User Manual

User Manual

DentaFilm Dental CBCT Software

Please Read This User Manual Carefully Before Use and Operation
Version: V1.0
Issue date: 2019-12-31

Manufacturer:

Hefei DentaFilm Medical Equipment Co., Ltd

DentaFilm Medical reserves the right to change the technology of this product, subject to change
without notice.
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Table of Contents
Chapter 1 Foreword................................................................................................................. 1

1.1 Purpose..............................................................................................................................1

1.2 References.........................................................................................................................1

1.3 Guide Note........................................................................................................................ 1

1.4 Preface...............................................................................................................................1

Chapter 2 Brief Introduction...................................................................................................2

2.1 Software version............................................................................................................... 2

2.2 Use of software................................................................................................................. 2

2.3 Run the software............................................................................................................... 2

2.4 Software algorithm............................................................................................................2

2.5 System Requirements........................................................................................................3

2.6 Software Security Levels.................................................................................................. 5

2.7 Security software.............................................................................................................. 5

2.8 User Access Control......................................................................................................... 5

2.9 Warnings and Notices....................................................................................................... 6

2.9.1 Safety Warnings..................................................................................................6
2.9.2 CAUTION.......................................................................................................... 7
2.10 Computer data protection................................................................................................7

Chapter 3 Image Management Module.................................................................................. 7

3.1 Brief Introduction..............................................................................................................7

3.1.1 Software Operation.............................................................................................7
3.1.2 Functional description........................................................................................ 8
3.2 General examination operation......................................................................................... 9
3.2.1 Login software.................................................................................................... 9
3.2.2 Patient registration............................................................................................ 10
3.2.3 Image acquisition..............................................................................................12
3.2.4 User log-off.......................................................................................................13
3.2.5 Exit software.....................................................................................................13
3.3 Examination management...............................................................................................13
3.3.1 Images archiving...............................................................................................13
3.3.2 Image export..................................................................................................... 14
3.3.3 Browse image................................................................................................... 14
3.3.4 Disc burning..................................................................................................... 15
3.3.5 Image printing...................................................................................................15
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3.4 Software management.....................................................................................................15

3.4.1 Device configuration........................................................................................ 16
3.4.2 DCMWorklist configuration............................................................................. 17
3.4.3 DCMStore configuration.................................................................................. 18
3.4.4 DCMPrint configuration...................................................................................19
3.4.5 User Management.............................................................................................20
3.4.6 Password setting............................................................................................... 20
3.4.7 Parameter modification.....................................................................................21
3.5 Exit software................................................................................................................... 21

Chapter 4 Image Acquisition Module................................................................................... 22

4.1 CT acquisition.................................................................................................................23

4.2 Panoramic acquisition.....................................................................................................27

4.2.1 Panoramic (PX) dentition acquisition..........................................................................27

4.2.2 Panoramic TMJ Acquisition........................................................................................ 30

4.3 Anterolateral (DX) acquisition....................................................................................... 35

Chapter 5 Image browsing processing module.................................................................... 36

5.1 Function description........................................................................................................37

5.1.1 Mode Selection................................................................................................. 37
5.1.2 View layout switch........................................................................................... 37
5.1.3 Function............................................................................................................ 40
5.1.4 Attachment........................................................................................................42
5.2 Functional operation....................................................................................................... 43
5.2.1 Image browsing................................................................................................ 43
5.2.2 Measurement module....................................................................................... 43
5.2.3 Curved plane tomography (panoramic manual dental arch line)......................46
5.2.4 Three-dimensional browsing............................................................................ 53
5.2.5 Implant module.................................................................................................57
5.2.6 Neural canal module......................................................................................... 62
5.2.7 Panoramic Auto arch line................................................................................. 66
Chapter 6 Embedded Software Description.........................................................................68

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Chapter 1 Foreword

1.1 Purpose

The purpose of this manual is to fully introduce the functions and operating
environment of the software, to guide users to understand the scope and method of
using the software, and to provide necessary information for the maintenance and
update of the software.

1.2 References

Dental Cone-Beam Computed Tomography User Manual.

1.3 Guide Note

This manual copyright belongs to DentaFilm and all rights, including photocopy, copy
or interpretation rights etc., are reserved.
This manual contains proprietary information protected by copyright law, including
but not limited to technical confidential information, patent information and other
commercial confidential information. Please keep them confidential and not disclose
any content in this manual to irrelevant third parties.
For the user, the possession of this manual does not constitute license grant of the
intellectual property rights contained in the product by DentaFilm.
The right to modify, update and final interpretation of this manual belongs to
DentaFilm.

1.4 Preface

Application persons
This manual is applied to clinical professionals and other authorized users.

Signs and Figures

All signs and figures illustrated in this manual are only for explanation purpose.

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Terms and Definitions

WARNING: Operation or situation which may cause harm or injury to patients, users
or other persons.
CAUTION: Operation or situation which may cause CBCT software corrupted,
incorrect data generated, or process invalidated.
NOTE: Important information necessary to be read.

