CS Imaging

CS Imaging

User Guide
Notice
CS Imaging is a trademark of Carestream Dental LLC.
All other trademarks and registered trademarks are the property of their respective holders.
Current Dental Terminology (CDT) © American Dental Association (ADA). All rights reserved.

U.S. Federal law restricts this device to sale by or on the order of a dentist or physician.

CS Imaging is digital imaging software intended to be used with Carestream Dental's digital imaging devices by
healthcare professionals to display, adjust, make measurement, print, export and store digital or digitized images
to support image diagnosis in medical care, predominantly in dentistry.

The names of persons and the data reflected in this guide are fictitious and are not intended to represent any real
individual, event, or condition. Any resemblance or similarity of the names of persons or data reflected in this
guide to any actual person’s name or any event or condition is purely coincidental and unintended.

No part of this guide may be reproduced without the express permission of Carestream Dental LLC.

Radiographic images are not intended for diagnostic use when viewed on displays or monitors that do not meet
system specifications.

Manual Name: CS Imaging 8 User Guide

Part Number: SMA23
Edition: 11
Print Date: 2023-04
This document is originally written in English.

The CS Imaging software complies with the Medical Device Regulation (EU) 2017/745 and UK Medical Devices
Regulations 2002 (SI 618) as subsequently amended by the EU Exit Regulations of 2019 (SI 791) and 2020 (SI
1478).

CAUTION: Radiographic images are not intended for diagnostic use when viewed on displays or monitors that
do not meet system specifications.  For more information, check the CS Imaging system requirements.

CAUTION: Modified radiographic images are not intended for diagnostic use.
Contents

Chapter 1 Conventions in this Guide. . . . . . . . . . . . . . . . . . . . . . 1

Conventions in This Marking and Labeling Symbols . . . . . . . . . . . . . . . . . . . 2
Guide Important User Information . . . . . . . . . . . . . . . . . . . . . 3
Clinical Benefits and Performance Characteristics . . . . . . . . 3

Chapter 2 Before you use CS Imaging. . . . . . . . . . . . . . . . . . . . . 5

Overview Viewing 3D Volumes . . . . . . . . . . . . . . . . . . . . . . . . 6
Viewing 3D Mesh Objects . . . . . . . . . . . . . . . . . . . . . 6
Patient Browser and Dashboard Overview. . . . . . . . . . . . . 7
Image Viewing Workspace Overview. . . . . . . . . . . . . . . . 9
Darkroom Mode Overview . . . . . . . . . . . . . . . . . . . . . 10
Using Icon Groups . . . . . . . . . . . . . . . . . . . . . . . . . 12
Keyboard Shortcuts in Icon Groups. . . . . . . . . . . . . . 12

Chapter 3 Patient Browser and Dashboard Workflow . . . . . . . . . . . . 15

Using the Patient Icons Available in the Patient Browser and Dashboard . . . . . . 16
Browser and Overlays Available in Patient Browser and Dashboard . . . . . . 17
Dashboard
Using CS Imaging when the DPMS is Unavailable . . . . . . . . 17
Working with Patient Data in Standalone Mode . . . . . . . . . . 19
Creating a Patient Card . . . . . . . . . . . . . . . . . . . . 19
Adding a Picture to a Patient Card . . . . . . . . . . . . . . 19
Sorting the Patient List . . . . . . . . . . . . . . . . . . . . 20
Searching for a Patient in the Patient List. . . . . . . . . . . 21
Refreshing the Patient List. . . . . . . . . . . . . . . . . . . 21
Deleting a Patient Card . . . . . . . . . . . . . . . . . . . . 21
Viewing a Patient Card . . . . . . . . . . . . . . . . . . . . 22
Modifying a Patient Card . . . . . . . . . . . . . . . . . . . 22
Using the Dental Arch Filter . . . . . . . . . . . . . . . . . . . . . 23
Selecting Images . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Viewing an Image in the Image Viewing Workspace. . . . . . . . 24
Viewing Images and Other Objects in the Patient History. . . . . 25
Adding a Comment to an Image . . . . . . . . . . . . . . . . . . 27
Reassigning Images and Other Objects to a Different Patient . . 28
Deleting Images . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Chapter 4 Overview of the Image Title Bar. . . . . . . . . . . . . . . . . . . 31

Using the Image Using the Screen Options . . . . . . . . . . . . . . . . . . . . . 31
Viewing Workspace Arranging Images . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Using Auto-Arrange . . . . . . . . . . . . . . . . . . . . . . 32

CS Imaging User Guide (SMA23)_Ed11 i

 Manually Arranging Images . . . . . . . . . . . . . . . . . . 33
Using an Analysis. . . . . . . . . . . . . . . . . . . . . . . . . . 33
Creating an Analysis . . . . . . . . . . . . . . . . . . . . . 34
Opening an Analysis . . . . . . . . . . . . . . . . . . . . . 34
Editing an Analysis Comments . . . . . . . . . . . . . . . . 35
Deleting an Analysis . . . . . . . . . . . . . . . . . . . . . 35

Chapter 5 Tools available in the Darkroom Mode. . . . . . . . . . . . . . . 37

Using the Overview of the Image Title Bar . . . . . . . . . . . . . . . . . . 38
Darkroom Mode Zooming in and out Using the Localization Tool . . . . . . . . . 38
Using the Screen Options . . . . . . . . . . . . . . . . . . . . . 39
Exiting the Darkroom mode . . . . . . . . . . . . . . . . . . . . 39

Chapter 6 Using the Toolbars in the Image Viewing Workspace or Darkroom

Working with Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Images Using the Drawings & Annotations Toolbar . . . . . . . . . 42
Using the Image Toolbar . . . . . . . . . . . . . . . . . . . 45
Using the Share Toolbar . . . . . . . . . . . . . . . . . . . 47
Viewing Images in Slide Show Mode . . . . . . . . . . . . . . . 48
Using the Image Gallery . . . . . . . . . . . . . . . . . . . . . . 49
3D Volume View . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Modifying Opacity Settings in the 3D Volume View . . . . . 50
Saving Images in the Image Viewing Workspace or Darkroom Mode
51
Deleting an Image . . . . . . . . . . . . . . . . . . . . . . . . . 52
System-Generated Image Overlays . . . . . . . . . . . . . . . . 53
Understanding the Dosimeter Indicator . . . . . . . . . . . 54
Displaying Image Information in Overlays . . . . . . . . . . . . . 54
Enhancing Images . . . . . . . . . . . . . . . . . . . . . . . . . 55
Using the Alt Key to Adjust Image Properties . . . . . . . . . . . 55
Using the Control Panel . . . . . . . . . . . . . . . . . . . . . . 56
Using the Image Processing Tool . . . . . . . . . . . . . . 56
Adjusting Image Brightness, Contrast and Gamma in 2D
Images . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Using the Sharpness Filter . . . . . . . . . . . . . . . . 57
Images using Pre-Defined Anatomical Mode Filters . . 57
Images using CS Adapt Library Favorites . . . . . . . . 58
Adjusting Color Images . . . . . . . . . . . . . . . . . . . . . . 59
Using the Histogram . . . . . . . . . . . . . . . . . . . . . 59
Using the Transfer Function in a Histogram . . . . . . . 59
Using Optiview in a Histogram . . . . . . . . . . . . . 60
Using the Dental Arch Indicator in the Image Viewing Work-
space . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Drawings, Measurements, and Annotations . . . . . . . . . . . . 61

ii
 Drawing a Straight Line . . . . . . . . . . . . . . . . . . . . 61
Drawing a Multi-Segment Line (Polyline) . . . . . . . . . . . 62
Drawing a Freehand Line . . . . . . . . . . . . . . . . . . . 62
Drawing a Spline Curve . . . . . . . . . . . . . . . . . . . . 63
Drawing a Circle . . . . . . . . . . . . . . . . . . . . . . . . 63
Drawing an Ellipse . . . . . . . . . . . . . . . . . . . . . . . 64
Drawing a Rectangle. . . . . . . . . . . . . . . . . . . . . . 64
Adding a Landmark Point . . . . . . . . . . . . . . . . . . . 65
Drawing an Arrow . . . . . . . . . . . . . . . . . . . . . . . 65
Adding a Text Annotation to an Image . . . . . . . . . . . . 66
Editing Text Annotations . . . . . . . . . . . . . . . . . 66
Drawing a Mandibular Canal . . . . . . . . . . . . . . . . . 67
Adding an Implant . . . . . . . . . . . . . . . . . . . . . . . 67
Using the Undo and Redo Functions . . . . . . . . . . . . . 68
Deleting Drawing Objects . . . . . . . . . . . . . . . . . . . 69
Changing Object Color and Line Thickness . . . . . . . . . 69
Moving and Resizing an Object . . . . . . . . . . . . . . . . 70
Rotating an Object. . . . . . . . . . . . . . . . . . . . . . . 70
Changing the Stack Order . . . . . . . . . . . . . . . . . . 71
Using Measurements to Calculate Distances and Angles . . 72
Calibrating an Image . . . . . . . . . . . . . . . . . . . 72
Making Measurements . . . . . . . . . . . . . . . . . . 73
Using the Measurements List in the Image Viewing Work-
space or Darkroom Mode . . . . . . . . . . . . . . . . . 75
Using the Zoom Tool. . . . . . . . . . . . . . . . . . . . . . 76
Using the Highlight Tool . . . . . . . . . . . . . . . . . . . . 77
Using the Color Tools . . . . . . . . . . . . . . . . . . . . . 78
Cropping Images. . . . . . . . . . . . . . . . . . . . . . . . 78
Using the Isodensity Tool . . . . . . . . . . . . . . . . . . . 79
Using the Densitometric Analysis Tool . . . . . . . . . . . . 80
Using Pseudo 3D . . . . . . . . . . . . . . . . . . . . . . . 81
Using Negative Images . . . . . . . . . . . . . . . . . . . . 82
Using Cephalometric Automatic Tracings . . . . . . . . . . 83
Creating a Cephalometric Automatic Tracing . . . . . . 83
Working with Cephalometric Automatic Tracings . . . . 83
Modifying Tracings . . . . . . . . . . . . . . . . . . . . 84
User-Defined Landmark Points . . . . . . . . . . . . . . 85
Using the Tracings Editor . . . . . . . . . . . . . . . . . 85
Resetting Images . . . . . . . . . . . . . . . . . . . . . . . . . . 88

Chapter 7 Using a Predefined FMS Template . . . . . . . . . . . . . . . . . 89

Using FMS Opening an Existing FMS Image . . . . . . . . . . . . . . . . . . 90
Review FMS in the Darkroom . . . . . . . . . . . . . . . . . 90
Adding Images to an FMS . . . . . . . . . . . . . . . . . . . . . 90

CS Imaging User Guide (SMA23)_Ed11 iii

 Setting FMS Configuration Details in the Save FMS Window .
91
Removing Images from an FMS . . . . . . . . . . . . . . . . . . 92
Using the FMS Editor . . . . . . . . . . . . . . . . . . . . . . . 92
FMS Editor Toolbar Buttons . . . . . . . . . . . . . . . . . 92
FMS Toolbox Buttons. . . . . . . . . . . . . . . . . . . . . 93
Creating a Template in the FMS Editor . . . . . . . . . . . 93
Customizing an Existing FMS Template . . . . . . . . . . . 94
Inserting an Image Frame . . . . . . . . . . . . . . . . . . . 95
Inserting a Preview Frame . . . . . . . . . . . . . . . . . . 95
Using the Axes to Orient Images . . . . . . . . . . . . 96
Aligning a Frame . . . . . . . . . . . . . . . . . . . . . 97
Assigning Default Tooth Numbers . . . . . . . . . . . . 98
Assigning or Modifying Acquisition Order in an FMS Tem-
plate. . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Deleting an FMS Template. . . . . . . . . . . . . . . 100

Chapter 8 Locating an Image File . . . . . . . . . . . . . . . . . . . . . . 101

General Imaging Locating a Patient Directory . . . . . . . . . . . . . . . . . . . 102
Functions Displaying the Image Information Window . . . . . . . . . . . 102
Printing Images . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Printing 2D and FMS Images. . . . . . . . . . . . . . . . 103
Printing a Single Image . . . . . . . . . . . . . . . . 103
Printing a Collection of 2D and FMS Images . . . . . 104
Printing a Snapshot of the Image Viewing Workspace . . 104
Using Film Composer . . . . . . . . . . . . . . . . . . . . 104
Importing and Exporting Images . . . . . . . . . . . . . . . . . 104
Importing Images . . . . . . . . . . . . . . . . . . . . . . 105
Importing DICOM Images . . . . . . . . . . . . . . . 106
Exporting Images . . . . . . . . . . . . . . . . . . . . . . 107
Exporting Images to a Folder or an Email . . . . . . . 107
Exporting DICOMDIR . . . . . . . . . . . . . . . . . 110
Exporting 3D Images Using the Volume Converter . . 111
Click & Share . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Using Drag and Drop to Import and Export Images . . . . . . . 112
Importing images using Drag and Drop . . . . . . . . . . 113
Exporting Images using Drag and Drop . . . . . . . . . . 113
Using the Radiological Log . . . . . . . . . . . . . . . . . . . 115
Information Recorded in the Radiological Log . . . . . . . 115
Dose information (present in the image) . . . . . . . . . . 115
Acquisition data (image does not contain dose). . . . . . 115

Chapter 9 Pre-requisites for Denture module . . . . . . . . . . . . . 117

Using the Digital Launching the Denture Wizard . . . . . . . . . . . . . . . 118
Denture Starting the Replication Process . . . . . . . . . . . . . . 119

iv
 Scanning the Denture . . . . . . . . . . . . . . . . . . . . 120
Denture Reconstruction . . . . . . . . . . . . . . . . . . . 121
Verifying Split & Denture Case Acceptance . . . . . . . . 121

Chapter 10 DICOM Overview . . . . . . . . . . . . . . . . . . . . . . . . . 123

Using CS DICOM Query in DICOM . . . . . . . . . . . . . . . . . . . . . . . . . 124
Query Source Configuration. . . . . . . . . . . . . . . . . 124
Query . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
Patient List . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Today’s Patient. . . . . . . . . . . . . . . . . . . . . . . . 125
Gallery . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Retrieving Images . . . . . . . . . . . . . . . . . . . . . . . . . 127
Receiving Images . . . . . . . . . . . . . . . . . . . . . . . . . 128
Transferring Images in DICOM . . . . . . . . . . . . . . . . . . 128
Save and DICOM Transfer . . . . . . . . . . . . . . . . . . . . 130
Managing the DICOM Transaction Log . . . . . . . . . . . . . 131
Managing MPPS status in DICOM . . . . . . . . . . . . . . . . 133

Chapter 11 General Preferences . . . . . . . . . . . . . . . . . . . . . . . 136

Setting Preferences Imaging Preferences . . . . . . . . . . . . . . . . . . . . . . . 137
in CS Imaging 3D View Preferences . . . . . . . . . . . . . . . . . . . . . . . 138
Save Preferences . . . . . . . . . . . . . . . . . . . . . . . . . 139
Image Processing Preferences . . . . . . . . . . . . . . . . . . 139
RVG Processing Preferences. . . . . . . . . . . . . . . . . . . 140
Acquisition Preferences . . . . . . . . . . . . . . . . . 140
Acquisition Settings . . . . . . . . . . . . . . . . . . . 140
Image Processing Preferences . . . . . . . . . . . . . . . . . . 141
Panoramic Image Processing Preferences . . . . . . . . . 141
Cephalometric Image Processing Preferences . . . . . . . 142
Acquisition Settings . . . . . . . . . . . . . . . . . . . 142
Ceph Image True Size Calibration . . . . . . . . . . . 142
CR Intraoral Image Processing Preferences . . . . . . . . 142
CR Panoramic Imagine Processing Preferences . . . . . . 143
CR Cephalometric Image Processing Preferences. . . . . 143
Print Preferences . . . . . . . . . . . . . . . . . . . . . . . . . 144
Template Preferences . . . . . . . . . . . . . . . . . . . . . . . 145
Radiological Log Preferences. . . . . . . . . . . . . . . . . . . 146
Service Preferences . . . . . . . . . . . . . . . . . . . . . . . . 147

Chapter 12 Backing Up Your Data . . . . . . . . . . . . . . . . . . . . . . 149

Data Backups Data Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . 149

Chapter 13 Manufacturer’s Address . . . . . . . . . . . . . . . . . . . . . . 151

Contact Information Factory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
Authorized Representatives . . . . . . . . . . . . . . . . . . . 151

CS Imaging User Guide (SMA23)_Ed11 v

1 Conventions in This Guide

Conventions in this Guide

The following special messages emphasize information or indicate potential risk to personnel or
equipment:

WARNING: Warns you to avoid injury to yourself or others by following

the safety instructions precisely.

Important: Alerts you to a condition that might cause problems.

Note: Emphasizes important information.

Tip: Provides extra information and hints.

CS Imaging User Guide (SMA23)_Ed11 1

Marking and Labeling Symbols

Manufactured Date

Manufacturer’s address

Medical Device

Name of the European Authorized Representative and address of the registered

place of business

Name of the Responsible Person in the United Kingdom and address of the
registered place of business

Swiss-authorised Representative

2
Important User Information
There are no contra-indications identified for CS Imaging software. When using the software, observe
the following warning and safety instructions.

WARNING:

 The intended users of CS Imaging are healthcare professionals

such as Oral health generalists, specialists and dental operator
aides.

 Drawings and measurements made in this software are under your

own responsibility. A radiographic image is a two dimensional
image of a three dimensional object, and measurements may be
subject to errors. Measurements are only informative and
operations requiring precise positioning on the patient are under
your own responsibility.

 It is recommended that you do measurements or drawings with

pre-determined length values only on calibrated images. Doing
this on an image with no calibration information requires use of a
reference segment of known length.

 Panoramic or OPG images, by their nature, contain distortions due

to magnification both vertically and horizontally. Any calibrations
on these image types must be seen as rough guides that apply
only to the immediate vicinity of the calibration. Inserting objects of
pre-determined length such as implant simulators provides
approximative information.

 Patient orientation information is not provided for intraoral images,

computed radiography (CR) images, cephalometric oblique
images or color images. Orientation of these images depends on
user manipulation and patient positioning.

 This software is an aid to diagnosis only. You must apply your

professional training and judgment before deciding a course of
treatment.

Clinical Benefits and Performance Characteristics

CS Imaging software is intended to support image diagnosis. The clinical benefits of CS Imaging is
the positive impact related to its function intended to support image diagnosis (aid to diagnosis), and
on the patient management. CS Imaging essential performance is the ability to accurately, reliably, and
precisely generate the intended output, from the input data.

Important: All known residual risks or undesirable side-effects are

listed in this guide. If any serious incident occurs in relation to the
device, you must report it to Carestream Dental and to the
competent authority in your country.

CS Imaging User Guide (SMA23)_Ed11 3

2 Overview
CS Imaging is a digital imaging software written for the Microsoft Windows operating system. It is
intended to be used with Carestream dental digital imaging devices including:

 Intraoral systems: digital sensor and computed radiography (CR)

 Extraoral systems: panoramic, cephalometric, and 3D

 Intraoral digital video capture devices

 Intraoral scanners

This software allows health care professionals to do the following:

 Create a patient database.

