight On/Off - Turns on a "spotlight effect" that is seen when
the cursor is passed over the image.
Spotlight Size - Determines the relative size of the circular area
illuminated/highlighted when the spotlight is turned on. Automatically
turns the spotlight on when the size is changed.
Slide Show - Allows the creation of slide shows from images
contained within patient databases. It is an intuitive and easy-touse
utility.
LightBox - Turns the entire screen white for use as a light box for
conventional radiographs. Double clicking on the white screens
turns it off.
Movie Controls, and Cosmetic Imaging will be discussed in a
separate manual dealing with video imaging.
Create Word Document - Launches Microsoft Word (if present) for
quick and easy document creation.
Send Email - Launches the default e-mail form from within your
browser or e-mail client software (if present).
Chart Designer - Allows for the design of
custom tooth charts or templates.
Clicking on the New button to the left
brings up a blank chart with "New Chart"
in the title bar and the "+" icon bolded.
Clicking on the "+" icon adds a new position
to the chart each time. The "-" icon removes
the selected position. In addition there are
rotate clockwise and counterclockwise icons
and a "C" (clear) icon which empties the
chart.
26

Image
Features under this drop down menu allow modification of the selected
image. While many apply to both X-ray and video, this discussion
will be limited to X-ray.
Auto Contrast - Automatically adjusts contrast to optimum.
Calibrate Image - Allows calibration of the image for measurements.
See pages 32 and 33.
Flip Image Vertically - Using this command will flip the image
vertically.
Change Color - Brings up a window with manual controls for contrast,
brightness, hue (color images only) and saturation (color images only).
The four adjustments will be seen with a thumbnail view of the image.
Move the scroll bars to the right to increase and to the left to decrease.
All changes are reflected in the thumbnail image as adjustments are
made. When the desired adjustments are achieved, click OK.
View Histogram - A graphical representation, which shows how many
times a color or shade of gray occurs in an image.
Modified Image - Returns to the modified image.
Grayscale - Converts a color image to various differing levels of gray
(Applicable only to video images).
Make 3D - Gives the image an apparent depth or embossed look in
a three-dimensional format. (Primarily for X-ray images).
Full Image - Makes the image as large as possible to fit in the Image
Processing Screen.
Zoom Percentage - Brings up a window that allows zooming in on
the image by a percentage of 100 to 300 percent.
Filter Noise (Avg) - Filters the noise from an X-ray image.
Filter Noise (Med) - Filters the noise from an X-ray image.
27

Calibrate and Measure Image
(Partial Window)
Making Calibrated Measuements
ProImage measures structural distances based on a number of pixels. An especially useful feature for endodontic
procedures is the ability to tell the software how many millimeters are in a measurement of an object of known
length.
For example, if a file is inserted in a basically straight line to a depth of 18 mm, it can be radiographed and a
line(or lines) can then be drawn on the radiograph from the tip of the file to the 18 mm mark. The software will
remember that the line is 18 mm. The result is that the software makes mathematical calculations based on its
measurement method (pixels).
Subsequent lines may then be drawn and relatively accurate estimates can be made on how much further a
file may need to be inserted, etc.
This is very productive in root canal therapy where speed and accuracy is of the essence.
The Calibrate Image and Measure Image features
Due to sensor positioning and its resulting magnification of the image, it is essential for accuracy when measuring
an image to calibrate the image first. If the image is attempted to be measured first, the following window will
be displayed:
If a line is continued to be drawn, a window similar to this one will appear:
Since the image is not calibrated, the only available unit of measurement is pixels.
29

When Calibrate Image is selected, this window will appear:
After drawing the line of known length, this window will appear prompting the known length
in mm to be entered:
A line or lines may then be drawn by clicking the left mouse button and dragging until finished with the desired
number of segments. Finish the measurement by right clicking the mouse. The window shown below
will appear:
Here is an example of the corresponding radiograph:
30