Chapter 2 Brief Introduction

2.1 Software version

Software name: DentaFilm Dental CBCT Software

Released version of software: DFT 1.0

2.2 Use of software

This software is the digital image processing system software of

DFT-4D-COMMANDER Dental Cone-Beam Computed Tomography, which is used
for dental CBCT, panoramic dentition, panoramic TMJ, lateral imaging and image
management.

2.3 Run the software

This software runs on the computer system, after the software is installed, click the
software icon directly to display the main interface, and the user can perform
corresponding operations.

2.4 Software algorithm

The cone beam FDK reconstruction algorithm is used, which is an analytical

reconstruction algorithm. It has high reconstruction accuracy and fast reconstruction

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speed for complete and low-noise data. The equipment performs 360-degree scanning
around the patient, collects projection data in all directions, weights the projection
data, performs one-dimensional line filtering, and then obtains three-dimensional
volume image through back-projection processing according to the geometric
relationship of the system imaging. The FDK algorithm is used to image the
three-dimensional anatomical structure information of different parts of the dental
cavity, and can be used for dental clinical applications such as dental implantation and
dental diagnosis.

2.5 System Requirements

The computer (including the monitor) is provided by the user. Workstation software
varies depending on whether image acquisition needs to be run:
1. Minimum configuration including patient management and image viewing
modules:

Workstation software Standard configuration Minimum configuration

Safety Requirement: IEC Safety Requirement: IEC 62368
62368 or IEC 60601-1 or IEC 60601-1
CPU: Intel Pentium（R）42.6G CPU: Intel Pentium（R）41.6G
Memory: 8G DDR high-speed Memory: 4G DDR high-speed
memory memory
Hard disk: 500G high speed Hard disk: 160G high speed
hard disk hard disk
Operating environment Graphics card: Nvidia2G Graphics card: Nvdia1G
Operating system: support Operating system: support
windows7 64-bit version or windows7 64-bit version or
compatible version compatible version
CD-ROM: none CD-ROM: none
Ethernet card: pci-e1000M Ethernet card: pci-e1000M
adaptive network card adaptive network card
Display monitor: Display monitor:
Safety Requirement: IEC Safety Requirement: IEC 62368
62368 or IEC 60601-1 or IEC 60601-1
Screen size: 21 inches Screen size: 21 inches

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Monitor type: LCD color Monitor type: LCD color

Monitor resolution: Monitor resolution: 1280×1024
1280×1024 Maximum brightness: 250cd/m2
Maximum brightness: Contrast ratio 1000:1
250cd/m2
Contrast ratio 1000:1
Other hardware Other interfaces: USB2.0 or 3.0

2. Minimum configuration including patient management, image acquisition and

image viewing modules:

Workstation Standard configuration Minimum configuration

software
Safety Requirement: IEC 62368 or Safety Requirement:IEC 62368 or
IEC 60601-1 IEC 60601-1
CPU: Intel Core i5 series CPU: Intel Core i5 series
Memory: 8G DDR high-speed Memory: 4G DDR high-speed
memory memory
Hard disk: 1T high speed hard disk Hard disk: 1T high speed hard disk
Operating Graphics card: GTX1050 Graphics card: GTX1050
environment Operating system: support Operating system: support windows7
windows7 64-bit version or 64-bit version or compatible version
compatible version
CD-ROM: none CD-ROM: none
Ethernet card: Intel Gigabit Ethernet card: Intel Gigabit network
network card card
Monitor standard configuration Monitor minimum configuration
Safety Requirement: IEC 62368 or Safety Requirement: IEC 62368 or
IEC 60601-1 IEC 60601-1
Screen size: 21 inches Screen size: 21 inches
Monitor type: LCD color Monitor type: LCD color
Monitor resolution: 1280×1024 Monitor resolution: 1280×1024
Maximum brightness: 250cd/m 2
Maximum brightness: 250cd/m2
Contrast ratio 1000:1 Contrast ratio 1000:1
Other hardware Other interfaces: USB2.0 or 3.0

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2.6 Software Security Levels

The software security level is B.

2.7 Security software

The software can pass the verification of the security software (such as 360 Security
Guard, 360 Antivirus, Tencent PC Manager, Kingsoft Antivirus, etc.), which can
ensure that the computer system is installed with a safe and effective version. Specific
test environment:
Software Specification Complete Supplier Operating
name and Model version environment
360 Security V12 V12.1 Beijing Qihoo Win7 / Win10
Guard Technology Co., Ltd.
360 Antivirus V5.0 V5.0.0.8160 Beijing Qihoo Win7 / Win10
Technology Co., Ltd.
Tencent PC V13 V13.3 Tencent Win7 / Win10
Manager
Kingsoft V11 V11.2019.0..2 Beijing Kingsoft Security Win7 / Win10
Antivirus Software Co., Ltd.
Windows10 Home/Pro V1909 Microsoft Common
computer

2.8 User Access Control

The image management software contains user access control, which can provide
three control permissions of administrator, operator and common user, as shown in the
following table. You can enter the specified account and password to access the
software interface.
User access control
User type Control measures Permission
Administrator Specify account and Add, delete and send image data;
password to log in Image photoing, user management;
Data backup and restoration; modify setting;
Video editing; report preparation.