 Store in a patient file 2D images, 3D volumes, mesh objects, and even Microsoft Office
documents.

 Display a basic preview of 3D volumes and mesh objects for communication purpose only.

 Display and print 2D images.

 Adjust contrast and brightness, and make indicative measurements (distance, length, angle) in
2D images. See “Enhancing Images”.

CS Imaging can access images acquired in the following CS Imaging software:

 KDIS 6.x

 DIS 6.x

 TW 5.x

 CS Imaging version 7.x and 8.x

All previously acquired images retain the same image file format, processing adjustments, comments,
tooth numbering, drawings, and annotations.

You can use CS Imaging as a standalone software or with a DPMS.

Before you use CS Imaging

 Familiarize yourself with basic functions of the software:

 “Patient Browser and Dashboard Overview”

 “Image Viewing Workspace Overview”

 “Darkroom Mode Overview”

 “Patient Browser and Dashboard Workflow”

 “Acquiring an Image Using the Acquisition Toolbar”

 “Using the Toolbars in the Image Viewing Workspace or Darkroom Mode”

CS Imaging User Guide (SMA23) - Ed11 5

  “Working with Images”

 “Importing and Exporting Images”

 Configure the software:

 “Setting Preferences in CS Imaging”

 “Backing Up Your Data”

Viewing 3D Volumes
In CS Imaging, you can view volumes generated by CS 3D Imaging that contain for example:

 One or more 3D volumes in axial slice view that you can scroll through.

 One or more 3D rendered views that you can rotate, as well as the following predefined
orientations:

Sagittal

Coronal

Axial

Perspective

 Extracted slices that you can navigate through.

 Snapshots
 Pseudo-panoramic images

 Pseudo Ceph images

Note: You cannot use the Drawings & Annotations or Image toolbars, and in the
Share toolbar, you can import and export volumes. See “Using the Share Toolbar”.

To view 3D volumes in CS Imaging, open the patient’s record in CS Imaging. The 3D volumes are
displayed as images in the patient’s Patient History and Image Gallery.

Viewing 3D Mesh Objects

You can view meshes that contain for example:

 3D intraoral scanner images (CS 3500, 3600, 3700 Family)

 Mesh designs from 3D object acquisition mode
 Mesh designs from CS Model, CS Model+, or CS Restore

6
You can use the mouse to rotate and zoom on mesh objects.

Patient Browser and Dashboard Overview

The Patient Browser appears when you launch CS Imaging in standalone mode. This provides all
patient management functions.

When you open CS Imaging from your DPMS, the Dashboard appears. It is like the Patient Browser,
except that you do not see the following functions: I, J, K.

A Title bar Displays the name of the selected patient.

These icons allow you to access Sign in, About CS Imaging, Preferences
and the CS Imaging User Guide.
B System icons
Note: You can select the language for the user guide in the “General
Preferences”.
Image Viewing Click to open the Image Viewing Workspace. See “Using the Image
C Workspace icon Viewing Workspace”.
Displays information on the selected patient.
D Patient Card Note: If you normally open CS Imaging from the DPMS, you can edit this
information by opening CS Imaging in the standalone mode. See “Working
with Patient Data in Standalone Mode”.
Image management Contains import, export and print buttons.
E tools
Displays thumbnails of acquired images and other objects for the selected
F Patient History
patient. See “Viewing Images and Other Objects in the Patient History”.
Contains buttons you can click to access your acquisition devices. These tools
Image Acquisition
G are visible in the Patient Browser, Dashboard, Image Viewing Workspace
toolbar and Darkroom mode. See “Acquiring an Image Using the Acquisition Toolbar”.
Contains Patient History image display and sort options, and a Filter button
H Patient History tools
to display/hide the Dental Arch Filter. See “Using the Dental Arch Filter”.

CS Imaging User Guide (SMA23) - Ed11 7

 Displays the list of available patients. See “Viewing Images and Other Objects
I Patient List in the Patient History”.
Note: Not available in the Dashboard.
Allows you to search the Patient List. See “Searching for a Patient in the
J Patient Search Patient List”.
Note: Not available in the Dashboard.

Patient management Contains create and modify patient functions.

K tools Note: Not available in the Dashboard.

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Image Viewing Workspace Overview
The Image Viewing Workspace provides tools for acquiring, reviewing, and analyzing images.

A Title bar Displays the name of the selected patient.

These icons allow you to access Sign in, About CS Imaging,
Preferences and the CS Imaging User Guide.
B System icons
Note: You can select the language for the user guide in the “General
Preferences”.
Icons that you use to access Image Viewing Workspace screen options,
C Navigation icons
the Patient Browser, Dashboard and the Darkroom mode.
Contains the Image Processing, Histogram and Dental Arch tools. See
D Control Panel “Using the Control Panel”.
Images are displayed in separate windows. You can resize a selected
image window by moving the mouse pointer to the window border.
E Image windows
When the mouse pointer changes to a double arrow, click and drag the
window border to resize. See “Arranging Images”.
Image Acquisition Contains buttons you can click to access your equipment. See “Acquiring
F toolbar an Image Using the Acquisition Toolbar”.
Click to display thumbnails of the acquired images and objects for the
G Image Gallery icon selected patient. See “Using the Image Gallery”.
The toolbar displayed depends on the button you select in the Toolbar
Selector.
H Dropdown Toolbar
Note: The white triangle in the lower-right corner of some icons means
there is an icon group available. See “Using Icon Groups”.
Toggle between the buttons to view the Drawings & Annotations, Image
I Toolbar Selector and Share toolbars. See “Using the Toolbars in the Image Viewing
Workspace or Darkroom Mode”.

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Darkroom Mode Overview

Image Acquisition Contains buttons you can click to access your acquisition devices. See
A toolbar “Acquiring an Image Using the Acquisition Toolbar”.
Icons that you use to access the Darkroom mode screen options and
B Navigation icons Image Viewing Workspace.
Contains the Image Processing, Histogram and Dental Arch tools. See
C Control Panel “Using the Control Panel”.
Contains the acquisition date and time, toggle buttons for navigating
D Image title bar between images, and icons to access the Image Information window and
save image changes. See “Overview of the Image Title Bar”.
Click to display thumbnails of the acquired images and objects for the
E Image Gallery icon selected patient. See “Using the Image Gallery”.
The toolbar displayed depends on the button you select from the Toolbar
Selector (G).
F Dropdown Toolbar
Note: The white triangle in the lower-right corner of some icons means
there is an icon group available. See “Using Icon Groups”.
Toggle between the buttons to view the Drawings & Annotations, Image
G Toolbar Selector and Share toolbars. See “Using the Toolbars in the Image Viewing
Workspace or Darkroom Mode”.

For more information on this mode, see “Using the Darkroom Mode”

10
Acquiring an Image Using the Acquisition Toolbar

WARNING: Before acquiring an image, make sure you have selected the
correct patient.

Important: You cannot manage your device’s acquisition settings from the CS
Imaging software. For information on using the device, consult its user
manual.

The Image Acquisition toolbar contains icons to open acquisition software installed on your
computer.

In some cases, relevant icons are grouped into an icon group. When icons share the same keyboard
shortcut, the last selected icon in the icon group will be activated by the shared keyboard shortcut. For
example F2 will activate either Acquire RVG or Acquire RVG FMS depending on which icon was last
used in that icon group. See “Keyboard Shortcuts in Icon Groups”.

Tip: Hold the mouse pointer over an icon to display a tooltip.

Acquire an image from a TWAIN source

Acquire an RVG image (F2)* (F7)*

Acquire an RVG FMS (F2)* Select a TWAIN source (F7)*

Acquire a panoramic image (F3) Acquire a 3D image (F8)

Acquire a cephalometric image (F4) Acquire a 3D object scan

Acquire an intraoral camera image

Acquire a 3D Intraoral scanner image (F9)
(F5)

Acquire a CR image (F6)* Acquire a CR FMS (F6)*

Acquire a Face Scan image (F10)

* These keyboard shortcuts apply whichever icon is currently selected in the icon group.

CS Imaging User Guide (SMA23) - Ed11 11

Using Icon Groups
An icon group is a group of icons with related functions. Normally only one icon, the last one used,
appears in the toolbar until you expand the group by clicking the white triangle that indicates an icon
group.

To expand an icon group and select one of its functions, follow these steps:

1 In a toolbar, click the white triangle on the bottom right corner of an icon.
The icon group expands alongside the toolbar to show all of the tools in the group.

2 Click on the icon you want to use.

The icon you selected becomes the representative icon for the icon group for the current session
of CS Imaging.

Keyboard Shortcuts in Icon Groups

Where keyboard shortcuts are available, one keyboard shortcut applies to all icons in the same icon
group.

For example, in the Image Acquisition toolbar, and both use the keyboard shortcut F2.

Key Description of operation

+ In the Darkroom mode in full screen, click to zoom in on an image.
- In the Darkroom mode in full screen, click to zoom out on an image.
F1 Click to launch the online help.
F2 Click to launch an RVG acquisition.
F3 Click to launch a Panoramic acquisition.
F4 Click to launch a Cephalometric acquisition.
Click to close the current window.
ALT + F4 If you are in the Patient Browser or Imaging Window, this operation closes CS
Imaging.
F5 Click to launch an Intraoral acquisition.
F6 Click to launch a CR acquisition.

12
 Key Description of operation
F7 Click to launch a TWAIN acquisition.
F8 Click to launch a 3D acquisition.
ESC Click to close a menu.
CTRL Click to select additional items to the one you have selected in a list.
CTRL + A Click to select all of the images in the Image Viewing Workspace.
Click to apply Auto-Arrange to the images in the Image Viewing Workspace.
CTRL + D
Note: This operation is unavailable in the Darkroom mode.
CTRL + C Click to copy selected images or FMS templates to the Windows clipboard.
Click to open the image Gallery
CTRL + O
Note: This operation is unavailable in the Darkroom mode.
CTRL + S Click to save selected images or FMS templates.
Click to paste copied images or FMS templates to another application other than the
CTRL + V Image Viewing Workspace.
CTRL + Z Click to undo the last operation.

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3 Using the Patient Browser and
Dashboard
Patient Browser and Dashboard Workflow
On your computer desktop, double-click on the shortcut icon for
the software.
The Patient Browser appears. You are using CS Imaging in
1 standalone mode.
You can also open the software from the Windows Start menu.
See “Using CS Imaging when the DPMS is Unavailable”.

2 The Sign in icon allows you to log in and access your account.

These icons allow you to access Sign in, About CS Imaging,

Preferences and the CS Imaging User Guide.
Note: You can select the language for the user guide in the
3 “General Preferences”.

Click to set the CS Imaging preferences. See “Setting

Preferences in CS Imaging”.
Use the Patient Search box to find a patient in the Patient List.
This option only applies to those using the software in
4 standalone mode. See “Searching for a Patient in the Patient
List”.
Click to create or edit a Patient Card.
See:
5  “Creating a Patient Card”
 “Modifying a Patient Card”
These options only apply to those using the software in
standalone mode.
Click to acquire new objects (images, 3D volumes etc,
6 according to connected acquisition devices). See “Acquiring an
Image Using the Acquisition Toolbar”.

Review image thumbnails in the Patient History. See “Viewing

Images and Other Objects in the Patient History”.
7
You can double-click on a thumbnail to open the image in the
Image Viewing Workspace.

8 Click to import or export objects. See “Importing and Exporting

Images”.

Click to open the Image Viewing Workspace.

9 You can also open the Image Viewing Workspace by
double-clicking on an image thumbnail or a patient name.

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Icons Available in the Patient Browser and Dashboard
In some cases, relevant icons are grouped into an icon group. See “Using Icon Groups”.

In the Patient Browser and Dashboard, you can find the following icons:

Click to view information about CS Imaging.

Click to configure the CS Imaging preferences. See

“Setting Preferences in CS Imaging”.

System icons Click to open the CS Imaging User Guide.

Note: You can select the language for the user guide in
the “General Preferences”.
The Transaction Log will show / display all DICOM
events (i.e. transfer, storage commitment) in a dedicated
panel.
Click to acquire images. The icons that appear depend on the
Image Acquisition icons acquisition devices you are using.
See “Acquiring an Image Using the Acquisition Toolbar”.
Click to open the Image Viewing Workspace, which
Open Image Viewing Workspace displays the images that you selected in the Patient
icon History.
See “Image Viewing Workspace Overview”.

Click to create a Patient Card. See “Creating a Patient

Patient Card icons Card”.
Note: These icons are not available in
the Dashboard. Click to modify a Patient Card. See “Modifying a Patient
Card”.

Click to save selected images to another location. See

“Exporting Images to a Folder or an Email”.

Click to send selected images to one or more email

addresses. See “Exporting Images to a Folder or an
Export icon group Email”.
Click and share images with partners or labs.
See Click & Share.
Click the small, white triangle to
expand the icon group.
Click to print selected images. See “Printing Images”.

Click to export selected images to a DICOMDIR folder.

See “Exporting DICOMDIR”.

Click to import 2D images from a folder. See “Importing

Import icon group Images”.

Click to import 3D images from a folder. See “Importing

Images”.
Click the small, white triangle to
expand the icon group. Click to import images from a DICOMDIR folder. See
“Importing DICOM Images”.

16
Overlays Available in Patient Browser and Dashboard
The following images can be displayed:

A shows a Ceph image that has a Ceph tracing.

When you see in the left-hand corner of the image,

it is a 3D object.

The in the upper left-hand corner, is a tooth

number. (Note: only the first tooth will be displayed by
default if you have multiple teeth).

The in the bottom right-hand corner indicates the

number of implants in the image.

The symbol in the upper left-hand corner means

there is a CS MAR reconstruction.

Using CS Imaging when the DPMS is Unavailable

When the Dental Practice Management System (DPMS) is unavailable you can still launch CS
Imaging 8 in standalone mode.

When you open CS Imaging from your DPMS, the Dashboard appears. When you open CS Imaging
in the standalone mode, the Patient Browser appears. The Patient Browser is similar to the
Dashboard, except that you also have access to a Patient List showing available patients, a Patient
List filter, and other patient management functions.

You can click on patients in the Patient List to access their images in the database and acquire images
for that patient.

Important: The Patient List displays only the patients created with CS
Imaging 8 in standalone mode.

You can complete all of the usual functions of CS Imaging and newly acquired images are saved in the
patient file directory.

To open CS Imaging when the DPMS is unavailable or on computers on which the DPMS is not
installed, do one of the following:

CS Imaging User Guide (SMA23) - Ed11 17

  Click on the computer screen.

 From the Start menu:

1 In All Programs, scroll to the Carestream folder.

2 Click to open the Carestream folder, and in the CS Imaging Software folder, click CS
Imaging Software.

CS Imaging opens in the standalone mode, and the Patient Browser appears.

18
Working with Patient Data in Standalone Mode
CS Imaging works with Carestream Dental and other DPMSs. You can also use CS Imaging in
standalone mode and keep track of your patients in the CS Imaging Patient List.

When you start CS Imaging in standalone mode, the Patient Browser appears. It contains:

 A list of patients in the database.

 Tools to create and work with patient records.

 Tools to import images for a patient.

 The Patient History, in which you can select images to view in the Image Viewing
Workspace.
Important: As a security measure, you can only view and modify images for
one patient at a time in the Image Viewing Workspace.

Creating a Patient Card

If you are using CS Imaging in standalone mode, instead of with a DPMS that already contains patient
records, you must create a Patient Card before you can acquire images for that patient.

To create a Patient Card, follow these steps:

1 Open CS Imaging in the standalone mode.

See “Using CS Imaging when the DPMS is Unavailable”.

The Patient Browser appears.

2 In the Patient Browser, click .

The Patient Card window appears.

3 Enter patient information in the Patient Card window.
Note: The First Name and Last Name fields are mandatory, up to 64
characters.

4 When you have finished entering data, click OK.

The Patient Card window closes, and the new patient appears in the Patient List.

Adding a Picture to a Patient Card

To add a picture to a Patient Card, follow these steps:

1 Open CS Imaging in the standalone mode.

See “Using CS Imaging when the DPMS is Unavailable”.

The Patient Browser appears.

2 Select the patient in the Patient List and click .

CS Imaging User Guide (SMA23) - Ed11 19

3 In the Patient Card window, click Switch to full version.

The Patient Card window expands to display additional fields.

4 Scroll to the top of the expanded Patient Card window, and click Change Picture.

The Select patient photo window appears.

5 In the Select patient photo window, browse to locate the picture file you want to use and click to
select it.

Note: The default file type is BMP, but you can use other file formats. Click the
file type drop-down list alongside the File name field to select a different file
type.

The selected file name is added to the File name field.

6 Click Open.

The selected picture file is added to the Patient Card.

7 Click Save Changes and close the Patient Card window.

Sorting the Patient List

In the Patient Browser above the Patient List, you can use the following filters:

 Family Name
 First Name
 Identifier
 Social Security Number
The selected filter is applied until you clear the filter, or until you close the software. You can also
search for a specific patient in the list. See “Searching for a Patient in the Patient List”.

To change how the Patient List is sorted, follow these steps:

1 Open CS Imaging in the standalone mode.

See “Using CS Imaging when the DPMS is Unavailable”.

The Patient Browser appears.

2 Do one of the following:
 To change sort order from ascending to descending, click the small triangle alongside the sort
filter.

 To select a different sort filter, right-click on the current filter, and click to select a different filter.

20
Searching for a Patient in the Patient List
To search for a patient, follow these steps:

1 Open CS Imaging in the standalone mode.

See “Using CS Imaging when the DPMS is Unavailable”.

The Patient Browser appears.

2 Click in the Patient Search box.

3 Enter text that will be used to search in the First name, Last name, SSN (social security number)
and Patient identifier fields.

The Patient List is updated as you type.

When matches are found, the patients are displayed in the Patient List.

Refreshing the Patient List

Click the “Refresh Patient” button in the bottom of patient list to update the patient list based on
search criteria.

Deleting a Patient Card

Important: Once the Patient Card has been deleted, you cannot retrieve
this data.

To delete a Patient Card, follow these steps:

1 Open CS Imaging in the standalone mode.

See “Using CS Imaging when the DPMS is Unavailable”.

CS Imaging User Guide (SMA23) - Ed11 21

 The Patient Browser appears.

2 In the Patient Browser, select the patient you want to delete in the Patient List and click .

The Patient Card window appears.

3 In the Patient Card window, click Switch to full version at the top of the window .

The Patient Card window expands to display additional fields.

4 At the top of the expanded Patient Card window, click Delete this patient.

A warning window appears.

Note: If the option does not appear, then the Allow deletion of patient cards
and images setting has been deactivated in the “Service Preferences”.

5 To confirm that you want to delete the selected Patient Card, click Delete.

The selected patient and all associated images are deleted.

Viewing a Patient Card

To view a Patient Card, follow these steps:

1 Open CS Imaging in the standalone mode.

See “Using CS Imaging when the DPMS is Unavailable”.

The Patient Browser appears.

1 In the Patient Browser, select a patient in the Patient List.
2 Click Expand in the Patient Card.

The complete list of information on the patient appears.