Annotations
This menu allows notes, text and shapes to be placed on images. Once
these are on the images, they may be moved, re-shaped, hidden, shown
and locked on the image.
Shapes that may be chosen are:
Pointer (line with arrowhead), Line, Freehand, Rectangle, Polygon,
and Elipse.
Note will create text on a colored background
(similar to a sticky note).
Text will create text directly on the image.
Hide Annotations and View Annotations turn all annotations on and
off.
Freeze Annotations creates a permanent grayed-out copy of the
annotation(s) on the image.
Select allows selection of annotations already present on the image by
clicking on them. When Select is selected, the last selected annotation
will become selected. When Select is deselected, no annotations may
be selected.
To make a pre-defined shape, select the shape from
the list, place the cursor on the image, then click the
mouse and drag the cursor to get the desired size
of the shape.
For Freehand shapes, click the mouse on the
desired starting point and then drag the mouse until
the desired image is created. Then release the left
mouse button.
For Polygon shapes, click the mouse on the desired
starting point and then continue clicking the mouse
until you have an enclosed shape. If the shape is not
enclosed, right click the mouse to end the drawing.
NOTE:
To change line thickness, foreground color,
background color, font, size or text, place the cursor
on the annotation and right click the mouse. The
annotation menu will appear. Select items to change
and the appropriate pop up menu will appear.
31

When the Text tool is selected, the Text Annotation
window will pop up. Type in the text desired or
choose text from the pull down menu. If something
is typed other than what's in the pull down menu,
the following example of a message will appear:
The text may be added to the Annotation table, or
not. Either way, it will go onto the image.
Then, place the cursor on the image and click and
drag a corner of the text box to size it. Then drag
the box to a location for the text to appear.
When the Note tool is selected, a larger text
box will appear. Type the desired text and click
OK. Then place the cursor on one of the corner
handles of the note and click and drag the note to
the desired shape and size. The cursor may then
be placed anywhere on the note and the note may
be dragged to any location on the image.
32

Window
Cascade Images - This arranges the images so they lay on top of
each other in a staggered fashion.
Tile Images - This determines how many images are open and
resizes them if necessary so all will fit on the screen.
FullScreen - This enlarges the selected image to the largest size
that will fit the monitor. Double click on the image to return to the
image processing screen.
Close All Images - Closes all the open images at once.
Image1 - Selects image 1.
Image2 - Select image 2
Image3 etc...-Selects image 3.... Etc.
Help
Help Topics - This will bring up the main help screen. A partial
image of this screen looks like this:
33

Click on Index to bring up this window:
Either type in the beginning of
a topic or:
Select from the list.
Then click on the Display button
at the bottom of the screen.
This will bring up the desired
topic.
About - This will bring up the version information
of the software.
34

Icon Toolbar
A M N O P
In the Main Image Processing Screen, some of the more common items used
are displayed on the Icon Toolbar:
A. Update Patient (File Menu)
B. Open Patient Database (File Menu)
C. Scan Image (File Menu)
D. Save Image (File Menu)
E. Print (File Menu)
F. Cosmetic Imaging (Tools Menu)
G. Original Image
H. Flip Image Horizontally
I. Rotate Image Right
J. Spotlight On/Off (Tools Menu)
K. Zoom Image
L. Enable Mouse Contrast and Brightness
M. Invert Colors
N. Measure Image
O. Colorize X-ray
P. Exit (File Menu)
Q. Clarify
R. Gamma
Q.
R.
Note: Two more Icons are always present on the right side of the
screen (When a template is not open). These are called "Clarify" and
"Gamma".
Clarify will bring out additional detail. Note that it will also introduce some
noise into the image.
Gamma will increase both contrast and brightness in the predominant mid-range,
thus enhancing the image.
35

Advanced Toolbar Style
Note: The advanced toolbar style is primarily for backwards compatibility with older legacy versions of
ProImage. It is strongly recommended to use the basic Icon toolbar.
Clicking on the Advanced icon
more extensive set:
under Edit > Preferences > Toolbar Style changes the toolbars to a
On the top left horizontal toolbar are six (6) items. These are (left to right): Update Patient, Open Patient
Database, Slide Show, Exit ProImage, Save Image and Print.
The top right horizontal bar contains all of the same tools found in the Image drop-down menu except
View Histogram and Full Image:
A B C D E F G H I J K L M N O P Q
Horizontal
A. Enable Mouse Contrast and Brightness
B. Auto Contrast
C. Zoom Image
D. Colorize X-ray
E. Calibrate Image
F. Measure Image
G. Flip Image Vertically
H. Flip Image Horizontally
I. Rotate Image Right
J. Invert Colors
K. Change Colors
L. Original Image
M. Modified Image
N. Filter Noise (Avg.)
O. Filter Noise (Med)
P. Grayscale (for photographic images only)
Q. Make 3D
In addition, two more vertical toolbars appear:
The right-hand Toolbar contains features
from the Annotations drop-down menu. The bottom
icon (hammer) returns the basic Toolbar
scheme.
Right Vertical
A1 Select
B1 Pointer
C1 Line
D1 Freehand
E1 Text
F1 Note
G1 Rectangle
H1 Polygon
I1 Ellipse
A1
B1
C1
D1
E1
F1
G1
H1
I1
Right
Vertical Advanced
Toolbar
36