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Operator Specify account and Adding and sending image data;

password to log in Video photoing; video editing; report preparation.
Common Specify account and Adding image data;report preparation.
User password to log in

2.9 Warnings and Notices

In order to use this software safely and effectively and avoid the possibility of
software failure, please be familiar with Windows Operating System firstly, read the
user manual carefully as well as make sure the DentaFilm Dental CBCT Software can
be operated correctly and smoothly. The following warnings and notices shall be paid
special attention during operation procedure.
1. The software is not applicable for home use.
2. All figures and illustrations contained in this manual are only for reference.
3. It is better to shut down the PC once a day to reset the software completely,
otherwise the performance of the software may be decreased.
4. Statement: the software data interface conforms to the DICOM3.0 format.

2.9.1 Safety Warnings

WARNING
1. Failure to operate the device and software in accordance with the safety

instructions may endanger patient safety, and the manufacturer is not liable injury

caused by improper use.

2. The software should be installed by a qualified service engineer. Do not run the

software until all cables are properly installed and validated.

3. Before use, users shall be qualified with professional training and this manual shall

be read carefully.

4. The software is not intended for treatment.

5. The software is not applicable for home use.

6. The diagnostic and examination functions of the software should be combined with

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the clinical study of the patient, and the diagnostic results are for the doctor's

reference only.

2.9.2 CAUTION

CAUTION

1. If the power cord is missing, damaged or not provided, a power cord with
the original specification as well as in conformity with local regulations shall
be selected for use.
2. Please use power adapter with a power cord applicable to the rated power as
the supply part to reduce risks.
3. No parts of the software are allowed to be repaired by users. All services
shall be carried out by qualified service persons assigned by DentaFilm.

2.10 Computer data protection

1. The database must be backed up daily to some high capacity magnetic media that
can be used alternatively (such as large capacity removable hard disk).
2. Ask your computer vendor for advice on storing copies in a secure location.

Chapter 3 Image Management Module

3.1 Brief Introduction

The main functions of DentaFilm dental CBCT software image management module
include patient management, image storage, and image printing.

3.1.1 Software Operation

The interaction between the software and the user is basically completed with the
mouse and keyboard, and the relevant operations are explained as below.
1. Explanation of mouse operation:
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Mouse Operation Explanation

Left single click Single click the left button to select a button or icon, and press,
release, or quickly press/release the mouse button
Right single click Single click the right button of mouse
Drag Left single click and drag the cursor to the desired position while
keeping it pressed
Right single click Right single click and drag the cursor to the desired position while
and drag keeping it pressed
Double-click Click the left button twice in quick succession double-click

2. Explanation for button and keyboard operation:

Keyboard Operation Explanation
Active button The button is in the active status. Clicking on it can make certain
actions. The button is marked with the brightness to indicate the
active status. At this time, the corresponding operation of the button
can be performed.
Inactive button The button is in the inactive status. Generally inactive buttons are
displayed in gray, and it changes in the active status after clicking.
Choose button 1. Select one or more options in the checkbox
2. Select one option in the radio button
3. Select an option page in the tab
4. Select part or all the text in the text box
Horizontal scroll bar Drag the horizontal scroll bar left and right with the mouse
Vertical scroll bar Drag the vertical scroll bar up and down with the mouse
Enter Press ‘Enter’ on the keyboard
Textbox Mark * indicates that the content must be filled in, some are
automatically generated content and cannot be changed

3.1.2 Functional description

DentaFilm Dental CBCT Software image management module includes the following
functions:
 Patient management: Manage patient information, including patient appointments,

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registrations, and examinations.

 Image acquisition: call the image acquisition module to complete the image
acquisition.
 Configuration: software management, inspection management, user management,
password modification, mainly for software configuration.
 Image output: The image can be stored to the server, and the image can be
exported to the designated location. The export image format supports
DICOMDIR, DCM and BMP.

3.2 General examination operation

This part mainly explains how to check a patient through the image management
module of DentaFilm dental CBCT software. Before starting examination operations,
make sure that the device has been connected to the computer appropriately and the
debugging has been completed.
DentaFilm dental CBCT software image management module is the the main part of
the interaction between the Dental Cone-Beam Computed Tomography and the user.

3.2.1 Login software

Start the software (this software can be set for starting automatically), then a login
dialog box will be pop up, as shown below:

Enter user name and password correctly in the dialog box, then click on "OK" . If you
do not want to run the software, click on "Close" to exit. (If you do not know your
password, please consult your software administrator.)