3 When you have finished viewing the Patient Card, click Collapse to minimize the Patient Card
information.

Modifying a Patient Card

To modify a Patient Card, follow these steps:

1 Open CS Imaging in the standalone mode.

See “Using CS Imaging when the DPMS is Unavailable”.

The Patient Browser appears.

2 In the Patient Browser, select a patient in the Patient List.

3 Click .

The Patient Card window opens.

4 Make the changes you need in the Patient Card.
5 When you have finished making changes, do one of the following:

 Click Cancel to close the Patient Card without saving your changes.

22
  Click OK to save your changes and close the Patient Card.

Using the Dental Arch Filter

You can use the Dental Arch Filter to filter images displayed in the Patient History according to the
following criteria:

 Tooth number
 Image acquisition modality (intraoral, panoramic, cephalometric, and so on)

The Dental Arch Filter contains the following functions:

Filter by one or more tooth numbers using the following indications:

 Light gray tooth: Images are available
A Dental Arch Filter
 Dark gray tooth: No images are available
 Blue items: Currently active filter elements

B Dentition Icons Switch between adult and deciduous teeth.

Filter by the acquisition modalities that are available for the current patient.
C Modality Filter For example, if only cephalometric images are available, this function will only
display Cephalometric.

Note: If you close the Dental Arch Filter, your filter selection will be reset.

Important: You cannot use the Dental Arch Filter and the Date filter at the
same time.

Prerequisite:

 If you are in the Patient Browser standalone mode, select a patient in the Patient List. All
image thumbnails for the selected patient are displayed in the Patient History.

To use the Dental Arch Filter, follow these steps:

1 In the Patient History tools, click Filter.

The Dental Arch Filter appears above the Patient History.
2 In the Dental Arch Filter, click the dentition icon (B) to select either permanent (adult) or
deciduous (child) teeth.

CS Imaging User Guide (SMA23) - Ed11 23

 The Dental Arch Filter (A) changes to the adult/child tooth number array.
3 Do any of the following:

 In the Dental Arch Filter (A), click on one or more light gray teeth to select tooth numbers.
The Patient History displays thumbnails for the selected tooth numbers.

The associated tooth numbers are determined the tooth numbering system selected in the
“Imaging Preferences”.

You can select as many tooth numbers with images as you want.

 In the Modality Filter (C), click one or more modality types (for example Panoramic). The
Patient History automatically refreshes the display to show only images for the selected
modalities.

 To reset the filter, click All in the Modality Filter (C).

 Click selected teeth, (in blue) , to deselect related images.

 To hide the Dental Arch Filter, click Filter.

Selecting Images
In the Patient Browser or Dashboard:

 To select a single image, click on the image in the Patient History.

 To select multiple images, hold the Ctrl key down and click on more than one image entry in
the Patient History.

 To deselect an image, hold the Ctrl key down and click on the highlighted image entry in the
Patient History.

 To deselect all images, click on a blank area in the Patient History.

Viewing an Image in the Image Viewing Workspace

WARNING: For image review, take into consideration that patient
orientation is not displayed on the following acquired images:

 Intraoral images (RVG, intraoral camera, CR)

 Cephalometric oblique images
 CR cephalometric and panoramic images

To view an image, follow these steps:

1 Do one of the following:

 If you are working in the standalone mode, in Patient Browser, click on a patient to display
any associated images in the Patient History.

 From your DPMS, open a Patient Card in CS Imaging.

2 Double-click the image entry in the Patient History.

24
 The image appears in the Image Viewing Workspace.

Tip: You can select multiple images in the Patient History and then click .

Viewing Images and Other Objects in the Patient History

The Patient History displays thumbnails of images and other files for the selected patient.

In the Patient History, you can view your images in the following ways:

View Example

A Thumbnail

B Detail

Note: In the list view, you can click on the comment to add short notes to the
thumbnail images. See “Adding a Comment to an Image”.

C Preview

TIP: In the preview panel, you can also rotate 3D volumes and mesh objects.

CS Imaging User Guide (SMA23) - Ed11 25

D Carousel

.
Sort the Patient History by date.
E Date When there are several images in the Patient History, this displays the image
thumbnails in date order.
F Type Sort the Patient History by modality.
Display the Dental Arch Filter to filter Patient History by tooth
number/dentition/modality.

G Filter

See “Using the Dental Arch Filter”.

Note:
 The icon for the selected view appears in blue, for example .
 In the Thumbnail, Detail, and Preview views, if an image has the following
conditions, then an icon will appear in the lower corner of the thumbnail:
 Implants (2D images)
 Tracings (Cephalometric images)

26
Adding a Comment to an Image
To add a comment to an image, follow these steps:

1 In the Patient History toolbar, click to select the detail view.

Existing comments are displayed alongside the image thumbnail.

2 Click on an image thumbnail to select it.

A blue frame appears around the thumbnail.

3 On the selected thumbnail, click on the comment (A).

A small text editor field appears.

4 In the text field, enter and edit comments as necessary.

5 Click away from the text field to save your comment.
Note: Only the first three lines of the comment can be displayed in the Patient
History. To see all of the text, click on the comment section or hover the mouse
pointer over the image to display all of the text in a tooltip.

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Reassigning Images and Other Objects to a Different Patient
When you acquire an image and find that it was assigned to the wrong patient, you can easily reassign
it and other objects to a different patient record.
Important: If you are using CS Imaging with the DPMS this function is not
available.

To move objects from Patient A to Patient B using the right-click menu, follow these steps:

1 In the Patient History for Patient A, click to select one or more objects that you want to reassign
to Patient B.
2 Right-click on the images and select Assign to another patient from the shortcut menu.

An Assign To window appears, showing a list of available patients.

3 To filter the list, in the text box below Destination patient, type the first letter of the patient name,
and the list is updated automatically.
4 Select Patient B and click Assign.

The selected objects are moved to Patient B.

To move objects from Patient A to Patient B by drag and drop, follow these steps:

1 Open CS Imaging in the standalone mode.

See “Using CS Imaging when the DPMS is Unavailable”.

The Patient Browser appears.

2 In the Patient History for Patient A, click to select one or more objects that you want to reassign
to Patient B, and drag the selected objects to Patient B in the Patient List.

As you drag the objects, the mouse pointer changes to to show that you are moving the
objects.

An Assign To window appears, highlighting the selected destination patient in the list of available
patients.
3 Click Assign to confirm the move.

The selected objects are moved to Patient B.

28
Deleting Images
To delete images from the patient database in the Patient Browser or Dashboard, follow these steps:

1 In the Patient History, click on the images you want to delete.

2 Right-click on the images and select Delete.
Note: If Delete does not appear in the right-click menu, then the Allow
deletion of patient cards and images option has been deactivated in “Service
Preferences”.

The Delete window appears, prompting you to confirm that you want to delete the selected
images. All of the images that you are about delete are highlighted in red.

Important: The selected images will be permanently removed from the

image database!

3 If you are sure that you want to proceed, click Delete.

CS Imaging User Guide (SMA23) - Ed11 29

4 Using the Image Viewing Workspace

Overview of the Image Title Bar

In the Image Viewing Workspace, the title bar of an image contains the following information and
controls.

A Click to display the Image Information window. “Displaying the Image Information Window”.
B Click to save image changes. “Saving Images in the Image Viewing Workspace or Darkroom Mode”.
C Image tooth number [where applicable] and acquisition date.
Click to reset the following image settings to the original acquisition state:
 Brightness, contrast, and gamma adjustments in the Control Panel. “Adjusting Image Brightness,
Contrast and Gamma in 2D Images”.
 The following Image toolbar functions:
D
 Negative
 Colors #1
 Colors #2
“Resetting Images”.
E Click to close the image.

When the image is selected in the Image Viewing Workspace for editing, the title bar appears in blue.
If the images is not selected, the title bar appears in black.

Using the Screen Options

In the Image Viewing Workspace, click to access the following screen options.

Option Description
Clear Workspace Click to clear the workspace of images.
Click to activate Auto-Arrange.
Auto-Arrange
“Using Auto-Arrange”.

Display Drawings Click to show or hide image drawings you have added using the
Drawings & Annotations toolbar. “Using the Drawings & Annotations
Toolbar”.
Click to show or hide patient and acquisition information as an overlay on
Display Information
images. “System-Generated Image Overlays”.

Display Measurements Click to show or hide measurements window on images.

Window “Using Measurements to Calculate Distances and Angles”.

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 Option Description
Click to show or hide Control Panel.
Display Control Panel
“Using the Control Panel”.
Click to load an existing analysis.
Load Analysis
“Opening an Analysis”.
Click to save a workspace layout as a new analysis or save changes to the
Save Analysis analysis currently in use.
“Using an Analysis”.
Click to create an image template.
New Image Template
“Using a Predefined FMS Template”.

Arranging Images
In the Image Viewing Workspace, you can do the following to organize images:

 You can manually resize and drag images to any location on your computer screen.

 You can allow CS Imaging to organize images on your computer screen.

Using Auto-Arrange
The benefits of using the Auto-Arrange are:

 To maximize the use of available Image Viewing Workspace.

 To adjust image sizes for the largest display possible without overlap.

 To arrange the display in the most useful manner.

For example, in the case where you have one panoramic image and four RVG images, the
panoramic uses all the horizontal space available across the bottom of the Image Viewing
Workspace, with the four RVG images displayed above it.

To activate Auto-Arrange in the Image Viewing Workspace, do one of the following:

 Click the Screen Options icon ( ) and select Auto-Arrange. “Using the Screen
Options”.

 Right-click on the Image Viewing Workspace and select Auto-Arrange.

The arrow icon changes from red to blue .

Note:
 When you select Auto-Arrange all images are automatically reorganized and
resized inside the Image Viewing Workspace, regardless of where you have
moved them.
 If you move at least one image even slightly, the Auto-Arrange is deactivated.

To turn off Auto-Arrange, do one of the following:

 In the Image Viewing Workspace, manually move or resize an image.

32
  Click the Screen Options icon ( ) and deselect Auto-Arrange. The arrow icon next to

the option changes from blue to red .

Manually Arranging Images

You can manually move images to any place in the workspace, or float them on top of other images,
other parts of the application, or outside the application (if the application is restored down or you have
more than one computer monitor).

Once you have opened one or more images in the Image Viewing Workspace, you can manually
organize and arrange your workspace.

To do this action... Do the following...

Click and drag down the title bar of the image to move the whole image
to a new position in the workspace.
Tip: You can drag an image outside the application when:
 It is not maximized to full computer screen.
To move an image in the Image  You are using more than one monitor.
Viewing Workspace... If you work with images outside the workspace, you can drag and drop
them back onto the workspace, or simply move the application screen
with the mouse to “recapture” the images into the workspace.
Tip: The quickest way to get all of your images back into the workspace
is to activate Auto-Arrange.
Do one of the following:
 Click on an image. The title bar and frame around the image are
highlighted in blue to show that it has been selected.
To select and deselect images  To select multiple images, hold the Ctrl key down while clicking the
in the Image Viewing images you want to select. All selected images are displayed with
Workspace... blue title bars and frames.
 To select all images, press Ctrl + A. All images are selected and
displayed with blue title bars and frames
 To deselect all images, click anywhere on the Image Viewing
Workspace outside of any image. All images are deselected.
To resize an image in the Image Click and drag on the image border. As the image is resized, the ratio
Viewing Workspace... of image height and width remains constant.
Do one of the following:

To close all images in the  Click the Screen Options icon ( ) and select Clear Workspace.
Image Viewing Workspace... All images are cleared from the Image Viewing Workspace. “Using
the Screen Options”.
 Right-click on the Image Viewing Workspace and select Clear
Workspace.

Using an Analysis
In the Image Viewing Workspace, an Analysis can store a configuration of the workspace that
includes:

 The images being viewed in the workspace (including FMS templates).

 Size and position of images (unless you have activated Auto-Arrange).

 Any filters that you have applied to one or more individual images.

CS Imaging User Guide (SMA23) - Ed11 33

  Any measurements, drawings or annotations attached to the images.

Note: If you have activated Auto-Arrange, the size and position of the images
are controlled by the Auto-Arrange when you open an Analysis. “Using
Auto-Arrange”.

You can have more than one Analysis stored in CS Imaging, but only one Analysis can be used at a
time.

Using the Default Workspace Analysis

Every time you exit the Image Viewing Workspace for a patient, the default Analysis is automatically
updated to reflect the layout on the workspace. When you return to the patient’s workspace, even after
closing and reopening the software, the default Analysis shows the layout of the workspace as it was
when you last exited the workspace.

To use a default Analysis, you need to activate the Automatically open default analysis option in
“Save Preferences”.

Creating an Analysis
When you create an Analysis, you are saving the current state of the Image Viewing Workspace.

To create an Analysis, follow these steps:

1 In the Image Viewing Workspace, click .

2 From the Screen Options drop-down list, select Save Analysis.

The Analysis window appears.

3 In the Title field, enter a name for the analysis, and if necessary add any comments in the
Comments field.
4 Click Save, and then Close to close the Analysis window.

Opening an Analysis
When you open an Analysis, you are resetting your Image Viewing Workspace to a previously saved
state.
Tip: Make sure you save any changes you need to keep in your Image Viewing
Workspace before you open an Analysis. You can even save your current setup
as a new analysis.

To open an Analysis, follow these steps:

1 In the Image Viewing Workspace, click .

2 From the Screen Options drop-down list, select Load Analysis.

The Analysis window appears.

3 Select an Analysis and click Open.

The Image Viewing Workspace shows the selected analysis.

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Editing an Analysis Comments
To edit an Analysis, follow these steps:

1 In the Image Viewing Workspace, click .

2 From the Screen Options drop-down list, select Load Analysis.

The Analysis window appears.

3 Select the Analysis you want to edit.
Note: You cannot edit the default analysis.

4 Edit the Comments as necessary.

5 Click Save, and then Close to close the Analysis window.

Deleting an Analysis
To delete an Analysis, follow these steps:

1 In the Image Viewing Workspace, click .

2 From the Screen Options drop-down list, select Load Analysis.

The Analysis window appears.

3 Select the Analysis you want to delete.

The selected Analysis is highlighted in blue.

4 Click Delete.

A message prompts you to confirm the deletion.

5 Click OK to confirm.

CS Imaging User Guide (SMA23) - Ed11 35

5 Using the Darkroom Mode

In the Darkroom mode, an image is enlarged to fit the entire computer screen, which is useful when
you want to concentrate on a large view of a single image, either for diagnostic purposes or to provide
an explanation to a patient.

To display an image in the Darkroom mode, select one or more images in the Image Viewing
Workspace and do one of the following:

 Double-click the selected images.

 Right-click the selected images and select Darkroom.

 Click .

If you select more than one image, then in the Darkroom mode you can toggle through them in one of
the following ways:

 Use arrows on the Darkroom title bar. See “Overview of the Image Title Bar”.

 Use the left and right arrow keys on your computer keyboard.

Tools available in the Darkroom Mode

You can use the following tools in the Darkroom mode:

 “Using the Control Panel”

 “Images using Pre-Defined Anatomical Mode Filters”

 “Images using CS Adapt Library Favorites”

 “Zooming in and out Using the Localization Tool”

 “Using the Alt Key to Adjust Image Properties”

 “Overview of the Image Title Bar”

 “Using the Toolbars in the Image Viewing Workspace or Darkroom Mode”

 “Using the Screen Options”

 “Using the Image Gallery”

 “Acquiring an Image Using the Acquisition Toolbar”

CS Imaging User Guide (SMA23) - Ed11 37

Overview of the Image Title Bar
In the Darkroom mode, at the bottom of an image, the title bar offers the following information and
functions.

Calibration/Crop status:
: Image has been calibrated.
A
: Image has not been calibrated.
: Image has been cropped. See “Cropping Images”.

B Click to toggle to the image preceding the current image. It is inactive if there is no preceding
image.
C Tooth number (where applicable for intraoral images)
D Acquisition date and time

E Click to display the Image Information window. See “Displaying the Image Information Window”.

F Click to save image changes. See “Saving Images in the Image Viewing Workspace or Darkroom
Mode”.

G Click to toggle to the image following the current image. It is inactive if there is no subsequent
image.
H The equipment used to acquire the image. (when applicable)

Zooming in and out Using the Localization Tool

You can use the Localization tool in the Control Panel to change the zoom level of the displayed
image and to pan around the zoomed image.

Tip: You can click anywhere on the image and use the mouse wheel to zoom in
and out.

For more information on the Control Panel, see “Using the Control Panel”

To zoom in and out on an image in the Darkroom mode, follow these steps:

1 From the Image Viewing Workspace or Image Gallery, open an image in the Darkroom mode.

2 Click to open the Control Panel.

38
3 Click (A) to show the Localization tool.

The Localization tool offers the following features.

A Click to view the Localization tool.

B Preview section that shows the image viewed in the zoom selection.
Use the slider to change the magnification of the preview section. When you move the slider, the
C preview shrinks or increases depending on the magnification you select.

D Click to reset the image to the full display in the preview section (B).
The display of the image on the Darkroom screen reflects the section shown in the preview.
E Drag with the mouse button this preview section to pan around the image as it appears in the
workspace.

Using the Screen Options

In Darkroom mode, you can access the following screen options by clicking .

Option Description
Select to toggle on and off the display of objects you have added to images
Display Drawings
using the Drawings & Annotations toolbar. See “Using the Drawings
& Annotations Toolbar”.
Select to toggle on and off patient and acquisition information on images. See
Display Information
“System-Generated Image Overlays”.
Display Measurements Select to toggle on and off the Measurements window. See “Using the
Window Measurements List in the Image Viewing Workspace or Darkroom Mode”.
Display Control Panel Select to toggle on and off the Control Panel. “Using the Control Panel”

Exiting the Darkroom mode

To exit Darkroom mode and return to the Image Viewing Workspace, do one of the following:

 Press Escape.

 Right-click on the displayed image and select Exit Darkroom.

 Click .

CS Imaging User Guide (SMA23) - Ed11 39

6 Working with Images

The analysis of digital radiographic images is the core function of CS Imaging.

WARNING: When you are viewing an image, take into consideration the
following:
 The patient orientation is not displayed on cephalometric oblique, or
intraoral and extraoral color images.
 When you acquire an image, make sure you have selected the correct
patient.

Using the Toolbars in the Image Viewing Workspace or Darkroom

Mode
In the Image Viewing Workspace and Darkroom mode, you can toggle between the Image,
Drawings & Annotations and Share toolbars.

Toggle between the buttons to view the Drawings & Annotations, Image and
Share toolbars.
For information on these toolbars, see:
A Toolbar Selector
 “Using the Drawings & Annotations Toolbar”.
 “Using the Image Toolbar”.
 “Using the Share Toolbar”.

The dropdown toolbar displayed depends on the button you select in the
Image Toolbar Selector (A)
B Dropdown toolbar
Note: The white triangle in the lower-right corner of some icons means there is
an icon group available. See “Using Icon Groups”.