The left-hand vertical Toolbar contains items from
the Edit menu (A2 - E2) and items from the Tools
menu (F2 - H2).
Left Vertical
A2 Undo
B2 Copy
C2 Paste
D2 Resize Image
E2 Show Exact Image
F2 Light Box
G2 Spotlight On/Off
A2
B2
C2
D2
E2
F2
G2
Left
Vertical Advanced
Toolbar
37

Patient Database
To open the patient database click the Open icon from the icon bar of the image processing screen or
select Open Patient Database from the File pull down menu. This will open the patient database screen. To
select a patient, type the patient last name or type the first few letters of the patient name, which narrows down
the patient list and then choose the patient name from the drop down menu.
Once a patient is selected, all of the images saved for this patient will be seen as thumbnail images to the right.
(The most recent image input is the top left corner). Each image is identified with the patient name, time and
date the image was saved. The images may be either radiographs or video based. From this screen one may
Search, Load, Delete and Print images as well as modify attached attributes such as Type, Class, Annotation,
Tooth#, Comments, etc.
38

Currently highlighted, not
selected
Currently highlighted and
selected
Not currently highlighted,
but selected
The Red Box around the image indicates
the currently highlighted image. As different
images are selected, notice that the
information (Type, Class, Annotation, Date,
Tooth # and Comment) associated with
that image appears in the bottom portion
of the database screen. This information
can be changed by selecting an image,
then choosing a field and entering the new
information.
The Blue Box indicates that an image is
selected. Multiple images may be selected
by clicking on an image, then clicking on
another image. An image may be deselected
by clicking on it.
Once an image is selected, one can Load,
Print or Delete the image by selecting the
corresponding button. Double clicking on
any image will load that image and any other
selected images.
Searching
A search can be made for a patient and
related images or for images with certain
attributes regardless of the patient.
The top portion of the database is the search
field. To search, choose search criteria from
Type, Class, Annotation, X-ray Position,
Tooth #, Dentist, or a range of dates. Then
click search.
Note: A * indicates all the items in a given
field.
Thumbnail images appearing to the right
will be only those pertaining to the chosen
criteria.
39

To change the attributes for a particular image,
select that image in the group of thumbnail
images. Its related information will be shown
in the bottom left fields of the patient database.
Select the information field you wish to change
and enter the new information.
Loading
Select images by clicking on the thumbnail(s)
images on the right side and bordering them
with a blue box.
Then click Load.
The program will shift to the Main Image
Processing Screen and the images will be
loaded there.
Depending on how many images have been
selected (up to 32 images), the software will
size the image so all of the selected images
will fit on the screen.
Exit
Click on this button to exit the patient
database.
Select All
Clicking on this button will select all thumbnail
images for the current patient.
Clear All
Clicking on this button deselects all selected
thumbnail images for the current patient.
40

Compose/Print
This command allows one to compose and print multiple and single
images.
Please note that any annotations that are desired ON images
need to be added in the Image Processing Screen and saved
prior to selecting Compose/Print.
To use this option, first select the image
thumbnails to be worked with. Then, click
on Compose/Print.
The following window will appear:
Portrait
This option brings up the main Image Grouping screen containing
a vertical page with the selected images for printing.
Landscape
This option brings up the main Image Grouping screen containing
a horizontal page with the selected images for printing.
Image
This option brings up the main Image Grouping screen containing
the selected images for arranging, annotating and composing a new
image that can subsequently be saved into the database or printed.
When The Page Setup drop-down menu is opened, an additional
option (Image) is present under Print. When this is selected, the
composition is opened in the Image Processing Screen as a single
image. Once in the Image Processing Screen you must Save the
image if you want to store it.
General Features
The following applies to all three options listed above.
When the Page Setup menu is dropped down (shown to the right)
options are available to adjust the Background Color, Image
Frame Color and Width. There are also a number of Annotation
options.
To Move images, click on the image and drag it to the desired position.
To Resize images, place the cursor on the corner of the image. Click
and drag the corner to resize the image. To send the image to the
front, back, or change the background color, left mouse click on the
image to be changed and the menu will pop up. Select the desired
function.
To Print, select Print from the page setup menu.
Page Setup Menu
(Image) showing
the additional Image option
(partial window)
Page Setup Menu
(Landscape and
Portrait)
41

Above: Example of Compose/Print with portrait orientation
selected
42