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Default user and password of the factory setting is as following:

Administrator: manager, password: manager; User: user, password: user.
Note: When entering the password, software will not display the relevant
character information.
Note: Passwords are case sensitive.

After login successful, the software main interface will appear as below shows:

3.2.2 Patient registration

After login successful, the software shows its main interface. Before starting image
acquisition, the patient and examination information corresponding to the image shall
be confirmed. The patient information may be sourced from local registration or RIS
registration. There are two ways to register patient information:
1. Enter patient information in the “Management" interface:
Select "Management" in the main interface to enter the patient management
interface, as shown below:

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Enter patient information in the corresponding column of the new patient

interface, including patient number, name, age, gender, doctor's name, date of
birth, patient address, remarks and other information. Tab key on keyboard can
be pressed to shift among these items. After inputting the date of birth, the
software will automatically calculate the age and display it.
2. Quick search

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It is mainly used to achieve the following information queries:

 Index query for locally registered patients.
In the query function sector, users can select appropriate query conditions as
needed. The specific options are as follows:
 Patient type: The optional items are "Work List" and "Study List".
 Date range: The optional items are "Today", "Three Days", "One Week",
"One Month", "Six Months" and "Custom".
 Custom query items: The optional items are "Patient ID” and "Patient Name".
After completing the option configuration, the user needs to enter the content
in the text box. This query supports fuzzy query.

3.2.3 Image acquisition

1. Entry way
 In the patient management interface, the user executes "New Patient" to
complete the registration and create new collection for the patient.
 The user selects the unchecked patient record in the patient management
interface and clicks on "Examination" icon. As shown in the figure:

2. Image acquisition: refer to the instruction of the image acquisition module.

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3.2.4 User log-off

When some examination is ongoing, the user cannot be logged off. Please close all
examinations before logging off the user.
In the software main interface, after clicking on "Close", user login dialog box will
appear and the user can click on "OK" to exit the software. If a new user is added and
intended to be log on as this user, the software needs to be restarted.

3.2.5 Exit software

Normally, all parts of the software are kept in working status, and the software will
enter the "sleep" status to reduce power consumption if they are not used in a few
minutes.
There are two following steps to shut down the software safely. It is recommended to
follow up below steps in turn to shut down the software.
1. Turn off the dental cone-beam computed tomography.
2. Shut down the computer.

3.3 Examination management

This part mainly introduces management of examination information stored locally.

3.3.1 Images archiving

If users set up configuration in the software to upload the information automatically

after it has been saved, the image will be automatically saved as a DICOM image
after the image acquisition is completed and will be uploaded to the DCM STORE
server.
If the examined images need to be archived, click on "Upload" to upload the images
of the patient.

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3.3.2 Image export

Click on to enter the image export interface. Image export is divided into file
export and disc burning.
Formats supported for data export include: DCMDIR, DCM, BMP.

First click on "..." to select the export location, then select the export format, and click
"Export" to execute the export.
In the DCMDIR format, the file will be stored in the folder named "volume label"
under the target file.
In the DCMIMG, BMP format, the file will be stored in the folder named "patient
name-examination number" under the target folder.
Note: If the patient list is selected currently, the images of all selected patients
will be disc burned or exported. If the examination list is selected currently, only
the images related to the selected examination will be disc burned or exported.

3.3.3 Browse image

Double-click a specific image to enter the image browsing module, see 5 for detailed
description of the image browsing module.

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3.3.4 Disc burning

The user shall ensure that the burning drive can be loaded correctly at first, as well as
insert a blank disc into the burning drive, and then click on "CDBurn" to implement
disc burn.

3.3.5 Image printing

Click on to pop up the print dialog box for printing.

This software supports both DICOM printers and general printers. Select the printer,
print layout and parameters, and then click for printing.

3.4 Software management

This part mainly introduces the control management and configuration functions
related to the software.
The software main menu provides software control and management functions
besides the examination process, and it mainly includes system management,
examination management, user management, and password management.
Note: Different user authority may have different rights to operate software
management. Administrator can perform all the management functions in the

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software menu, users authority will depend on the rights granted.

Click on on the status bar to enter the software management dialog box. The
software management includes parameter configuration, worklist, storage
configuration, and print configuration.

3.4.1 Device configuration

 Device name: The identification (AETitle) of this device.

 Image storage catalogue.
 Image storage alarm capacity.
 Device type: The type of connected device, defined according to the DICOM
standard.
 Debug log level.
 Multi-language options
 Clinic identification parameters, such as institution name, etc.

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3.4.2 DCMWorklist configuration

When registering with the DCMWorklist service, the worklist server parameters need
to configured here. For knowledge related to the worklist, please refer to the DICOM
standard.
 Device name: DICOM AETitle of the worklist server.
 IP address: IP of the worklist server.
 Port number: the port number of the worklist server.
 Automatic: In the interface to be examined, whether to automatically refresh the
worklist so that it is not necessary to be refreshed manually each time.
 Enable: Enable or disable the current item.