CS Imaging User Guide (SMA23) - Ed11 41

Using the Drawings & Annotations Toolbar
WARNING:

 All image measurements are indicative only. Measuring and positioning

tasks are carried out under your own responsibility.
 For accurate measurements, images must be calibrated using a reference
object of known length.
 For panoramic images, calibration and measurement are only rough guides
that apply only to the immediate vicinity of the calibration around the
reference objects of known length.

The Drawings & Annotations toolbar ( ) contains icons for functions that you can apply to a
selected image. Keyboard shortcuts are indicated with parenthesis "( )".

In some cases, relevant icons are grouped into an icon group. See “Using Icon Groups”.

Tip: Hold the mouse pointer over an icon to display a tooltip.

Use this tool to select a drawing or measurement that you want to

Select icon modify. Click to select the object, and the control points are shown.

42
 Straight line icon
See “Drawing a Straight Line”.

Multi-segment line icon

See “Drawing a Multi-Segment Line (Polyline)”.

Freehand line icon

See “Drawing a Freehand Line”.

Spline drawing icon

See “Drawing a Spline Curve”.

Circle icon
Drawing icon group
See “Drawing a Circle”.

Ellipse icon
See “Drawing an Ellipse”.
Note: The white
triangle indicates an Filled ellipse icon
icon group.
See “Drawing an Ellipse”.

Rectangle icon
See “Drawing a Rectangle”.

Filled rectangle icon

See “Drawing a Rectangle”.

Landmark point icon

See “Adding a Landmark Point”.

Arrow line icon

See “Drawing an Arrow”.

Measurements icon Straight line measurement icon

group

Multi-segment line measurement icon

Note: The white

triangle indicates an Angle measurement icon
icon group.

See “Making
Measurements”. Orthogonal measurement icon

Text icon See “Adding a Text Annotation to an Image”.

Implant icon group Mandibular canal icon

See “Drawing a Mandibular Canal”.

Note: The white Implants icon

triangle indicates an See “Adding an Implant”.
icon group.

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Calibration icon See “Using Measurements to Calculate Distances and Angles”.

Undo icon See “Using the Undo and Redo Functions”. (Ctrl+Z)

Redo icon See “Using the Undo and Redo Functions”. (Ctrl+Y)

Delete icon Delete selected drawings, annotations or measurements.

Color and Thickness See “Changing Object Color and Line Thickness”.
icon

44
Using the Image Toolbar

The Image toolbar ( ) offers functions that you can use to change the display of an image.
Keyboard shortcuts are indicated with parenthesis "( )".

In some cases, relevant icons are grouped into an icon group. See “Using Icon Groups”.

Tip: Hold the mouse pointer over an icon to display a tooltip.

Zoom icon See “Using the Zoom Tool”.

Highlight icon See “Using the Highlight Tool”.

Rotate icon group 90 degree rotation icon

Click to rotate clockwise by 90°.

Note: The white Flip icon

triangle indicates an Click to rotate by 180° (flip).
icon group.
Mirror icon
Mirror icon Click to invert the left and right side of an image along the vertical axis, the
equivalent of an inside out view. The image is seen as if from the inside of
the mouth looking out.
Colors icon group Colors #1 icon
Click to replace grays by a color.

Colors #2 icon
Note: The white
triangle indicates an Click to replace grays by sepia colors.
icon group.
Grayscale icon
See “Using the Color
Tools”. Click to replace colors by grays.

Crop image icon

Click to access the Crop panel. Cropping is not permanent and can be
Density icon group undone at any time. See “Cropping Images”.
Isodensity dots icon
Click to apply color to pixels of the same bone density. See “Using the
Note: The white Isodensity Tool”.
triangle indicates an
icon group. Densitometric analysis icon
Click to analyze bone density. See “Using the Densitometric Analysis
Tool”.
Filter icon group Relief filter icon
Select to enhances the outlines of the shapes of an image.

Pseudo 3D icon
Note: The white
triangle indicates an Click to convert the levels of gray to height values. See “Using Pseudo
icon group. 3D”.

CS Imaging User Guide (SMA23) - Ed11 45

 In RVG images, click to launch the Logicon Caries Detector to detect
interproximal caries.
Logicon icon
Note: This tool is only available if you have the Logicon Caries Detector
software installed.

Click to apply an inverse video effect to an image. See “Using Negative

Negative icon Images”.

Click to add cosmetic treatments to color images.

Cosmetic module
icon Note: This tool is only available if you have the Cosmetic Imaging
Module software installed.
Click to launch the automatic cephalometric tracing tool. See “Using
Cephalometric Cephalometric Automatic Tracings”.
Tracing icon
Note: This tool is only available to certain types of cephalometric images.

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Using the Share Toolbar

The Share toolbar ( ) offers you functions that you can apply to an image. Keyboard shortcuts are
indicated with parenthesis "( )".

In some cases, relevant icons are grouped into an icon group. See “Using Icon Groups”.

Tip: Hold the mouse pointer over an icon to display a tooltip.

Click to show images in a full-screen slide show. See “Viewing Images in

Slide show icon Slide Show Mode”.

Print icon group Print icon (Ctrl+P)

Click to print images.

Print snapshot icon

Note: The white triangle
indicates an icon group. Click to print a snapshot of all images in your Image Viewing
Workspace.
See “Printing Images”.

Click to send images to one or more email addresses.

Send by email icon
See “Exporting Images using Drag and Drop”.

Save As icon
Click to save images to another location on the computer. See “Saving
Export icon group Images in the Image Viewing Workspace or Darkroom Mode”.

Click & Share icon

Click and share images with partners or labs. See Click & Share.
Note: The white triangle
indicates an icon group. Export to DICOMDIR icon
Click to export images to a DICOMDIR folder.

Import 2D Images icon

Click to import 2D images from a folder.

Import 3D Images icon

Import icon group Click to import 3D images from a folder.

Import DICOMDIR icon

Click to import images from a DICOMDIR folder.
Note: The white triangle
indicates an icon group. Import Waxup icon
Click to import an STL image as Waxup for CS 3D Imaging design.

Click to import Model images from a folder. See “Importing Images”.

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Viewing Images in Slide Show Mode
You can select images in the Image Viewing Workspace or Darkroom mode to review in the Slide
Show mode.

A Patient Name Displays the name of the patient to whom the images belong.
Displays thumbnails of the images that you selected to display in the
B Gallery Slide Show mode.
Allows you to set a slide show time interval in seconds.
C Slide Interval By default this option is active. To turn off the Slide Interval, unselect
the box.

Click to start the slide show.

D Play button Note: When you click the button to start the slide show, it changes to a
Pause button.

E Slide show navigation Use these buttons to move between slides in the slide show.
buttons

Click to exit the Slide Show mode and return to the location in
F Exit button which you selected the images, either the Image Viewing Workspace
or Darkroom mode.

To use the Slide Show mode, follow these steps:

1 In the Image Viewing Workspace, select the images you want to view in a slide show.
If you are in the Darkroom mode, where you already have a collection of images that you want to
view in the Slide Show mode, continue to the next step.

2 In the toolbar, select .

The Slide Show mode opens to fill the computer screen. In the gallery you can see the 2D images,
3D volumes, and mesh objects you had selected.
3 If necessary, set the Slide Interval.

4 Click to start the slide show.

48
5 Use the slide show navigation buttons to move backwards or forwards in the slide show.

Click to pause the slide show.

A Pause button Note: When you click the Stop (F) button, this button changes to
a Play icon ( ).
B First Slide button Click to return to the first image.
C Previous button Click to return to the previous image.
D Next button Click to advance to the next image.
E Last button Click to advance to the last image.
F Stop button Click to stop the slide show.

6 To close the Slide Show mode and return to the location in which you selected the images, either the

Image Viewing Workspace or Darkroom mode, click .

Using the Image Gallery

The Image Gallery is accessed from the Image Viewing Workspace or Darkroom mode.

In the Image Gallery, you can:

 Open images in the Image Viewing Workspace or Darkroom mode.

Note: In the Thumbnail, Detail, and Preview views, if an image has the
following conditions, then an icon will appear in the lower corner of the
thumbnail:
 Implants (2D images)
 Tracings (Cephalometric images)

 Export to a file, email or a DICOMDIR. See “Exporting Images”.

 Send to CS Connect. See “Click & Share”.
 Print images. See “Printing Images”.
 Delete images. See “Deleting an Image”.
 Reassign images to a different patient. See “Reassigning Images and Other Objects to a
Different Patient”.

 Use CTRL+C to copy images to the computer clipboard so that you can paste them as a JPG
in another application.

By default, the Image Gallery is not displayed at the bottom of the Image Viewing Workspace or

Darkroom mode. To display it, click .

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3D Volume View
Review 3D Volume in Image Viewing Workspace to communicate more effectively with patients

Review implant drawings and nerve canals in 3D Volume View.

Modifying Opacity Settings in the 3D Volume View

Tip: In the 3D Volume View, the opacity of the 3D Volume is set to 100% by
default.

To modify the opacity of a patient volume, in the bottom right-hand pane of the Control Panel, click and
drag the slide adjuster.

The opacity of the patient volume is displayed dynamically in the 3D Volume View.

50
Saving Images in the Image Viewing Workspace or Darkroom Mode
Important:
 When saving images on a network, you must ensure that enough space is
available on the database server.
 If the network is unavailable, you will not be able to save the image.

To save an image, follow these steps:

1 Select the image you want to save and do one of the following:

 Click (Image Viewing Workspace) or (Darkroom mode) on the image title bar.

 Right-click on the image and select Save.

 Press CTRL+S.

The Save Image window appears with a preview of the saved image.

Note: To save several images at once, use CTRL + click to select each image
and press CTRL+S.

2 In the Save Image window, enter your image configuration details.

Enter comments in this field. (Optional) It is suggested to limit to 100 characters

for better display.
Note: To edit these comments at a later stage, do one of the following:
Comments
 For the image, click to re-display the Save Image window.
 Edit the comments in the Patient History. See “Adding a Comment to an
Image”.
In the Dental Arch, select one or more teeth (up to 8) that are represented in
the image. The image's tooth number is represented on this arcade as a blue
tooth.
Teeth The actual tooth numbers are displayed below the arcade.
(Intraoral images only)
Click to change the display to Deciduous (child) dentition.

Click to change the display to Permanent (adult) dentition.

Select to define the image as a bitewing.
When you select this option, the following bitewing location options are
activated.
not a bitewing Click to specify that the image is not a bitewing.
LM Bitewing Location: Left Molar
Bitewing Selection
(Intraoral images only) RM Bitewing Location: Right Molar
RMP Bitewing Location: Right Molar and Premolar
LMP Bitewing Location: Left Molar and Premolar
LP Bitewing Location: Left Premolar
RP Bitewing Location: Right Premolar

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 If necessary, enter exposure data for radiological logging. Values for extra-oral
images (from CBCT) are usually entered automatically by the software and
cannot be modified by the user. Values for intra-oral images (from RVG or CR)
need to be entered manually.
Exposure data Select the system used to acquire the image from the
(requires activation of Generator drop-down list.
radiological log. See
“Radiological Log KV KV setting of the acquired image.
Preferences”.)
mA mA setting of the acquired image.
mS Exposure time in ms of the acquired image.
mGy.cm2 Calculated dose for the acquired image.

3 Click Save.
Note:
 The original, unmodified image can always be recovered. See “Resetting Images”.
 You can save the arrangement of images in the Image Viewing Workspace, with
their annotations, as an analysis. See “Using an Analysis”.

Deleting an Image
To delete an image from the patient database, follow these steps:

1 In the Image Viewing Workspace or Darkroom mode, right-click on the image.

Tip: In the Image Viewing Workspace, you can use Ctrl + click to select more
than one image, and then right-click on the selection.

2 In the shortcut menu, select Delete.

The Delete window appears, prompting you to confirm that you want to delete the selected image.
The selected image is highlighted in red.

Note: If Delete does not appear in the shortcut menu, then the Allow deletion of
patient cards and images setting has been activated in the “Service
Preferences”..

3 In the Delete window, click Delete. The selected image is permanently removed from the image
database.

Tip: You can select one or more images in the Image Gallery, right-click on the
selections and click Delete.

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System-Generated Image Overlays
You can show and hide overlays in the Screen Options menu. According to how the Imaging
preferences have been configured for CS Imaging, the following system-generated image overlays
can appear.

Filter indicator
In certain conditions, an altered image has a symbol displayed in the top left corner. (e.g. Fi, Fi1, Fi2,
Fi3)
The symbol displayed depends on the type of image processing that has been applied to the image.
A For more information see:
 “Using the Histogram”.
 “Images using CS Adapt Library Favorites”.
 “Images using Pre-Defined Anatomical Mode Filters”.

See “Using the Image Processing Tool”.

Calibration or Crop status:
: Image has been calibrated.
B
: Image has not been calibrated. See “Using Measurements to Calculate Distances and Angles”.
: Image has been cropped. See “Cropping Images”.
Dosimeter indicator
When dosimeter information is available, this indicator appears only on a radiographic image
acquisitions that has just been acquired and not yet saved.
C Once the new image has been saved, the dosimeter indicator no longer appears in the image overlay.
For radiographic images, you can find the dosimeter information in the Image Information window.
See “Displaying the Image Information Window”.
Note: You activate or deactivate this feature in the “Imaging Preferences”..
Equipment brand logo (if available)
D
To show or hide this overlay, see “Imaging Preferences”.

For more information on the Screen Options menu, See “Using the Screen Options”.

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Understanding the Dosimeter Indicator
The dose indicator is displayed at the bottom of relevant radiographic images.

Indicator Description
A dose indicator that displays red to the left of the band denotes an
Red and low under-exposed image.
To improve such an image, increase the x-ray dose by increasing the exposure
time or mA value.
A dose indicator that displays red to the right of the band denotes an
Red and high overexposed image.
To correct this, decrease the X-ray dose by decreasing the exposure time or mA
value.
Green and mid-range
A dose indicator that displays green, denotes a correctly exposed image.

Displaying Image Information in Overlays

You can display or hide overlays on images in the Image Viewing Workspace or Darkroom mode.

To display the basic information overlays, in the Image Viewing Workspace or Darkroom mode, click

to view the Screen Options menu, and select Display Information.

The following overlays are displayed on all images.

A Patient information
B Image acquisition information (varies according to image type)

54
Enhancing Images
CS Imaging provides many functions to enhance images.

For example, you can adjust the contrast of an image to highlight tissue type and regions of interests,
or you can use colors when searching for problems that might be hard to see in a normal grayscale
image.
Important: This section describes tools that enable you to select and
customize the image rendering. Make sure that any modification will be
relevant to your clinical practice.
The software is an aide to diagnosis only. It is ultimately your responsibility
to make the correct decision before deciding on a course of treatment.

WARNING: For image review, take into consideration that patient

orientation:

 Is not displayed on cephalometric oblique images and color images.

 Is indicated by tooth number on intraoral images (RVG, camera, CR).
 Must be checked for CR panoramic and cephalometric images and corrected
if necessary.

We suggest the following workflows for enhancing images.

Display the image or images you want to work with in the Image Viewing Workspace.
 “Viewing an Image in the Image Viewing Workspace”.
1  “Acquiring an Image Using the Acquisition Toolbar”.
 “Arranging Images”.
 “Using FMS”.
Make quick adjustments or apply a basic filter. The filters that are available depend on the image
modality.
2  “Using the Image Processing Tool”.
 “Adjusting Image Brightness, Contrast and Gamma in 2D Images”.
 “Using the Toolbars in the Image Viewing Workspace or Darkroom Mode”.

Add measurements and annotations.

3  “Drawings, Measurements, and Annotations”.
 “Using Cephalometric Automatic Tracings”.

Using the Alt Key to Adjust Image Properties

By holding down the Alt key and clicking and dragging in an image in the Image Viewing Workspace
or Darkroom mode, you can adjust image brightness and contrast as described below.

As you click and drag in the image window, the mouse pointer changes to

.
A Adjust brightness by holding down the Alt key and clicking and dragging
horizontally (left to increase, right to decrease).
B Adjust contrast by holding down the Alt key and clicking and dragging
vertically (up to increase, down to decrease).

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Using the Control Panel

In the lower, right-hand corner of the Image Viewing Workspace or Darkroom mode, the icon
allows you access to the Control Panel.

This panel contains the following tabs.

Image Processing
A
See “Using the Image Processing Tool”.
Histogram
B
See “Using the Histogram”.
The tool available for this tab depends on the following:

 In the Image Viewing Workspace, the icon allows you access to the Dental Arch indicator. See
C “Using the Dental Arch Indicator in the Image Viewing Workspace”.
 In the Darkroom mode, the icon allows you access to the Localization tool. See “Zooming in
and out Using the Localization Tool”.

Using the Image Processing Tool

Available in the Control Panel, the Image Processing tool displays different controls depending on
the type of selected image, whether radiographic or color, and the acquisition equipment used to
generate the image.

To display the Image Processing tool, follow these steps:

1 Click on an image in the Image Viewing Workspace or Darkroom mode.

2 In the lower, right-hand corner of the workspace or Darkroom, click to open the Control
Panel.

3 Click to display the Image Processing tab.

4 The filters that you see depend on the type of image.

The Filter toolbar displays a set of filter icons that reflect the type of image you have selected:
 “Images using Pre-Defined Anatomical Mode Filters”. (only applicable to earlier equipment
models)

56
  “Images using CS Adapt Library Favorites”.
Note:
 Hold the mouse pointer over a filter icon to display its name in a tooltip.
 There are no filters available for color (intraoral camera), TWAIN acquisitions or
non-CSD imported images.
 If you systematically need to adjust images, consider changing default settings in
the “Image Processing Preferences”.

5 On some intraoral and some cephalometric images, you can apply the Sharpness filter.

Adjusting Image Brightness, Contrast and Gamma in 2D Images

You can adjust the brightness, contrast and gamma in 2D images in the following ways:

 In the Image Processing tab, you can use the following slider controls.

Brightness adjusts the white pixel count in the image, straightening the
Brightness Transfer function along the top right edge of the Histogram.
To change the brightness, click and drag the brightness slider right to
increase brightness, or left to decrease brightness.
Contrast adjusts the black and white pixel counts, straightening the
Transfer function along the top right and bottom left edges of the
Contrast Histogram.
To change the contrast, click and drag the contrast slider right to
increase contrast, or left to decrease contrast.
Gamma adjusts the shape of the Transfer function curve. Increasing
Gamma gamma darkens the image, decreasing gamma brightens the image.
To change the gamma, click and drag the gamma slider right to increase
gamma, or left to decrease gamma.

 Use the Transfer function in the Histogram tab. See “Using the Transfer Function in a
Histogram”.
 Using the Alt key. See “Using the Alt Key to Adjust Image Properties”.

Using the Sharpness Filter

When a relevant radiographic image is selected, the Filter toolbar in the Control Panel shows the
Sharpness filter. This filter allows you to increase image contrast in intraoral and panoramic and
cephalometric extraoral images. This filter emphasizes less visible details, such as lateral canals or
small fractures.

To use the Sharpness filter, in the Image Processing tool ( ), click .

To check your analysis, switch the Sharpness filter off and try using a different contrast tool, for
example the Highlight tool, to confirm your findings. See “Using the Highlight Tool”.