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3.4.3 DCMStore configuration

When the archiving is performed, PACS server parameters need to be configured here.
For knowledge related to DICOM storage, you can refer to the DICOM standard.
 Device name: DICOM AETitle of the PACS server.
 IP address: IP of the PACS server.
 Port number: the service port number of the PACS server.
 Automatic: After the image is acquired, whether to perform DICOM archiving
automatic, so that it is not necessary to be archived manually every time.
 Enable: Enable or disable the current item.

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3.4.4 DCMPrint configuration

When the printing is performed, the parameters of the DICOM printer need to be
configured here. For the knowledge of DICOM printing, you can refer to the DICOM
standard.
 Device name: DICOM AETitle of the printer.
 IP address: IP of the printer server.
 Port number: the service port number of the printer server.
 Enable: Enable or disable the current item.

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3.4.5 User Management

Administrator can manage information of users here, including adding and modifying
users, authorization and other control rights.

3.4.6 Password setting

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Select "Password" on the configuration page, input the correct original password, and
then input the new password, after that input the new password again to double
confirm, and finally click "OK" to complete the password modification.

3.4.7 Parameter modification

Modify the exam number or patient number prefix respectively.

 Current serial number: patient number or exam number.
 Database parameters: Configure the connection information of the database.

3.5 Exit software

1. Click on "Close" in the upper right of the main interface, and the following dialog
box will pop up.

2. Select “OK” to exit the software.

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Chapter 4 Image Acquisition Module

Refer to 3.2.4 to enter the image acquisition module. The acquisition interface is as
follows:
1. Computer software

2. Touch screen software

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Operation on the computer, when entering image acquisition from image management,
different shooting modes will enter different image acquisition interfaces. At the same
time, the touch screen software will also switch to the interface of corresponding
mode.

4.1 CT acquisition

1. The CT mode acquisition interface is shown as figure below:

2. Set the appropriate shooting dose.

The acquisition module presets different shooting doses for different patient
types and different patient sizes. User can use the preset shooting doses by
selecting “Patients with type” and “patients with size”. The shot dose can also be
set directly by lowering or raising the value of "Voltage" and "Current".

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3. Set the window size as shown below:

4. Select the CT reconstruction mode, as shown below:

The default is "Standard” reconstruction, if the patient has a metal implant, it is

recommended to select "No Artifact” reconstruction.
5. Click on "Set Up" icon, the machine enters the preparation state, and the
"machine state" is displayed as "Machine in preparation", as shown below.

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6. When the machine is ready, the "machine state" is displayed as "Machine ready,
patient in position”. And guide the patient into position at this time.

The shot dose and reconstruction mode can be adjusted again.

7. Click on "Confirm" icon when the patient is in position, the "machine state" will
display "Patient insertion completed, waiting to be photographed”. And the
software enters the shooting waiting status.

8. Press and hold the shooting handle to start shooting, and the captured image will
be displayed on the computer screen.

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9. The software automatically enters the three-dimensional image reconstruction

and displays the reconstruction progress after completing the shooting.

10. User can preview the reconstructed image after completing the reconstruction.

The left side is cross-sectional view, and each image corresponds to a layer of
slice image in a three-dimensional image. Drag the scroll bar on the right (or click
the up and down arrows) to browse images of different layers.
The right side is the three-dimensional view, which supports zoom-in, zoom-out,
and rotation for further observation.

11. Click on "Finished" icon to save the current image and complete the shooting.

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Note: If there are metal artifacts in the reconstruction image, please confirm
whether the patient has a metal implant; if there is a metal implant, press the
"Ctrl+R" keys on the keyboard to switch to "No artifact” reconstruction.

4.2 Panoramic acquisition

4.2.1 Panoramic (PX) dentition acquisition

1. Panoramic (PX) dentition mode acquisition interface is shown in figure below:

2. Set the appropriate shot dose; and select the dental arch. Refer to 4.1 CT
acquisition for details of shooting dose setting.

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3. Click on "Set Up" icon, the machine enters the preparation state, and "Preparing"
is displayed in the upper right corner. Click on "Set Up" icon, the machine enters
the preparation state, and the "machine state" is displayed as "Machine in
preparation", as shown below.

4. When the machine is ready, the "machine state" is displayed as "Machine ready,
patient in position”. And guide the patient into position at this time.

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At this time, the shot dose and the dental arch can be adjusted again.
5. Click on "Confirm" icon when the patient is in position, the "machine state" will
display "Patient insertion completed, waiting to be photographed”. And the
software enters the shooting waiting status.

6. Press and hold the shooting handle to start shooting, and the captured image will
be displayed on the computer screen.

7. After the shooting is completed, the software automatically recognizes overall

lightness or darkness of the image. By adjusting brightness and contrast, the
software automatically stretches the image to the best state suitable for human

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eye observation.