Images using Pre-Defined Anatomical Mode Filters

(Only applicable to earlier equipment models)

When a relevant radiographic image is selected, the Filter toolbar in the Control Panel provides
filtering modes that enable you to enhance a specific zone.

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Use the following filtering modes to manage overall image contrast.

RVG (not applicable to RVG 6200 and newer models)

Use this filter to optimize the display of periodontal tissues, and to search for
Perio Mode information contained in radio-transparent tissues. The digital image becomes
generally whiter, with only the periodontal area displayed effectively.
Use this filter to optimize the contrast values over the entire grayscale range to
Endo Mode enhance contrast at the canals and roots. It also provides good overall contrast
throughout the image.
This filter strongly accentuates contrast in radio-opaque tissues and therefore
DEJ Mode optimizes grayscale values at the crown, the amelo-dentinal junction, and the
roots. Use this filter for clearer displays of caries or lesions.
Panoramic (only applicable to K8000 family)

Linear Contrast Use this to display the image with no image enhancing filters active.
Mode

Use this filter to sharpen up image detail by optimizing contrast.

Optimized
Contrast Mode When this mode is used, the symbol Fi appears in the corner of the image.
See “System-Generated Image Overlays”.

Strong Contrast Use this filter to increase edge sharpness in the image.
Mode When this mode is used, the symbol Fi appears in the corner of the image.

Cephalometric (only applicable to K8000 family)

Linear Contrast Use this to display the image with no image enhancing filters active.
Mode

Use this filter to sharpen up image detail by optimizing contrast.

Optimized
Contrast Mode When this mode is used, the symbol Fi1 appears in the corner of the image.
See “System-Generated Image Overlays”.

Bone Density Use this filter to display the optimal contrast for analyzing bone density.
Contrast Mode When this mode is used, the symbol Fi2 appears in the corner of the image.

Edges Contrast Use this filter to display the optimal contrast for identifying the edges.
Mode When this mode is used, the symbol Fi3 appears in the corner of the image.

Images using CS Adapt Library Favorites

When you view an image acquired with equipment that supports CS Adapt Library filters, the Image
Processing tab in the Control Panel displays:

 Relevant CS Adapt Library filter buttons.

 A button for accessing the CS Adapt Library software.

The CS Adapt Library software application allows you to:

 Create custom filters.

 Select which filters are available in the Control Panel.
 Define default acquisition filters.

There are many CS Adapt Library filters available that you can customize.

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Adjusting Color Images
To adjust color images, you can use the sliders in the Image Processing tab ( ) in the Control
Panel. The Image Processing tab contains the following sliders.

Brightness adjusts the white pixel count in the image to straighten the Transfer
Brightness function along the top right edge of the Histogram. See “Using the Histogram”.
Drag the slider control to increase or decrease brightness.
Contrast adjusts simultaneously the black and white pixel counts to straighten the
Contrast Transfer function along the top right and bottom left edges of the Histogram.
Drag the slider control to increase or decrease contrast.
Hue adjusts the image hue.
Hue
Drag the slider control to increase or decrease the hue
Saturation adjusts the amount of white added to a color image. The more white is
Saturation added, the less saturated the color.
Drag the slider control to increase or decrease saturation.
Emboss adjusts the image relief based on the contrast between adjacent pixels.
Emboss
Drag the slider control to adjust the emboss effect.

Soften sharpen Soften sharpen adjusts the amount of detail displayed in an image. Drag the slider
control to change the sharpness.

Using the Histogram

You can use the Histogram tab in the Control Panel to do the following with digital radiographic
images (not color images):

 Show a graphical plot of pixel grayscale in the image.

 Adjust image brightness, contrast, and gamma.

 Use the Transfer function (an orange curve line that is a plot line of grayscale against
luminance).

Adjustments made to the image, and their effect on the Transfer function, are displayed in real-time.

To display the Histogram tab, follow these steps:

1 Click on an image in the Image Viewing Workspace or Darkroom mode.

2 In the lower, right-hand corner of the workspace or Darkroom, click .

3 In the Control Panel, click to display the Histogram tab.

Using the Transfer Function in a Histogram

In a Histogram, you can click and drag the Transfer function to do the following.

A Adjust brightness by clicking and dragging horizontally (left to increase, right to decrease).
B Adjust contrast by clicking and dragging vertically (up to increase, down to decrease).

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If you adjust the brightness, contrast and gamma controls, the Transfer function curve will change.

x-axis (horizontal) Grayscale level (black = low, white = high)

Transfer function (C)
y-axis (vertical) Pixel luminance (brightness)
x-axis (horizontal) Grayscale range (from black to white)
Histogram (D)
y-axis (vertical) Number of pixels

Note:
 If you close a modified image, your changes will be automatically saved if the
Automatically save image modifications option has been activated in “Save
Preferences”.
 You can use the image reset function to revert to the image's acquisition state if
required. See “Resetting Images”.

Using Optiview in a Histogram

Available in the Histogram tab in the Control Panel, Optiview helps you make adjustments without
losing image detail.

To use Optiview, follow these steps:

1 Click on an image in the Image Viewing Workspace or Darkroom mode.

2 In the lower, right-hand corner of the workspace or Darkroom, click .

3 In the Control Panel, click to display the Histogram tab.

4 Below the Histogram graph, click Optiview.

5 Adjust the brightness and contrast of the image.

While Optiview is active:

 Black pixels appear as blue and white pixels appear as green
 Grayscale pixels change to blue or green as they become completely black or white. If this
happens, diagnostic detail is lost, and you will need to readjust levels accordingly.

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When you stop adjusting brightness and contrast, Optiview is deactivated automatically.

Using the Dental Arch Indicator in the Image Viewing Workspace

Available in the Control Panel, the Dental Arch indicator shows all of the teeth that are represented in
the acquired images in the Patient History or Image Gallery. You can use this tool to assign an image
to one or more teeth.

To assign one tooth to an image in the Dental Arch indicator, follow these steps:

1 Click on an image in the Image Viewing Workspace.

2 In the lower, right-hand corner of the workspace, click .

3 In the Control Panel, click to display the Dental Arch tab.

Note: The default tooth numbering system is selected in the “Imaging

Preferences”..

4 Drag one image to a tooth in the indicator. Repeat this as necessary so that the selected images
are assigned to the applicable teeth.

Drawings, Measurements, and Annotations

Drawing a Straight Line
To draw a straight line on an image, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, in the Line icon group, click .

Note: If a white triangle appears in the lower corner of the icon, then you access
to the different tools in the icon group. See “Using Icon Groups”.

3 Move the mouse pointer over the image.

The pointer changes to .

4 Click and hold, and drag the pointer over the image to draw the line.

Tip: To change the line color, see “Changing Object Color and Line Thickness”..

5 Release to set the end point of the line.

While the button is activated, you can keep adding additional lines to the image.
6 To turn off the tool, move the pointer outside the image.

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Drawing a Multi-Segment Line (Polyline)
To draw a multi-segment line on an image, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, in the Line icon group, click .

Note: If a white triangle appears in the lower corner of the icon, then you access
to the different tools in the icon group. See “Using Icon Groups”.

3 Move the mouse pointer over the image.

The pointer changes to .

4 Click on the image to set the start point of the polyline.

Tip: To change the line color, see “Changing Object Color and Line Thickness”..

A “+” point is drawn on the image.

5 Click again to set the second point of the polyline.

A line is drawn from the start point to the second point.

6 Click to add additional points of the polyline as necessary.
7 Double-click on the image to set the end point of the polyline.

8 To turn off the tool, move the pointer outside the image.

Drawing a Freehand Line

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

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, in the Line icon group, click .

Note: If a white triangle appears in the lower corner of the icon, then you access
to the different tools in the icon group. See “Using Icon Groups”.

3 Move the mouse pointer over the image.

The pointer changes to .

4 Click and drag on the image to draw a freehand line.

Tip: To change the line color, see “Changing Object Color and Line Thickness”..

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5 Release the pointer to set the freehand line.

A freehand line is drawn on the image.

6 To turn off the tool, move the pointer outside the image.

Drawing a Spline Curve

A spline curve is basically a freehand line that has editable points.

To draw a spline curve on an image, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, in the Line icon group, click .

Note: If a white triangle appears in the lower corner of the icon, then you access
to the different tools in the icon group. See “Using Icon Groups”.

3 Move the mouse pointer over the image.

The pointer changes to .

4 Click on the image to set the start point of the spline curve.

A “+” point is drawn on the image.

5 Click again to set the second point of the spline curve.

A curved line is drawn from the start point to the second point.

Tip: To change the line color, see “Changing Object Color and Line Thickness”..

6 Click to add additional points to the spline curve.

7 Double-click on the image to set the end point of the spline curve.
8 To turn off the tool, move the pointer outside the image.

Drawing a Circle
To draw a circle on an image, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, in the Line icon group, click .

Note: If a white triangle appears in the lower corner of the icon, then you access
to the different tools in the icon group. See “Using Icon Groups”.

3 Move the mouse pointer over the image.

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 The pointer changes to .

4 Click and drag on the image to draw a circle.

5 Release the pointer to set the circle on the image.
Tip: To change the circle line color, see “Changing Object Color and Line
Thickness”..

6 To turn off the tool, move the pointer outside the image.

Drawing an Ellipse
To draw an ellipse on an image, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, in the Line icon group, click one of the following:

 Click to create an ellipse outline.

 Click to create a filled ellipse.

Note: If a white triangle appears in the lower corner of the icon, then you access
to the different tools in the icon group. See “Using Icon Groups”.

3 Hover the mouse pointer over the image.

The pointer changes to .

4 Click and drag on the image to draw an ellipse.

5 Release the mouse pointer to set the ellipse on the image.

Tip: To change the ellipse color, see “Changing Object Color and Line
Thickness”..

6 To turn off the tool, move the pointer outside the image.

Drawing a Rectangle
To draw a rectangle on an image, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, in the Line icon group, click one of the following:

 Click to create a rectangle outline.

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  Click to create a filled rectangle.

Note: If a white triangle appears in the lower corner of the icon, then you access
to the different tools in the icon group. See “Using Icon Groups”.

3 Hover the mouse pointer over the image.

The pointer changes to .

4 Click and drag on the image to draw a rectangle.

5 Release the mouse pointer to set the rectangle on the image.

Tip: To change the rectangle color, see “Changing Object Color and Line
Thickness”..

6 To turn off the tool, move the pointer outside the image.

Adding a Landmark Point

To add a point on an image, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, in the Line icon group, click .

Note: If a white triangle appears in the lower corner of the icon, then you access
to the different tools in the icon group. See “Using Icon Groups”.

3 Move the mouse pointer over the image.

The pointer changes to .

4 Click on the image to add a point.

5 Release the mouse pointer to set the “+” point on the image.

Tip: To change the point color., see “Changing Object Color and Line
Thickness”..

6 Click to add additional points on the image.

7 To turn off the tool, Move the pointer outside the image.

Drawing an Arrow
To draw an arrow on an image, follow these steps:

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1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, in the Line icon group, click .

Note: If a white triangle appears in the lower corner of the icon, then you access
to the different tools in the icon group. See “Using Icon Groups”.

3 Move the mouse pointer over the image.

The pointer changes to .

4 Click and hold, and drag the pointer over the image to draw the arrow.

5 Release to set the end point of the arrow.

Tip: To change the arrow color, see “Changing Object Color and Line
Thickness”..

6 To turn off the tool, move the pointer outside the image.

Adding a Text Annotation to an Image

To add a text object to an image, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, click .

3 On the image, click where you want to place the text object.

A cursor appears.
4 Type the text you want to the image.

5 Click outside the text object to validate the text annotation.

Editing Text Annotations

To edit an existing text annotation, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, click .

3 Move the mouse pointer over the text object you want to edit.

The pointer changes to .

4 Click to select the text object.

The text object is selected and the Text window appears.

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5 Do any of the following:

To reposition the text Click and drag the text item to a new position.
annotation...
Change the font size in the Text window using the font size slider or
To resize the text annotation... making a selection from the font size drop-down list.
To modify the font... Choose a font in the font drop-down list.

6 Click outside the text object to save your changes.

Drawing a Mandibular Canal

The Mandibular canal drawing tool allows you to trace a nerve canal on an image.

To draw a mandibular canal on an image, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, in the Implant icon group, click .

Note: If a white triangle appears in the lower corner of the icon, then you access
to the different tools in the icon group. See “Using Icon Groups”.

3 Hover the mouse pointer over the image.

4 Click on the image to set the start point of the canal drawing.

A control point is added to the image.

5 Click along the nerve canal to add additional points on the canal drawing.

Control points are linked automatically. Control points added along the nerve canal can be used to
modify the trace manually.
6 When you reach the end point of the nerve canal trace, double-click to set the end point.

The nerve canal trace is drawn in the current color selection.

Tip: To change the color of the mandibular canal, see “Changing Object Color
and Line Thickness”..

Adding an Implant
The Implant Simulator tool allows you to add a virtual implant to an image.

To add an implant to an image, follow these steps:

1 View the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, in the Implant icon group, click .

Note: If a white triangle appears in the lower corner of the icon, then you access
to the different tools in the icon group. See “Using Icon Groups”.

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3 Click on the image at the point where you want to place the implant.

An implant is added to the image in the current color selection and the Implants window appears.

Tip: To change the implant color, see “Changing Object Color and Line
Thickness”..

4 In the Implants window, do any of the following:

Configure the following dimensions:

 Catalog Length: The length of the implant platform from the head to the
apex.
To resize the implant...  Head Length: The length of the implant head.
 Head Diameter: The diameter of the implant head.
 Diameter: The diameter of the implant platform.
 Apical Diameter: The diameter of the apex.

Click on the implant. The pointer changes to .

Drag the implant to a new position.

To move the implant...

Move the mouse pointer over one of the implant’s rotation grab handles.
The pointer changes to .
Click on a rotation grab handle (A) and drag around the center of the
implant object. The implant object is rotated.
As the object rotates, the center of rotation is indicated by a “+” (B).

To rotate the implant...

Using the Undo and Redo Functions

You can find the Undo and Redo functions in the Drawings & Annotations toolbar. See “Using the
Drawings & Annotations Toolbar”.

The following characteristics apply to the Undo function:

 In the Image Viewing Workspace, an Undo affects only to selected images. In the Darkroom
mode, Undo affects only to the image currently being viewed.
 Undo applies only to actions in the Drawings & Annotations toolbar. It does not apply to
actions performed using other toolbars.

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  You can undo up to a maximum of 50 operations.

You can use the Redo function to counteract the Undo function.

Deleting Drawing Objects

To delete drawing objects on images, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, click .

3 In the image, do one of the following:

Hover the mouse pointer over the object you want to delete.

When the pointer changes to , click to select the object.

If you are deleting only one The selected object appears with square grab handles.
object in one image...

Click and drag over the objects.

An area selection box (A) appears.

To select several objects in

an single image...

To select several objects in

Use Ctrl + click to select the objects you want to delete.
images...

4. When all the objects that you want to delete are selected, do one of the following:

 Click in the Drawings & Annotations toolbar.

 Press the Delete key on your computer.

Changing Object Color and Line Thickness

To change object color and line thickness, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, click .

3 In the image, move the mouse pointer over the object you want to edit.

The pointer changes to .

4 Click to select the object.

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 The selected object appears with square grab handles.

5 In the Drawings & Annotations toolbar, click .

The Color and Line Thickness window appears.

6 In the Color and Line Thickness window, do any of the following:
 Click on the color picker square to select a different color.
 Select a line thickness from the drop-down list.
7 Click Apply.

Moving and Resizing an Object

To move and resize objects, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, click .

3 In the image, move the mouse pointer over the object you want to move or resize.

The pointer changes to .

4 Click to select the object.

The selected object appears with square grab handles.

5 Click on the object to move it, or click on a square grab handle to resize it.

Rotating an Object
To rotate an object, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, click .

3 In the image, move the mouse pointer over the object you want to rotate.

The pointer changes to .

4 Click on the object to display square grab handles.

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5 Click a second time on the object to display green rotation grab handles.

6 Move the pointer over a green rotation grab handle.

The mouse pointer changes to .

7 Click on the rotation grab handle and drag the object to a new position.

The selected object is rotated. As the object rotates, the center of rotation is indicated by a “+”.

Changing the Stack Order

When you draw objects on an image, they are arranged in a stack order, so that sometimes an object
will be displayed on top of, or beneath another object.

A The green circle is behind the other two objects.

B The green circle is between the other two objects.
C The green circle is on top of the other two objects.

To change the stack order, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, click .

3 In the image, move the mouse pointer over the object you want to reorder.

The pointer changes to .

4 Click on the object to display square grab handles.

5 Right-click on the selected object, and from the contextual menu, select one of the following.

Bring to front The object is moved to the front of the stack.

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 Send to back The object is moved to the backwards of the stack.
Bring forward The object is moved forwards one place in the stack.
Send backward The object is moved backwards one place in the stack.

Using Measurements to Calculate Distances and Angles

WARNING:

 All image measurements are indicative only. Measuring and positioning

tasks are carried out under your own responsibility.
 For accurate measurements, images must be calibrated using a reference
object of known length.
 For panoramic images, calibration and measurement are only rough guides
that apply only to the immediate vicinity of the calibration.

You can use measurements to calculate the distances or angles between points on an image.
Important: A radiological image is a two dimensional image of a three
dimensional object, and measurements may be subject to errors. It is
recommended that you do measurements or drawings with pre-determined
length values only on calibrated images. Doing this on an image with no
calibration information requires use of a reference segment of known
length.

The typical order of tasks is the following:

1 “Calibrating an Image”.
2 “Making Measurements”.

Calibrating an Image
In order for CS Imaging to calculate measurement values accurately, the image must be calibrated.
The calibration state of an image is shown by the following icons in the bottom left hand corner of the
image.

Image has been calibrated. All measurements are calculated relative to the image calibration.

Image has not been calibrated. The image must be calibrated before measurements are taken.

Note:
 To calibrate a measurement, the image must contain a reference segment of a
known length.
 Calibration is only necessary if it was not done previously. When using
cephalometric images generated by hardware such as the CS 8000C, CS 9000C,
CS 8100SC, CS 8100 SC 3D, or CS 9300C, most of the images are automatically
calibrated and no manual calibration is needed. For the few images that are not
automatically calibrated, a warning message requesting it appears.

To calibrate an image, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, click .

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 The Calibration panel appears.

3 On an image, click one end of a reference segment of known length.

4 Move the cursor to the second end point of the reference segment, and double-click.

A line segment appears with a length. The length is also displayed in the Calibration calculator
window.
5 Do one of the following:
 If the displayed value corresponds to the known length, in millimeters, of the object, click

 If not, click and enter the correct value. You can use your computer's number keys or click
the number keys on the calculator to enter the value.

When you have changed the value, click . You will be asked to confirm the change.
Click Yes.

Making Measurements
A measurement can show, for example, the distance between two points in an image.

Tip:
 To check the units of measurement, hold your mouse pointer over the annotation. A
tooltip appears (see image above) that displays details about the annotation.
 To manage annotations (show/hide, change colors, delete, display values/units),
you can display the list of measurements. See “Using the Screen Options”.

Note: Units of measurement are Standard International (SI) units, millimeters

(mm) for length and degrees (°) for angles.

The following types of measurements are available in the Drawings & Annotations toolbar in the
Measurements icon group:

 Straight line measurement

 Multi-segment line (Polyline) measurement

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  Angle
 Orthogonal (Perpendicular) measurement on a line, axis or plane

Note: If a white triangle appears in the lower corner of the icon, then you access
to the different tools in the icon group. See “Using Icon Groups”.

To add a measurement to an image, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, in the Measurement icon group, select one of the
following.

Tip: You can show or hide measurement using the Display Measurements
Window option in the Screen Options menu.

To draw a straight 1. Click .

line measurement... 2. On the image, click to set the beginning and end points of the line.
The line appears with its measurement (in millimeters).

1. Click .
2. On the image, click to set the start point.
To draw a
multi-segment line 3. Move the mouse pointer to the first intermediate point of the line, and click again.
(polyline) A line segment appears with its measurement (in millimeters).
measurement... 4. Repeat step 3 to create as many segments as you want.
5. Double-click to create the final endpoint.
Measurements are displayed for each segment of the polyline. The total length
appears in the tooltip and measurements list.

1. Click .
2. On the image, click to create the start point of your angle (A).
3. Click to set the midpoint (B).
A line appears.
4. Click to set the end point (C).
A second line appears, with the angle between the two lines shown in degrees.
To draw an angle The angle is automatically calculated and displayed on the image and in the
measurement... measurements list.
The sequence of clicks for drawing angles is shown below.

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 Note: This function only works with an existing line measurement.

1. Click .
2. On the image, move the mouse pointer over an existing line measurement.
The pointer appears as a “+” to show that the orthogonal measurement tool is
active.

3. Click on the existing measurement line to set the orthogonal line start point.
The pointer can only be moved in the plane perpendicular to the line of
intersection along A or B.
4. Move the pointer away from the starting line measurement and click again to
set the end point for your orthogonal measurement.
A perpendicular (orthogonal) line appears, with its length (in millimeters).
To draw an
orthogonal A: Move the pointer in this direction to set the length of
(perpendicular) the new perpendicular line (red).
line... B: In this direction, the pointer is constrained to move
only along the plane of the starting line measurement
(green).

You can draw the new line measurement beyond the range of the starting line
measurement; it will still move along the same perpendicular plane.

Modifying and Deleting Measurements

To edit or delete a measurement using the Selection tool, follow these steps:

1 Open the image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, click .

3 Do one or more of the following:

 To move a measurement, click and drag it.
 To change the line color or thickness, see “Changing Object Color and Line Thickness”..

 To move control points on a measurement line or angle, click and drag it.
 To delete the measurement, see “Deleting Drawing Objects”..

Using the Measurements List in the Image Viewing Workspace or Darkroom Mode
By default, when you activate a measurement tool or display an image that contains measurements, the
measurements list appears automatically. This list can display one of the following:

 Cephalometric measurements

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  Manual measurements

Tip: You can select a measurement using the Select tool on the Drawings
& Annotations toolbar. See “Using the Drawings & Annotations Toolbar”.

The measurements list includes the following features.

Measurements list toolbar

The toolbar contains the following tools:
: Click to access the cephalometric measurements and settings. To work with these settings, see
A “Working with Cephalometric Automatic Tracings”..
: Click to access manual measurements.
: Click to close the measurements list.
TIP: You can also close the list by deselecting Display Measurements in the Screen Options menu.
B Image acquisition date
Visibility of manual measurement in image
C Indicates that the manual measurement is visible in the image.
Indicates that the manual measurement is not visible. T
Color of manual measurement in image
D To change the color of the measurement represented in the row, click the color box for the
measurement.
E Manual measurement length

Delete icon for manual measurement

F To delete a manual measurement, click .
Note: When you delete all measurements, or the last single measurement remaining in the window, you
will be asked to confirm if you want to delete all measurements.

Using the Zoom Tool

When you magnify an image in the Image Viewing Workspace or Darkroom mode, you can see small
details of the image. You can magnify the entire image or magnify a localized area of the image using
the Zoom tool.

To use the Zoom tool, follow these steps:

1 View the image in the Image Viewing Workspace or Darkroom mode.

2 In the Image toolbar, click .

When you move the mouse pointer over the image, the pointer appears as a magnifying glass .

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3 Click on the image to display a circular magnified region.
4 Drag the region over the image to magnified a specific area.

5 Hold down the mouse button, and drag the pointer over the image to move the magnified region
around.

You can increase or decrease the level of magnification and the size of the magnified region using
the Zoom sliders.
6 To access the Zoom sliders, click the white triangle on the lower corner of the button.

A Click to show Zoom sliders.

B Use this slider to set the size of the Zoom circle.
C Use this slider to zoom in and out within the Zoom circle.

7 To turn off the Zoom tool, click .

Using the Highlight Tool

You can use the Highlight tool to focus on parts of an image by reinforcing pixel contrast.

This tool is useful for investigating interproximal areas and detecting caries and fractures. Contrast
values are optimized according to the available grayscale.

To highlight an area of interest, follow these steps:

1 Select the image in the Image Viewing Workspace or Darkroom mode.

2 In the Image toolbar, click .

The Highlight window appears.

3 In the image window, move the mouse pointer over the image.

The pointer changes to .

4 Select the region you want to highlight.

A circular highlight region appears on the image.

5 Click and drag the pointer to highlight another region in the image.

To increase or decrease the size of the highlight region, click the white triangle in the lower corner
of the Highlight icon to access the Highlight slider.

6 To turn off the Highlight tool, click .

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Using the Color Tools
CS Imaging provides two color filters that convert grayscale pixels into colored pixels.

You can use these filters, available in the Image toolbar, to help identify and isolate specific
regions of the image.

Maps pure black to red and pure white to blue; other shades of gray are mapped
Colors #1 on the image based on intermediate colors on the standard color wheel.

Maps middle-gray to orange and leaves pure black and pure white in their original
Colors #2 states; other shades of gray are mapped to yellow as they move toward white and
to brown as they move toward black. The result is an image displayed in colors
similar to sepia tones.

Grayscale Maps colors to grays.

To apply a colors scheme to an image, follow these steps:

1 Select the image in the Image Viewing Workspace or Darkroom mode.

2 In the Colors icon group, click a colors icon.

Note: If a white triangle appears in the lower corner of the icon, then you access
to the different tools in the icon group. See “Using Icon Groups”.

The selected image appearance changes based on the icon you selected.

To restore the original image colors, click again on the Colors icon.

Cropping Images

In the Image toolbar, in the Density icon group, you can use the Crop image tool to temporarily
hide unwanted space around a selected area.
Note:
 The Crop image tool only alters the image view. It does not modify the image file.
 A cropped image has displayed in the bottom corner.
 If a white triangle appears in the lower corner of the icon, then you access to
the different tools in the icon group. See “Using Icon Groups”.

To crop an image, follow these steps:

1 Select the image in the Image Viewing Workspace or Darkroom mode.

2 In the Image toolbar, in the Density icon group, click .

A white border with handles appears on the image, and the Crop panel appears.
3 In the selected image, click and drag one or more handles to the desired location.
4 In the Crop panel, do one of the following:

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  Click to accept your crop and close the tool.

 Click to cancel the crop, close the tool, and leave the image in its current state.

 Click to reset all previous crops and return to the image's original format.

Using the Isodensity Tool

You can use the Isodensity tool to identify those parts of an image of similar density. Up to three
different density levels can be displayed at the same time. The Isodensity tool helps to enhance the
views of the tooth enamel, dentin, and pulp.

If the case of pathology, the difference in density can be shown in comparison to a healthy area.

You can also use the Isodensity tool to verify the integrity of an implant by analyzing the structure of
the bone around the implant.

Important: Because a radiographic image is a two-dimensional image of a

three-dimensional object, density estimations are subject to error.

To show regions of similar density in an image, follow these steps:

1 Select the image in the Image Viewing Workspace or Darkroom mode.

2 In the Image toolbar, in the Density icon group, click .

Note: If a white triangle appears in the lower corner of the icon, then you access
to the different tools in the icon group. See “Using Icon Groups”.

The Isodensity dots window appears.

3 Move the mouse pointer over the image.

The mouse pointer changes to .

4 In the image, click on a pixel point.

All points in the image with similar color density are displayed in the first color.

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 The density value of your selection appears alongside the first color picker box (A).

5 Click on a second pixel point.

All points in the image with similar color density are displayed in the second color.
6 Click on a third pixel point.

All points in the image with similar color density are displayed in the third color.
Note: You can select up to three densities at the same time. Each density
appears in a different color. The density value associated with each color is
shown in the Isodensity dots window (A).

7 You can also do any of the following:

 To change a color associated with a point, click the color box (B) that you want to change. In
the Color window, select a new color and click OK.
 To adjust the sensitivity of the pixel ranges selected, move the slider (C) to the left to reduce
pixels, and to the right to increase pixels.

 To reset the Isodensity settings, click .

8 To switch off the Isodensity function, in the Isodensity dots window click X.

Using the Densitometric Analysis Tool

The Densitometric Analysis tool in the Density icon group allows you to analyze the relative density of
tissue along a plotted section.

This grayscale allows you to compare two points on the same image. This is particularly useful for
osteo-integration after an implant has been fitted.

You can also determine if a darkened area is an apical area, indicating a difference in the density of the
bone in that area.

Tip: To view the ideal bone density for a patient, perform an analysis at the
dentin-enamel junction and redo the analysis at the patient’s real bone level.

To analyze image density, follow these steps:

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1 Select the image in the Image Viewing Workspace or Darkroom mode.

2 In the Image toolbar, in the Density icon group, click .

Note: If a white triangle appears in the lower corner of the icon, then you access
to the different tools in the icon group. See “Using Icon Groups”.

The Densitometric Analysis window appears.

3 Draw a section line on the image by clicking and dragging from an initial point and releasing at
another point.
4 To establish the grayscale value at a given point along the line, click and drag the dot (A) along the
plotted line until it is positioned over the required point.

The position of the dot is plotted continuously along the graph (B) in the Densitometric Analysis
window. The X and Y coordinates are shown (C). The value of the grayscale at the selected point
is shown.

5 To clear and start new measurements of point values, click (D).

6 To close the window, click X.

Note: If you apply a filter or effect to the image, the Histogram is updated
automatically with the grayscale of the selected pixel.

Important: The grayscale values obtained using the Densitometric Analysis

tool do not represent actual bone density values and are dependent on
image contrast.

Using Pseudo 3D
Use Pseudo 3D in the Filter icon group to display a three-dimensional representation of a 2D image at
a 45° angle and in different shades of gray.

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Pseudo 3D is useful for showing furcation involvement, periapical cysts, vertical fractures, and a
variety of other difficult-to-diagnose situations.

Original Image Pseudo 3D Rendering

Important: This tool does not create a true 3D reconstruction of the image.
It is only an aid to visualizing the existence of certain conditions.

To use pseudo 3D display, follow these steps:

1 Select the image in the Image Viewing Workspace or Darkroom mode.

2 In the Image toolbar, in the Filter icon group, click .

Note: If a white triangle appears in the lower corner of the icon, then you access
to the different tools in the icon group. See “Using Icon Groups”.

The image appears as a pseudo 3D image.

3 Click to turn off Pseudo 3D.

Using Negative Images

You can view an image as a photo negative, for example, in endodontics, when you want to highlight
the end of a file near the apex.

The negative image enables the file to be clearly distinguished from the apical information, whereas a
positive image can cause confusion due to the fact that the grayscale is similar.

To display an image as a photo negative, follow these steps:

1 Select the image in the Image Viewing Workspace or Darkroom mode.

2 In the Image toolbar, click .

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 The image appears as a photo negative.

3 To revert to the original image, click .

The image is restored to normal mode.

Using Cephalometric Automatic Tracings

Important:
 Cephalometric automatic tracings are intended to support, but not replace,
diagnosis. The accuracy of the tracings is approximate and may require
adjustments to be made.
 This feature can be used on cephalometric images acquired from the
following machines:
 CS 9000, CS 9300, CS 9300 Select and CS 9600
 CS 8100, CS 8100 3D families and CS 8200 3D

The dental malocclusion calculations are divided in three classes:

 Class I (tooth problems)

 Class II (retrognathism or overbite)
 Class III (prognathism or negative overjet)

Creating a Cephalometric Automatic Tracing

To create a cephalometric tracing, follow these steps:

1 View a cephalometric image in the Image Viewing Workspace or Darkroom mode.

Important: Before launching the calculation, make sure that your image is
a cephalometric lateral image. Otherwise, the calculation will not work.

2 In the Drawings & Annotations toolbar, click to launch the Cephalometric Tracing
calculation.

Important:
The first time you launch the calculation, a caution message warns you about your
responsibility to analyze, interpret and determine the validity of the automatic
tracings. If you agree, click OK.

A wheel appears while the tracings are being calculated. Depending on the power of your
computer processor, this can take a while.

Once the calculations are complete, the original cephalometric image appears with the new
tracings, and you can access the cephalometric list in the Measurements list. See “Using the
Measurements List in the Image Viewing Workspace or Darkroom Mode”..

In the Measurements list, you can select a different template, check the tracing structures,
landmarks, measurements, and generate a report.

Working with Cephalometric Automatic Tracings

To modify cephalometric automatic tracings template, follow these steps:

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1 View a cephalometric image in the Image Viewing Workspace or Darkroom mode.

2 Click , then select Display Measurements to activate the Measurements list.

See “Using the Measurements List in the Image Viewing Workspace or Darkroom Mode”..

3 In the Measurements list, click .

4 Do any of the following:

To change the template for the From the drop-down list, select a different template.
automatic tracings...
Click the Generate Report button to generate a report of your
To generate a report... cephalometric tracing. This generates a report as an HTML file
which you can view and print from your browser.
To automatically recalculate all of
the other related points, lines and Click Dynamically update.
structures...
To show the structure points
(A)... Click Show structures to show the points.

To show the landmark points Click Show landmarks.

(B)...
To show the cephalometric axis Click Show measurements.
and plane lines (C)...

Modifying Tracings
Once a cephalometric tracing has been calculated and drawn onto a cephalometric image, you can
manually modify a tracing in the image.

Important: If you have selected Dynamically update in the Measurements

list and you modify a tracing directly on the cephalometric image, then the
Undo (Ctrl + Z) tool is unavailable.

To modify the tracing on a cephalometric image, follow these steps:

1 View the cephalometric image in the Image Viewing Workspace or Darkroom mode.

2 In the Drawings & Annotations toolbar, click .

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3 Select a tracing element.

Drawing handles appear.

4 Click and drag different points of the drawing.

Important:
 Moving an object with links to other objects moves all related objects.
 If you have selected Dynamically update in the Measurements list and you
modify a tracing directly on the cephalometric image, then the Undo (Ctrl +
Z) tool is unavailable.

User-Defined Landmark Points

Any user-defined landmark points are displayed in the tracing as .

If your tracing contains measurement elements that refer to user-defined landmark points, the
measurement value in the measurements list appear as N/A.

Note: If the measurements list is not visible in the Image Viewing Workspace or
Darkroom mode, you can activate it in the Screen Options menu.

To display the true measurement value referencing a user-defined landmark point, follow these steps:

1 In the Drawings & Annotations toolbar, click .

2 Click on the cephalometric tracing.

The landmark point changes to and the measurements list shows a calculated value.

Using the Tracings Editor

In the Tracings Editor, you can customize automatic tracings and define your own template.

To display the Tracings Editor, follow these steps:

1 In the Image Viewing Workspace or Darkroom mode, close all cephalometric images.

2 In the CS Imaging task bar, click .

The Preferences window appears.

3 In the Preferences window, click .

4 Click Tracings Editor.

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 The Tracings Editor window appears, displaying a list of predefined templates and the following
tabs.

Contains areas for automatic landmarks and structures, and

Landmark Structure user-defined points.
Contains areas for the measurement label with its parameters, and an
Measurement area for the axis and planes parameters.

5 To view the corresponding automatic landmarks, automatic structures, and measurements, select
the one of the following:
 Default (default template)
 Delaire (available for all versions)
 McNamara (method)

 Ricketts (method)
 Steiner (method)
 Tweed (method)

Important: You cannot edit a pre-defined template, but you can create your
own template by copying a pre-defined one.

Creating a Template
To create a template, follow these steps:

1 In the Image Viewing Workspace or Darkroom mode, close all cephalometric images.

2 In the CS Imaging task bar, click .

The Preferences window appears.

3 In the Preferences window, click .

4 Click Tracings Editor.

5 In the Tracings Editor window, click New Template.

6 Enter a name for the template in the New ceph tracings template window and click OK.

By default, parameters are displayed without measurements.

7 In the Landmark Structure tab, click to activate landmark structures for the new template.

This will change active landmark structures to .

8 If required, add additional structure points by clicking , and then click anywhere in the sample
cephalometric image to enter the name of your new landmark point.

9 In the Measurement tab, click to activate measurements for the new template.

This will change active measurements to .

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10 If required, add additional measurements by clicking .

In the New Measurement window, define the new measurement entry and click OK.
11 When you have finished creating your template, click Save, then Close.

Copying a Template
To copy a template, follow these steps:

1 In the Image Viewing Workspace or Darkroom mode, close all cephalometric images.

2 In the CS Imaging task bar, click .

The Preferences window appears.

3 In the Preferences window, click .

4 Click Tracings Editor.

5 In the Tracings Editor, select the template you want to copy and click Copy template.
6 Enter a template name and click OK.

Existing Landmark Structure and Measurement details from the source method template are
displayed.

7 On the Landmark Structure tab, click the icon to deactivate any Automatic landmarks you
do not want to use.

8 On the Measurement tab, click the icon to deactivate any the Measurements and Axis and
Planes details you do not want.

9 If required, add additional measurements by clicking .

In the New Measurement window, define the new measurement entry and click OK.
10 When you have finished creating your template copy click Save, then Close.

Managing Landmark Structures

In the Landmark Structure tab of the Tracings Editor, you can manage the automatic and
user-defined structures that a tracings template uses to create a cephalometric tracing.

The Landmark Structure tab is divided into three collapsible sections.

Automatic landmarks This section contains all automatic landmark elements on the tracing.
Automatic structures This section contains all automatic structure elements on the tracing.
This section contains all user-defined point elements on the tracing.
User-defined points Note: This section may be empty if the template does not contain any
user-defined points.

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Each element has a color assigned to it. To change the color, click and choose the new color.
Note: If a section contains many elements, the lower sections may be hidden
from view and you may need to scroll down to see them. To collapse a long
section, click the double arrow icon ( ) to the right of the section name. A
collapsed section can be expanded again by clicking the double arrow icon ( ).

Managing Cephalometric Measurements

In the Measurement tab of the Tracings Editor, you can manage the Measurement and Axis and
Planes elements that a template uses to create a cephalometric tracing.

The Measurement tab is divided into two collapsible sections.

This section contains all measurement elements on the tracing.

Measurements Note: The Measurements section may be empty if the template does not contain any
measurement elements.
Axis and Planes This section contains all the Axis and Planes elements on the tracing.