8. For patients of different ages, there will be differences in the brightness of images
captured at different shooting doses. When the brightness of the final image is
deviated, the user can right-click the image and drag to complete the adjustment
of the image window width and window height.
Remark: Hold down the right mouse button and move. Horizontal movement can
adjust the window width. Move the mouse to the left to increase the window
width, and move the mouse to the right to decrease the window width. Vertical
movement can adjust the window height. Move the mouse up to increase the
window height, and move the mouse down to decrease the window height.
9. Click on "Finished" icon to save the current image and complete the shooting.

4.2.2 Panoramic TMJ Acquisition

1. TMJ mode acquisition interface is shown as figure below:

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The panoramic TMJ mode is suitable for the temporomandibular joint. The
temporomandibular joint is also known as the “TMJ” or “mandibular joint”. It is
composed of the mandibular head, the mandibular fossa of temporal bone and
articular tubercle. It allows opening, closing, and a side to side movement of the
mouth. The TMJ needs to observe two kinds of images in the opening and closing
of the mouth, so two shooting processes are required.
2. Set the appropriate dose and select the dental arch. Refer to 4.1 CT acquisition for
details of shooting dose setting.

3. Click on "Set Up" icon, the machine enters the preparation state, and the
"machine state" is displayed as "Machine in preparation", as shown below.

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4. When the machine is ready, the "machine state" is displayed as "Machine ready,
patient in position”. And guide the patient into position at this time.

At this time, the shot dose and the dental arch can be adjusted again.
5. Click on "Confirm" icon when the patient is in position, the "machine state" will
display "Patient insertion completed, waiting to be photographed”. And the
software enters the shooting waiting status.

6. Press and hold the shooting handle button to start the first shot, and the captured
image will be displayed on the computer screen.

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7. After completing the first shot, the device will automatically enter the preparation
state for the second shot.

8. When the machine is ready, the "machine state" is displayed as "Machine ready,
patient in position”. And guide the patient into position again at this time.

9. Click on "Confirm" icon when the patient is in position, the "machine state" will
display "Patient insertion completed, waiting to be photographed”. And the
software enters the second shot waiting state.

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10. Press and hold the shooting handle button to start the second shot, and the
captured image will be displayed on the computer screen.

11. After completing the second shot, the software automatically recognizes overall
lightness or darkness of the image. By adjusting brightness and contrast, the
software automatically stretches the image to the best state suitable for human
eye observation.

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12. For patients of different ages, there will be differences in the brightness of images

captured at different shooting doses. When the brightness of the final image is
deviated, the user can right-click the image and drag to complete the adjustment
of the image window width and window height.
13. Click on "Finished" icon to save the current image and complete the shooting.

4.3 Anterolateral (DX) acquisition

The anterolateral (DX) and panoramic (PX) dentition acquisition process is the same,
and DX mode does not need to select the dental arch.

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Chapter 5 Image browsing processing module

According to the mode of the called image, it will automatically enter

three-dimensional browsing or two-dimensional browsing interface. The interface is
as follows:
1. Three-dimensional browsing interface:

2. Two-dimensional browsing interface:

The interface area is divided into: mode selection area, function area, and image

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display area.

5.1 Function description

5.1.1 Mode Selection

Icon Explanation
Multi-plane reconstruction mode

Curved plane reconstruction mode

Temporomandibular joint mode

Implant simulation mode

Click the icon to switch to the corresponding mode.

5.1.2 View layout switch

 Each view window has a "Maximization" button. Click the button to maximize
the current window and display other windows on the right.

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Before adjust:

After adjust:

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 Click the "Maximization" button again to return to the normal display mode.
 In the maximized display mode, click the "Maximization" button of another view
to maximize its display. As shown below:

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5.1.3 Function

 View tools

Icon Explanation
Image translation

Image rotation

Scaling image

Show or hide the scale bar

Reset image

 2d Image parameter

Icon Explanation
Adjust image window brightness (window height)

Adjust image window contrast (window width)

Adjust image window sharpness

 Image tools

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Icon Explanation
Straight line distance measurement

Angle measurement

Area measurement

Automatic curved plane tomography

Manual curved plane tomography

Nerve line drawing

Select implant

 3d Image parameter

Icon Explanation
Show three-dimensional rendering teeth mode

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Show three-dimensional rendering skeletal mode

Show three-dimensional rendering custom mode (default

grayscale image)
Show three-dimensional rendering soft tissue mode

Adjust three-dimensional rendering brightness

Adjust three-dimensional rendering contrast

Adjust three-dimensional rendering transparency

Mode switch

Reset parameters

5.1.4 Attachment

Icon Explanation

Hide and show

Delete

Adjust transparency

The attachment shows all current measurements: including lines, angles, areas, nerve
lines and implants, which can be deleted, hidden and the transparency can be adjusted.

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5.2 Functional operation

5.2.1 Image browsing

The image browsing module can open DICOM data and observe it from multiple
angles. The image window width and height can be adjusted, and the image can be
scaled. Refer to 5.1.3 for details of image function.

 Move the brightness slider to adjust the brightness of the image (window
height adjustment).
 Move the contrast slider to adjust the contrast of the image (window height
adjustment).
 Move the sharpness slider to adjust the sharpness of the image.

5.2.2 Measurement module

1. Straight line distance measurement

 Click the "Distance" button in the measurement.

 Move the mouse to the window where distance measurement needs to be

made.
 Click the left mouse button to determine the starting point of the line, move
the mouse position, and click the left mouse button again to complete the

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distance measurement.
 Select any endpoint of the line to modify the length and position of the line.

2. Angle measurement
 Click the "Angle" button in the measurement to start the angle measurement.

 Move the mouse to the slice window to be measured, click the left mouse
button to determine the angle to measure the first vertex, then click left
mouse button to define the second and the third vertex and end the
measurement.
 Move any vertex to adjust the angle size and angle measurement position.

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3. Area measurement
 Click the "Area" button in the measurement.

 Move the mouse to the slice window to be measured, click the left mouse
button and move the mouse in turn, and overlap the last vertex with the first
vertex to form a closed polygon. Move any vertex of the polygon to change
the position and size of the polygon.

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5.2.3 Curved plane tomography (panoramic manual dental arch line)

All DICOM data in the Z-axis direction is sampled along the panoramic dental arch
line to form a space surface, and then the space surface is stretched to form a
two-dimensional plane panorama. The panoramic image can reflect the upper and
lower dental arches and their surrounding structures, and is an important tool for
evaluating the presence or absence, morphological structure, eruption sequence and
spatial relationship of tooth.
The slice image refers to the image that is cut from the vertical direction along the
currently selected position of the dental arch line. The default selected position is the
midpoint of the dental arch line. The slice image is used by the doctor to observe the
image details around the dental arch line. There will be multiple slice images due to
multiple tangent lines in the software. For example, to observe the internal details of
tooth, it is necessary to use the slice image to divide the tooth into multiple slices, and
observe the status and changes of each slice.
User can manually draw the panoramic dental arch line. Click the "manual curved
plane tomography" button in the image tool, then click the left mouse in the cross

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section to draw the curve, and click the right mouse to finish the drawing.

1. Automatic curved plane tomography and manual curved plane tomography

switching

 Click "Automatic curved plane tomography" to switch to the initial automatic

curved plane tomography.

2. Curved plane reconstruction adjustment

 Move curve point position: move the cursor to the point to be adjusted, click

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and hold left mouse and move it to the appropriate position, then release the
left mouse.
Before moving:

After moving:

 Add new curved plane reconstruction point: click the left mouse on the curve to
add a new point.

Before adding:

After adding:

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 Delete curved plane reconstruction point: click left mouse to select the point to be
deleted, and then click "delete" on the keyboard to delete it.
Before adjust:

After adjust:

 Curved plane reconstruction layer thickness adjustment:

 The curved plane tomography is a straight line along the z direction, but the
normal upper dentition and lower dentition are not on the same straight line,
so the single-layer panorama cannot completely display the upper and lower
dentition at the same time.
 Along the direction of the dental arch line, some teeth cannot be displayed in
the single-layer panorama because not all teeth are exactly on the dental arch
line.
For the above reasons, the software takes a certain thickness inside and outside the

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vertical direction of the dental arch line, and superimposes the pixel values within
these thicknesses to take the average value as the pixel value in the panorama. Adjust
the layer thickness of the curved plane tomography and display the panorama, which
is convenient for the doctor to observe whole condition and make reasonable
diagnosis.

Click the "Thick" button, move the slider to an appropriate position, and release the
slider to complete the adjustment.
Before adjust:

After adjust:

3. Curved plane reconstruction slice adjustment

 Fine adjustment of reconstruction slice: move the mouse to the curved plane
reconstruction slice window, and roll the mouse wheel to adjust the slice
position.
 Quick adjustment of reconstruction slice: Move the mouse to the slider, press
the left mouse, and move the mouse position to quickly adjust the
reconstruction slice.
Before adjust:

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After adjust:

 Layer thickness adjustment of curved plane tomography slice: click the "Thick"
button and move the slider to an appropriate position to adjust the slice thickness.
Before adjust:

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After adjust:

 Slice number adjustment

Click the "Slice Number" button, left-click on the table area and select the
number to be adjusted to adjust it.

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 Slice spacing adjustment

Click the "Slice Spacing" button and move the slider to adjust the spacing
between the slices.

5.2.4 Three-dimensional browsing

1. Three-dimensional rendering mode selection and adjustment

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 Mode selection: click the corresponding button in the three-dimensional

rendering to switch the three-dimensional rendering mode.
As shown below, the mode selection includes tooth mode, skeletal mode, soft
tissue mode and custom mode. The custom mode is set to grayscale image by
default.
The software colors the four modes with different colors according to the CT
values of tooth, skeletal, and soft tissue, among which the custom mode can
customize the coloring scheme. The doctor can select different modes to
focus on and browse the key part of the image.