Each element has a color assigned to it. To change the color, click and choose the new color.
Note: If the Measurements section contains many elements, the Axis and
Planes section may be hidden from view and you may need to scroll down to see
it.
To collapse a long section, click the double arrow icon ( ) to the right of the
section name. A collapsed section can be expanded again by clicking the double
arrow icon ( ).

Resetting Images
In the Image Viewing Workspace or Darkroom mode, you can reset the following image settings on
one or more selected images, even if you have already saved the image modifications:

 Brightness, contrast, and gamma adjustments in the Control Panel

See “Adjusting Image Brightness, Contrast and Gamma in 2D Images”.

 The following Image toolbar functions:
 Negative

 Colors #1

 Colors #2

To reset a single image, click in the image title bar.

To reset a selection of two or more images, do one of the following:

 Click to display the Control Panel and in the Image Processing tab, click .

 Right-click one of the selected images and select Reset Image.

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7 Using FMS
An FMS (Full Mouth Series) is a complete set of intraoral radiographic images taken of a patient's
mouth.

The FMS system provides templates that enable you to associate a patient's intraoral images with
specific regions of the mouth. FMS templates are comprised of frames that correspond to regions of
the mouth. Intraoral images can be mapped to specific regions of a patient's mouth by placing them in
the appropriate frames.

There are several predefined FMS templates available within CS Imaging. See “Using a Predefined
FMS Template”.

You can also create your own FMS template. See “Creating a Template in the FMS Editor”.

Once you have mapped patient images using an FMS template, you can save the mapping as an FMS
entity for future reference in the Patient History.

FMS templates are managed and created in the FMS Editor, which you can access in the “Template
Preferences”.

Using a Predefined FMS Template

FMS templates enable you to track digital intraoral radiographic images. Each box (or frame) in an FMS
template corresponds to a region of the mouth. As you acquire images, you can associate them with a
specific region until you have obtained all the images needed to complete the FMS.

There are several predefined FMS templates available within CS Imaging to suit the way you work.
Should the need arise, CS Imaging also enables you to create your own FMS template.

To use an FMS template, follow these steps:

1 In the Image Viewing Workspace, click the Screen Options icon ( ) and select New Image
Template.

A window appears in which you can choose an FMS template.

2 Select an FMS template.

It appears the Preview pane.

3 If you want to use the selected template, click Open.
4 Add images to frames in the FMS. See “Adding Images to an FMS”.

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Opening an Existing FMS Image
To view a saved FMS, in the Patient History (Patient Browser or Dashboard) or Image Gallery
(Image Viewing Workspace or Darkroom mode), double-click on its thumbnail.

The following happens:

 If you're opening the FMS from the Patient History or Image Gallery in the Image Viewing
Workspace, the FMS appears in the Image Viewing Workspace.

 If you're opening the FMS from the Image Gallery while the Darkroom mode, the FMS
appears in the Darkroom.

Review FMS in the Darkroom

There are two ways of presenting FMS in the Darkroom:

 the whole FMS as one single image. To do that, in the Image Viewing Workspace double
click on the FMS image title bar to enter the Darkroom.

 each individual image inside the FMS. To do that, in the Image Viewing Workspace double
click on an FMS frame that contains an image to enter the Darkroom, then click left/right
button to navigate to the adjacent image within the FMS. The navigation shall end when
reaching the image with least frame ID or greatest depending on the direction.

Adding Images to an FMS

To add an image to an FMS, follow these steps:

1 Open an FMS in the Image Viewing Workspace or Darkroom mode.

2 Click to view the Image Gallery.

3 Click an image in the Image Gallery, hold the mouse button down and drag the mouse pointer
over one of the FMS cells.

The mouse pointer changes to .

4 Release to drop the image.

If the image can be added to the FMS it is displayed in a frame in the FMS.
Note:
 If the image cannot be added to the FMS and is displayed in its own window, check
that you are adding the correct image type to the FMS.
 If a portrait image is added to a landscape frame, the image will be
automatically rotated in the FMS.
 If you move images from top to bottom or right to left, depending on where the
median axes are positioned in the template, the images are automatically flipped.

5 Repeat the drag and drop action as necessary.

6 You can also double click on images in the Image Gallery to add them to FMS. (If the image
appears in a different frame in the FMS, it is because the image has been associated with the
tooth number associated with that frame; image are automatically added to a frame in the FMS
that matches its tooth number.)

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7 To select multiple images in the FMS template, click in the top right-hand corner of the FMS
title bar.

Note: Additionally, when multiple images are selected, they can be simultaneously adjusted:

8 When you are done, in the image title bar, click (Image Viewing Workspace) or
(Darkroom mode).

The Save FMS window appears.

9 In the Save FMS window, enter your FMS configuration details. See “Setting FMS Configuration
Details in the Save FMS Window”.
10 Click Save.

Note: If a portrait image is added to a landscape frame, the image will be

automatically rotated in the FMS.

Setting FMS Configuration Details in the Save FMS Window

You can set FMS configuration details in the Save FMS window.

In this thumbnail preview, you can select images in the FMS.

FMS thumbnail
As you click on an image, the image's tooth mapping window in the Teeth panel.
Date This displays the date that the FMS was created.
Enter comments in this field. (Optional)
Note: To edit these comments at a later stage, open the FMS again and in the
Comments
image title bar, click (Image Viewing Workspace) or (Darkroom mode)
to redisplay the FMS Save window.
The Dental Arch panel displays the patient teeth.
When you click on an image in the FMS thumbnail, the image's tooth number is
represented on this arcade as a blue tooth.
Dental Arch The actual tooth numbers are displayed below the arcade.

Click to change the display to Deciduous (child) dentition.

Click to change the display to Permanent (adult) dentition.

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 Select to define the following bitewing location options:
Click to specify that the image you have added is not a
not a bitewing bitewing.
LM Bitewing Location: Left Molar

Bitewing selection RM Bitewing Location: Right Molar

RMP Bitewing Location: Right Molar and Premolar
LMP Bitewing Location: Left Molar and Premolar
LP Bitewing Location: Left Premolar
RP Bitewing Location: Right Premolar

Removing Images from an FMS

You can remove an image from an FMS without deleting the image from the Patient Card.

To remove an image from an FMS, follow these steps:

1 Open an FMS in the Image Viewing Workspace.

2 Click and drag the image out of the FMS to the workspace.

The image is displayed in its own window and removed from the FMS frame.

3 In the FMS image title bar, click .

The Save FMS window appears.

4 In the Save FMS window, enter your FMS configuration details. See “Setting FMS Configuration
Details in the Save FMS Window”.
5 Click Save.

Using the FMS Editor

In the CS Imaging FMS Editor, you can create custom FMS templates from scratch or by customizing
existing templates in the FMS Editor.

FMS Editor Toolbar Buttons

The FMS Editor, accessible from the Template preferences window, offers the following icons.

Open Show Grid

Open and modify an existing FMS template. Display a grid for consistent alignment.
Save Show Axes
Save a new template. Show or hide the orientation alignment axes.
Insert
Magnetic Grid
Insert a frame of the same size and
Snap an existing or new frame to the grid.
orientation as the last one selected.
Copy
Copy the selected frame. This button is Magnetic Frames
grayed out until a frame is selected in the Snap an inserted frame to an adjoining frame.
template.

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 Optimize to Screen
Paste
Move the alignment axes closer to the left.
Paste a copied frame into the template. This Click continuously to remove the alignment
button is grayed out until a frame has been axes, and orient all of the FMS images in the
copied. same direction.
Delete
Delete the selected frame. This button is Quit
grayed out until a frame is selected in the Exit the FMS Editor.
template.
Numbering
Display or change the acquisition order of
the frames. You can customize the number of
each frame.

FMS Toolbox Buttons

The FMS Editor, accessible from the Template preferences window, offers a toolbox containing tools
to insert and align objects and configure frame properties. To display the FMS Editor Toolbox, select
View > Toolbox.

The Tools tab of the Toolbox contains the following buttons.

Horizontal radiographic
Insert buttons
Each of these buttons will insert a frame into your
FMS template. Horizontal IO CAM
The numeric value is an indication of the frame's
relative size (for example a horizontal radiographic Vertical radiographic
3 frame is larger than a horizontal radiographic 2
frame).
Vertical IO CAM
Use frames that match the image types that you
want to use in the FMS.
For example, if your FMS template does not Preview frame
include a camera frame, you will not be able to add
color images to the FMS.
Large Frame IO CAM

Vertical left align

Vertical center align

Align buttons
Each of these buttons will align a selection of Vertical right align
frames in your FMS template.
In the FMS Editor, use Ctrl+click to select Horizontal top align
multiple frames before clicking an Align button.
Horizontal center align

Horizontal bottom align

Creating a Template in the FMS Editor

To create an FMS template, start by considering the following FMS frame details:

 Image size

 Image orientation (portrait or landscape)

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  Default tooth number

To create an FMS template, follow these steps:

1 In CS Imaging, click .
The Preferences window appears.

2 Click .

3 Click FMS Editor.

The Manage FMS window appears.

4 Click Create.

The FMS Editor appears.

5 To customize the new FMS template, any of the following:
 “Inserting an Image Frame”

 “Inserting a Preview Frame”

 “Using the Axes to Orient Images”

 “Aligning a Frame”

 “Assigning Default Tooth Numbers”

 “Assigning or Modifying Acquisition Order in an FMS Template”

6 When your new template is complete, select File > Save As or File > Save in the FMS Editor to
save your new template.

The Save window appears.

7 Enter a name for the template.
8 Click OK.

Customizing an Existing FMS Template

To can create a FMS template based on an existing predefined or custom FMS template, follow these
steps:

1 In CS Imaging, click .
The Preferences window appears.

2 Click .

3 Click FMS Editor.

The Manage FMS window appears.

4 Select the template you want to modify and click Modify.

This opens the selected template for edit in the FMS Editor.
5 In the FMS Editor, modify the FMS template as required:

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  “Inserting an Image Frame”

 “Inserting a Preview Frame”

 “Using the Axes to Orient Images”

 “Aligning a Frame”

 “Assigning Default Tooth Numbers”

 “Assigning or Modifying Acquisition Order in an FMS Template”

6 In the FMS Editor, select File > Save As to save the modified template with a new name.

Inserting an Image Frame

In the FMS Editor, you can insert horizontal and vertical frames into a template.

Note: Image frame sizes are fixed and cannot be resized.

To insert an image frame into an FMS template, follow these steps:

1 In CS Imaging, click .
The Preferences window appears.

2 Click .

3 Click FMS Editor.

The Manage FMS window appears.

4 Click Create or Modify.

The FMS Editor appears.

5 To insert an image frame into a template, do one of the following:
 In the FMS Editor menu bar, select View > Toolbox. In the Toolbox window, click on an
Insert button to insert a frame into the template.

 In the FMS Editor menu bar, select Tools > Insert. Select a frame type.

The selected image frame is automatically positioned on the template.

6 Move and resize the image frame as necessary.
7 When you have completed your changes, select File > Save.

The Save window appears.

8 Click OK.

Inserting a Preview Frame

To insert a preview frame in an FMS template, follow these steps:

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1 In CS Imaging, click .
The Preferences window appears.

2 Click .

3 Click FMS Editor.

The Manage FMS window appears.

4 Click Create or Modify.

The FMS Editor appears.

5 If the Toolbox is not visible, select View > Toolbox.

6 In the Tools tab, click .

A preview frame is placed at the top left of the new FMS.

7 Drag and drop the frame to the desired location.

Note: You can only use one preview screen in an FMS template.

8 When you have completed your changes, select File > Save.

The Save window appears.

9 Click OK.

Using the Axes to Orient Images

Each FMS has two planes (or axes) of symmetry, one vertical and one horizontal. The position of these
axes affects the behavior of image frames in the FMS.

To move the axes in an FMS template, follow these steps:

1 In CS Imaging, click .
The Preferences window appears.

2 Click .
3 Click FMS Editor.

The Manage FMS window appears.

4 Click Create or Modify.

The FMS Editor appears.

5 In the FMS Editor, click on the axis slider to reposition the axis:

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  Use the sliders (A+B) to position the axes of symmetry in the template.

 In the resulting FMS, if you move an image in a vertical frame in the FMS across the horizontal
axis, the image is flipped about the horizontal axis .

 Moving the vertical image across the vertical axis results in no flipped image .

 Moving an image in a horizontal frame across the vertical axis will flip the image about the
vertical axis .

 Moving the horizontal image across the horizontal axis results in no flipped image .

6 When you have completed your changes, click to save your template.

Aligning a Frame
You can align frames using the following methods:

 Display the grid to manually align individual frames.

 Switch on the following:

 The Magnetic Grid feature so that individual frames will snap to points on the grid.

 The Magnetic Frames feature so that frames will snap together.

 Use the FMS Toolbox Align buttons to align a selection of frames. See “FMS Toolbox
Buttons”.

To activate and align frames in a template, follow these steps:

1 In CS Imaging, click .
The Preferences window appears.

2 Click .

3 Click FMS Editor.

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 The Manage FMS window appears.
4 Click Create or Modify.

The FMS Editor appears.

If you click... You do the following...

Display the Grid.

Activate the Magnetic Grid. When you do this and reposition a frame, the corner
of the selected frame closest to a grid point will snap to that position on the grid.
This option works only when the Grid is active.
Activate the Magnetic Frame. When you do this and drag a frame alongside an
existing frame, if the selected frame is close enough, it will be aligned
automatically with the existing frame.

Align the left edge of selected frames.

Align the vertical centers of selected frames.

Align the right edge of selected frames.

Align the top edge of selected frames.

Align the bottom edge of selected frames.

Align the horizontal centers of selected frames.

5 When you have completed your changes, select File > Save.

The Save window appears.

6 Click OK.

Assigning Default Tooth Numbers

To assign a default tooth number, follow these steps:

1 In CS Imaging, click .
The Preferences window appears.

2 Click .

3 Click FMS Editor.

The Manage FMS window appears.

4 Click Create or Modify.

The FMS Editor appears.

5 Select View > Toolbox to open the FMS Toolbox.

See “FMS Toolbox Buttons”.

6 In the FMS Toolbox, click the Properties tab.

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7 Click the frame to which you want to assign tooth numbers.

For bitewing images, you can specify which region of the mouth the bitewing image relates to.

Select from the following options.

RP Select this option to designate the right premolar.

RM Select this option to designate the right molar.
LP Select this option to designate the left premolar.
LM Select this option to designate the left molar.

8 Select a drop-down list to assign up to six tooth numbers to that frame.

9 Repeat steps 7 and 8 for each frame.

10 When you have completed your changes, select File > Save to save your template.

The Save window appears.

11 Click OK.

Assigning or Modifying Acquisition Order in an FMS Template

Note: You cannot modify the acquisition order in a predefined FMS template;
however you can create a custom FMS template based on a copy of the
predefined template whose order you can modify. See “Creating a Template in
the FMS Editor”.

To assign or modify the acquisition order in an FMS template, follow these steps:

1 In CS Imaging, click .
The Preferences window appears.

2 Click .

3 Click FMS Editor.

The Manage FMS window appears.

4 Select the FMS template whose acquisition order you want to modify and do one of the following:
 To modify a custom FMS template, select the custom template you want to modify and click
Modify.

 To create a custom template of a predefined FMS template, select the predefined template
from the list and click Copy > OK > Modify.

5 In the FMS Editor, click .

The current acquisition order of the FMS appears.

6 Click each frame in the order you want to acquire the series.
7 Select File > Save As.

The Save window appears.

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8 Enter a file name that helps to identify the template. Include the extension FMT at the end of the file
name.
9 Click OK.

Deleting an FMS Template

To delete an FMS template, follow these steps:

1 In CS Imaging, click .
The Preferences window appears.

2 Click .

3 Click FMS Editor.

The Manage FMS window appears.

4 Select the template you want to delete and click Delete.
5 Click Yes to confirm that you want to delete the selected template.

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8 General Imaging Functions
This chapter explains functions and concepts that you can apply to one or more of the following areas
in CS Imaging:

 Dashboard

 Patient Browser

 Image Viewing Workspace

 Darkroom mode

CS Imaging provides icons and toolbars to capture, review, and analyze images, and can have the
following characteristics. CS Imaging also uses tool tips, which are short descriptions of toolbar icons
displayed in a small text box when you hold the mouse pointer over an icon.

Locating an Image File

If permitted by the “Service Preferences”, you can use the Localize option to see where an image is
saved on the computer.

To locate an image file on your computer, right-click on an empty space and select Localize image
from the shortcut menu.

Note: You can also access the Localize image option in the Image Information
window. See “Displaying the Image Information Window”.

Important: Do not manually move images from one location to another

using this option. It can cause serious problems with the data.

The folder containing the image on your computer appears.

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Locating a Patient Directory
If permitted by the “Service Preferences”, you can use the Localize option to see where a directory is
saved on the computer.

To locate a Patient Directory on your computer, right-click on an image and select Localize image
from the shortcut menu.

Note: You can also access the Localize Patient Directory option in the Image
Information window. See “Displaying the Image Information Window”.

Important: Do not manually move images from one location to another

using this option. It can cause serious problems with the data.

The folder containing the image on your computer appears.

Displaying the Image Information Window

To display the Image Information window, do one of the following:

 In the Patient Browser or Dashboard, right-click on an image and select Show Information
Window.

 In the Image Viewing Workspace or Darkroom mode:

 Right-click on the image and select Show Information Window.

 In the title bar of the image, click (Image Viewing Workspace) or (Darkroom
mode).

The Image Information window appears.

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In the Image Information window you can do the following:

 Display the DICOM tags for the image.

 View information for the selected image.

 Consult image transfer and commitment information.

 Add a comment for the image. See “Adding a Comment to an Image”.

 Locate the image file on your computer. See “Locating an Image File”.

 Delete the image (If permitted in the “Service Preferences”)

The Image Information window offers the following tabs.

Archive View transfer and commitment information for the selected image.
This tab summarizes key data about the image, including the dosimeter
General reading where applicable.
DICOM This tab displays detailed image attributes sorted by DICOM tag.

Printing Images
WARNING: Printed image sizes vary according to the selected Film
Composer template. Do not take measurements from a printed page.

You can print images using the following methods:

 Print an individual image or FMS. See “Printing 2D and FMS Images”.

 Print a snapshot of your Image Viewing Workspace. See “Printing a Snapshot of the Image
Viewing Workspace”.

Printing 2D and FMS Images

Printing a Single Image
To print a 2D or FMS image, follow these steps:

1 Click to select the 2D image or FMS.

The image appears with a blue frame around it.
2 Right-click the item and click Print.
Tip: You can also print in the following ways:

 In the Patient Browser or Dashboard, from the Export icon group, select .

 In the Image Viewing Workspace or Darkroom mode, in the toolbar, select

in the Print icon group.

The Film Composer window appears.

3 Use Film Composer to configure your final print output. See “Using Film Composer”.

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Printing a Collection of 2D and FMS Images
To print a selection of 2D or FMS images, follow these steps:

1 Press Ctrl + click to select images.

2 Do one of the following:

 In the Patient Browser or Dashboard, from the Export icon group, select .

Tip: In the Patient Browser or Dashboard, right-click one of the selected items and
click Print.