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 Brightness, contrast and transparency adjustment: drag the slider with the mouse
to complete the corresponding adjustment.

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Before adjust:

After adjust:

5.2.5 Implant module

In the implant module, doctor can select implant of appropriate diameter and length
according to corresponding manufacturer and apply it to the browsing software. The

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main purposes of the implant module include: 1. It is used for doctor-patient

communication, so that doctor can show patient the process of implant selection and
simulation. 2. It is convenient for doctor to provide reference for implant selection.
The implant module mainly supports implant libraries from the following 14
manufacturers:
Axiom, Bicon, CSM, Dentium, DIO, IBS, ITI, NOBEL, OSSTEM, YES, Zimmer,
Cortex, Swiss SIC, XIVE.

1. Implant implantation
 Click the "Implant" button in the image tool, and the implant library interface
pops up.

 Implant selection
 Select manufacturer: click the control under the manufacturer, a
drop-down menu pops up, and select one manufacturer.
 Select implant system: click the control under the implant system, a
drop-down menu pops up, and select implant system.

 Select diameter: click the control under the diameter, a drop-down menu

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pops up, and select diameter.

 Select length: double-click to select the corresponding implant in the

table to complete the length selection.
 In the multi-plane interface, select the appropriate position and click the left
mouse to complete implantation.

2. Move or rotate the implant

 Move implant: move the mouse to the implant position, click and hold the
left mouse to move the mouse position, then release the left mouse to
complete movement.

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Before moving:

After moving:

 Rotate implant: move the mouse to the implant position, click and hold the right
mouse to move the mouse position, then release the right mouse to complete
rotation.

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Before rotation:

After rotation:

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5.2.6 Neural canal module

1. Add neural line in multi-plane reconstruction

The inferior alveolar neural canal is located in the mandible along the lower
anterior ramus of the mandible. The neural canal is closely related to the
mandibular posterior teeth and its position in the jaw is very important in various
surgical operations. The distance between the tip of the dental implant and the
upper edge of the inferior alveolar nerve canal should be 2-4 mm. In the case of
insufficient bone at the implant site, the length of the implant should be
controlled at 10 mm or less to avoid damage to the inferior alveolar nerve. The
labeling of neural canal has important guiding significance for dental clinic.

 Adjust the cross line in the multi-plane reconstruction interface and adjust the
slice window to the position of the nerve line.

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 Click on "Nerve" button.

 Move the mouse to the window to be drawn, click the left mouse in turn to
move the cursor and draw, and click the right mouse to end the drawing.

2. Draw nerve line in curved plane reconstruction

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 Click on "Nerve" button.

 Draw nerve lines in sequence on the panorama, and click the right mouse to end
the drawing.

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After adjust:

 Slice number adjustment

Click the "Slice Number" button, left-click on the table area and select the number
to be adjusted to adjust it.

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 Slice spacing adjustment

Click the "Slice Spacing" button and move the slider to adjust the spacing
between the slices.

5.2.7 Panoramic Auto arch line

The software initialization will automatically calculate the panoramic dental arch line,
and output panoramic image and panoramic slice data. See 5.2.3 for the adjustment of
the dental arch line and slice.

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Chapter 6 Embedded Software Description

Software name: DentaFilm Dental CBCT Device Control Program

Software release version: DF Commander DeviceCtrl l.0
Embedded software structure block diagram:

Software module description:

The device software is divided into workstation software and embedded software. The
workstation software is DentaFilm Dental CBCT Software, and the embedded
software is the device control program. The embedded software communicates with
the workstation software through the Gigabit network. It is composed of the Touch
screen Interface program, the Device control program, the X-ray control program, and
the User operating procedures. The functions of each part are as follows:
Touch screen Interface program displays the real time connection status of the device;

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monitors the running status; controls the scanning status and controls the process
operation of the device.
Device control program realizes the communication with the touch screen interface
program through the 100M network, receives and analyzes the shooting parameter
information under the current operation, and controls the device to move to the
corresponding shooting preparation position, and realizes the control of the movement
mode and abnormal operation protection of device during the shooting process.
X-ray control program communicates with the device control program through the
serial port, receives exposure parameters, and realizes control of radiation source
voltage, current, switching process,and abnormal operation protection.
User operating procedures is used to realize the interaction between the user and the
device. It communicates with the device control program through the CAN bus+level,
which can realize the control of the device lifting, positioning laser, and the control of
device shooting process.

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Name: Hefei DentaFilm Medical Equipment Co., Ltd

Add: No. 98 Tangkou Road, Economic and Technological Development
Zone, 230601 Hefei City, Anhui Province, People’s Republic of China
Tel: +86-400-188-8530