 In the Image Viewing Workspace, in the toolbar, select in the Print icon group.

The Film Composer window appears.

3 Use Film Composer to configure your final print output. See “Using Film Composer”.

Printing a Snapshot of the Image Viewing Workspace

To print a snapshot of all of the images in the Image Viewing Workspace, follow these steps:

1 In the Share toolbar, in the Export icon group, select .

The Film Composer window appears.
2 Use Film Composer to configure your final print output. See “Using Film Composer”.

Using Film Composer

Film Composer enables you to configure your print output. It automatically starts up when you print
one or more images.

Film Composer templates constrain images within placement frames as either “Best Fit” or 1:1.
Therefore the dimensions of a printed image can vary depending on the template used.

Importing and Exporting Images

CS Imaging supports methods of image import and export such as:

 Drag and Drop, where individual images are exported as JPEG files.

 Right-click menu options

 Icons in toolbars

Icons for importing and exporting images can be found:

 In the Patient Browser or Dashboard, in the Import and Export icon groups.

 In the Image Viewing Workspace or Darkroom mode, in the Import and Export icon groups

in the Share toolbar.

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The triangle at the lower corner of an icon indicates that it is a member of an icon group. See “Using
Icon Groups”.

Importing Images
After you have created a Patient Card, you need to either acquire images or import existing images
associated with the patient. To acquire images, use the Image Acquisition toolbar. See “Acquiring an
Image Using the Acquisition Toolbar”.

Icons for importing images are available:

 In the Patient Browser or Dashboard, in the Import icon group.

 In the Image Viewing Workspace or Darkroom mode, in the Share toolbar.

Prerequisite:

 If you are in the Patient Browser standalone mode, select a patient in the Patient List. All
image thumbnails for the selected patient are displayed in the Patient History.

 From your DPMS, launch CS Imaging.

The current patient's name appears in the title bar in CS Imaging.

To import 2D images, follow these steps:

1 From the Import icon group, select .

An Import window appears.
2 In the Import window, browse to the folder that contains the images that you want to import.
Select the file type, if necessary.
3 Select the images that you want to import, and click Open.

The file or files you selected are imported and appear in the Patient History.

Note: The import of a large number of images can take a few minutes. Wait until
all the images you have selected appear in the Patient History.

To import Model images, follow these steps:

1 From the Import icon group, select . A dropdown list opens and then select Import model.
2 In the Import window, browse to the folder that contains the images that you want to import
(model type: maxilla or mandible). You can choose the clinical indication and manufacturer. Select
the file type (STL- or PLY-formats only), if necessary.
3 Select the images that you want to import, and click Import. The file or files you selected are
imported and appear in the Patient History.

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To import 3D images, follow these steps:

1 From the Import icon group, select

An Import 3D Images window appears.
2 In the Import 3D Images window, browse to the folder that contains the images that you want to
import.
3 Select the folder that you want to import, and click Select Folder.

Importing DICOM Images

You can import images from removable media such as a flash drive or DVD if they are stored with a
DICOMDIR file structure.

Icons for importing images are available:

 In the Patient Browser or Dashboard, in the Import icon group.

 In the Image Viewing Workspace or Darkroom mode, in the Share toolbar.

Prerequisite:

 If you are in the Patient Browser standalone mode, select a patient in the Patient List. All
image thumbnails for the selected patient are displayed in the Patient History.

 From your DPMS, launch CS Imaging.

The current patient's name appears in the title bar in CS Imaging.

To import a DICOMDIR, follow these steps:

1 From the Import icon group, select .

The Open window appears.
2 In the Import dialog box, select the DICOMDIR file you want to import and click Open.

A DICOMDIR viewing window appears, displaying the contents of the DICOMDIR file.

A Name of the Patient Card into

which you are importing
images.
B Patient name in the
DICOMDIR file.
C Image thumbnails for the
selected patient name (B) in
the DICOMDIR file.
D Import button (grayed out until
you select an image thumbnail
(C))

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3 In the Open window, browse to the folder that contains the images you want to import.
4 Select the images that you want to import and click Open or OK.

The file or files you selected are imported and appear in the Patient History.
Important: Make sure you are associating the imported images with the
correct patient.

When you start the import, you will be prompted to confirm that you want to import images into the
specific patient's file.

5 To continue with the import, click OK.

Exporting Images
You can export images to a folder on your computer or network, or send them in an email to another
email address.

Icons for exporting images are available:

 In the Patient Browser or Dashboard, in the Export icon group.

 In the Image Viewing Workspace or Darkroom mode, in the Export icon group in the
Share toolbar.

Exporting Images to a Folder or an Email

Prerequisite:

 If you are in the Patient Browser standalone mode, select a patient in the Patient List. All
image thumbnails for the selected patient are displayed in the Patient History.

 From your DPMS, launch CS Imaging.

The current patient's name appears in the title bar in CS Imaging.

To export images, follow these steps:

1 Press Ctrl + click to select the images that you want to export.
2 Do one of the following:
 In the Patient Browser or Dashboard in the Export icon group:

 To send the images in an email, select . The email export window appears.

 To save the image in a folder, select . In the Save As window, for the Destination
Folder, click to browse to a folder.

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  In the Image Viewing Workspace or Darkroom mode, in the Share toolbar:

 To send the image in an email, click . The email export window appears.

 To save the image in a folder, select . In the Save As window, for the Destination
Folder, click to browse to a folder.

3 Select from the following drop-down lists based on the format type below:

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  Image type

CS Imaging file format with all processing information preserved.

Important: Files saved in this format can only be used in CS
Keep current format Imaging version 8. If you are going to export this to people who
do not have access to CS Imaging version 8, we recommend
that you select another image type.
A read-only format that can be used in other DICOM-compliant
For Presentation applications.
Standard graphics formats.
BMP, JPEG, TIFF, PNG Important: These formats do not provide accurate measurement
capability and should not be used for diagnostic purposes.

 Model type

A folder with a DICOM file and analysis, if any.

Important: Files saved in this format can only be used in
Keep current format Carestream Dental software. If you are going to export this to
people who do not have access to Carestream Dental software,
we recommend that you select another image type.
STL, PLY Standard 3D formats.

4 If you are in Save As or Send by e-mail window, you can also select one or more of the following
options.

In the folder you select, a zip file is created that contains all the
Compress items exported image files.
You need to specify a name for the zip file.
Select to save the image with any drawings, measurements, or other
overlaid elements visible.
Include drawings and
annotations If the image is saved as “Keep current format”, BMP, JPEG, TIFF or
PNG formats, annotations are also saved. This does not apply to
Model types.
(This option is not available when sending by email) Select to
Show in folder open a Windows Explorer window that shows the contents of the
folder in which your exported images were saved.

5 Do one of the following:

 If you are sending an image in an email, click Send by e-mail items. A new email is created in
your default email application with the exported image or images attached to the email.

 If you are saving to a folder, click Save items.

Note: This button is grayed out until you specify an export folder.

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Exporting DICOMDIR
You can export DICOM-formatted images to a portable media, for example a flash drive, memory card,
DVD, and so on, outside of a DICOM server.

Note: The folder to which you export DICOM-formatted images must be empty.

Icons for exporting images are available:

 In the Patient Browser or Dashboard, in the Export icon group.

 In the Image Viewing Workspace or Darkroom mode, in the Export icon group in the
Share toolbar.

Prerequisite:

 If you are in the Patient Browser standalone mode, select a patient in the Patient List. All
image thumbnails for the selected patient are displayed in the Patient History.

 From your DPMS, launch CS Imaging.

The current patient's name appears in the title bar in CS Imaging.

To export a DICOMDIR, follow these steps:

1 Press Ctrl + click to select the images that you want to export.

2 From the Export icon group, select .

The DICOMDIR export window appears.

3 In the Destination Folder field, do one of the following:
 Enter the full file path of the folder to which you want to export the images.

 Click to browse to a folder.

Note: The folder you select must be empty.

4 To display the contents of the folder to which exported data has was saved, select Show in folder.
5 Click Export.

Note: This button is grayed out until you specify an export folder.

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Exporting 3D Images Using the Volume Converter
You can use the Volume Converter to export the 3D volume in a different format.

Note: To export images using the Volume Converter, you need to have CS 3D
Imaging installed on your computer.

To export a volume, follow these steps:

1 Select the volume.

2 Right-click on it and select Convert To.

The Volume Converter window appears.

3 Select the output directory, resolution and format and click “Export”.

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Click & Share
You can send images to a partner or labs.

Note: To send images via Click & Share, you must have a CS Connect account.
Visit https://csdentalconnect.com/ to register your CS Connect account and pair
with partners and labs.

To send a 3D model, follow these steps:

1 Click Sign In to sign in to your Carestream Dental account, if not already signed in.
2 Select the 3D model.
3 Right-click on the 3D model and select Click & Share, and the Click & Share tool will launch.

4 Select the indication type and advanced partner or lab, and click Send.

Using Drag and Drop to Import and Export Images

In addition to dedicated import and export functions, drag and drop is a quick way to copy images into
and out of CS Imaging. Drag and drop is a general term that describes a method of copying items
between two open software applications.

You can use drag and drop to do the following:

 Import images from a folder. See “Importing images using Drag and Drop”.

 Export images as JPEG files to a folder. See “Exporting Images using Drag and Drop”.

 Add images to Microsoft Office documents.

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  Attach images to emails.

To use drag and drop, make sure the source and destination applications are open and resize them so
they are both clearly visible on your desktop, then click an item, for example an image file in CS
Imaging, and drag it over the destination application window.

If the destination application supports drag and drop, then when you release the mouse button, the
image is dropped into that application window as a JPEG image.

Importing images using Drag and Drop

You can drag and drop images to import them into CS Imaging in one of the following file formats:

 DICOM

 BMP

 JPEG

 TIFF

 PNG

 STL

 PLY

You can also drag and drop other file formats into the Patient History, for example, Microsoft Office
documents and text files. When you open one of these documents in the Patient History, the
document opens in the relevant software application managed by Windows.

To drag and drop images into CS Imaging, follow these steps:

1 Launch Windows Explorer and open the folder that contains the image you want to import.
2 Make sure the Windows Explorer and CS Imaging windows are visible on your desktop by
resizing them as required.
3 In Windows Explorer, click on an image file, hold the mouse button down and drag the mouse
pointer over the Image Gallery (Image Viewing Workspace and Darkroom mode) in CS
Imaging.

The mouse pointer changes to to show that you are about to copy something.

4 Release to drop the image.

Exporting Images using Drag and Drop

You drag and drop images from the Image Gallery (Image Viewing Workspace and Darkroom
mode) to a Microsoft application, like Word.

Important: When you drag and drop an image, it is converted to a JPEG file
in the destination application.

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If you need to export images with more export options than this, see “Exporting Images”

Note: During a drag and drop operation, if the mouse pointer changes to it
means the application into which you are trying to drop the image cannot process
image files in this way.

To export an image, follow these steps:

1 In the Patient History or Image Viewing Workspace, do one of the following:

 To export to a Microsoft Office document, click on the image you want to copy and drag it
towards the open Microsoft Office application.

 To attach an image to an email, open your email application and create a new email. In the
Patient History or Image Viewing Workspace, click on the image you want to copy and drag
it towards the open email.
Note:
 If the email application supports drag and drop, the image is attached to your email
as a JPEG attachment.
 This method does not work in web-based email applications.

 To export an image to a folder on your computer, open Windows Explorer and display the
destination folder. In the Patient History or Image Viewing Workspace, click on the image
you want to export and drag it towards the open Windows Explorer window.

Note: The JPEG filename for the image file is the internal filename used by CS
Imaging.

Do not let go of the mouse button until you are ready to drop the image into your document. As you

drag the image, the mouse pointer changes to .

2 When the mouse pointer is over the destination document, email or folder, let go of the mouse
button.

The selected image is dropped in the destination as a JPEG file.

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Using the Radiological Log
The radiological log records patient and exposure data for all images acquired with CS Imaging,
including the calculated dose received by the patient for each X-ray image. The Radiological log must
be activated in the Preferences window before it can be used. See “Setting Preferences in CS
Imaging”.

Below you’ll find the information stored in the Radiological log. See “Saving Images in the Image
Viewing Workspace or Darkroom Mode” on page 51.

Information Recorded in the Radiological Log

 Acquisition date

 Patient name

 Date of birth

 Pregnancy of the patient

 Image type (intraoral, panoramic, cephalometric)

 Date of the last X-ray image taken

 Name of the acquisition system

 Image comments

 KV setting of the acquired image

 mA setting of the acquired image

 Exposure time in ms of the acquired image

 Calculated dose for the acquired image

There are 2 cases:

Dose information (present in the image)

Dosage is calculated automatically when using Carestream Dental’s X-ray systems with the following
image types:

 Cephalometric

 Panoramic

 3D Volume (Dose is read-only)

Acquisition data (image does not contain dose)

For intra-oral image, the acquisition data needs to be entered to add to the radiological log. The
software requests additional information for the log. When this data is not provided, a reminder window
is displayed, prompting you to supply this data. You cannot exit this window until the necessary
information has been entered.

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 Note: For intraoral X-ray systems, you must calculate dosage manually.

Note: When images are rejected while doing the acquisition, the radiological log
is not updated.

When images are assigned from one patient to another patient, the radiological
log is not updated.

Note: Keep track of these events manually.

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9 Using the Digital Denture

The Denture module is an additional module of CS Imaging under entitlement.

A wizard guides the user through steps:

1 User performs a copy of 2 dentures in occlusion with a Carestream Dental CBCT: upper & lower
dentures OR one denture (upper or lower) with the opposite stone model,
2 User reviews the digital copy of the upper & lower part,
3 User either accepts or rejects the digital copy,
4 If user accepts then the 2 dentures are made available in STL format in the CS Imaging gallery,
 If user rejects then no STL files are made available.

Note: User can share the 2 STL files with a Service Center for subsequent
CAD/CAM work.

Pre-requisites for Denture module

 Installation of CS Imaging Suite 3.10 or above on the CS Imaging server of the site.

 CS Imaging Site must be entitled to the Denture Module.

 User must use a CS Imaging station configured as a Carestream Dental CBCT acquisition
station.

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Launching the Denture Wizard
1 Select a patient.

2 Click on Denture (1) on the acquisition line.

3 Select both if you scan upper and lower denture, select Upper or Lower if you scan a denture with
an opposite stone model, and Select Class, Gum Shade and Tooth Shade.

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Starting the Replication Process
1 Place relined dentures in occlusion on “Tray” scanning surface (1).

2 Select Start scan.

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Scanning the Denture
1 The acquisition program “Appliance” is selected automatically (wait 10 sec)

Figure 1: Acquisition user interface of the CS 8200 3D

Figure 2: Acquisition user interface of the CS 8200 3D

2 Press hand switch to start appliance scan (less than 1 minute process)

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Denture Reconstruction
 The dentures are reconstructed into a 3D volume.

 The software automatically creates a 3D model of scanned dentures.

 The 3D model is split automatically into the upper and the lower component.

Note: The reconstruction and split process takes approximately 1 minute.

Verifying Split & Denture Case Acceptance

 3D image of the dentures is visible. (1).

Note: User can verify accuracy and determine if there is a need for a re-scan.

 User can look at both in occlusion and each arch individually (Display: Both Arches, Maxillary,
Mandibular) (2).

 After inspection User can Accept (2 STL files are saved locally) or Reject (2 STL files are not
created). (3).

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 Note: Sharing STL files: The 2 STL are available in the Gallery. The user can send
share the 2 STL files with a Service Center for subsequent CAD/CAM work.

For more information on object scanning, refer to the Carestream Dental CBCT User Guide.

For more information on sharing file, refer to the ICC (Imaging Cloud Collaboration) User Guide.

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10 Using CS DICOM
DICOM Overview
In this chapter, you will learn about DICOM’s interoperability: offering the capability to receive images
via DICOM, query and retrieve images from DICOM servers (PACS), query RIS for worklist and
transfer images to DICOM servers.

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Query in DICOM
Query Source Configuration
Select the source from the Query Source list from bottom of the patient list. Select a PACS to
query/retrieve images, select a RIS to query for worklist, or "Local Repository" if you want to work only
with local images. You can select 0-1 PACS and/or 0-1 RIS at a time.

Query
Global searches can be made by patient name. Enter the patient name is the search bar and press
"Enter" or click magnifying glass button to trigger the query.

DICOM search options allow to search with more options: date, modality, accession # (number), and
patient ID. To open the DICOM search option, click on the down arrow illustrated to the right of the
search bar. Input or check off the criteria necessary and press Search.

The Date filter affects study date when querying a PACS or scheduled date when querying a RIS.
Selecting “Today” will only return patients that apply to the current patient search during the current
day as shown above in the grayed-out “From” and “to” search field. Other search options included in
the dropdown Date list are Yesterday, Last 7 days and Custom.

“Workstation” filter is available only when querying a RIS and by filtering “This station” allows you to
search for worklists assigned to CS Imaging (judging by AE title of CS Imaging Server, by default
“CSDS”).

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Example: to search RIS for patients with name “John” that are scheduled today to take CT exams on a
CS Imaging workstation, select the RIS from the Query Source and do the following:

Example: to search PACS for patients with the name, “Jane”, who had CT exams today, select the
PACS from the Query Source and do the following:

Note: In DICOM search, the search bar is only used for patient name.
When searching with DICOM search options, you can sort by date
(scheduled date when searching RIS, study date when searching PACS),
sort by date is not available in non-DICOM versions.

Patient List
Once the search results are shown, compared to a non-DICOM version, you will first see a Patient list
which is displayed in a combined result from two sources: Local repository and PACS/RIS. The
combination is based on patient ID.

When searching RIS for patients, the modality entitled to the worklist is displayed in the patient list
also.

Important: Only the first 200 patients will be displayed.

Today’s Patient
With "Display patient list at start-up" enabled in Preference, every time CS Imaging starts, you will see
a list of patients that have studies done today when querying a PACS, or patients that are scheduled
today when querying a RIS (or a RIS and a PACS). To disable this feature, unselect "Display patient list
at start-up" in "Service" tab of Preference.

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Gallery
Once the search results are shown, compared to a non-DICOM version, a list of images are displayed
in a combined result from two sources: Local repository and PACS. You can click the refresh button to
get updates from the PACS.

Table 1:
Image Description

Study date

Download icon indicates that this image

can be retrieved from PACS

Study date and time

Modality

Same series of images, indicating

volume or cross sections.

Refresh button to get an update from

PACS
Indicates the image is available in the
local image repository and the PACS
you are querying from.

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Retrieving Images
Double-click or right-click on the download thumbnail to retrieve an image. The image will be retrieved
into the local repository.

A progression bar indicates the retrieval status. (Retrieval of an image may not be immediate based on
the PACS used and the size of the image or volume.) The image will be automatically opened in image
viewer if the retrieve is triggered by double-click.

Important: Images displayed as “PACS only” cannot be retrieved.

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Receiving Images
With CS DICOM Server and CS Acquisition correctly configured, CS Imaging 8 can receive
acquired images and clinical work from CS Acquisition via DICOM. The received images are stored in
a local CS Imaging 8 repository. In addition, CS Imaging 8 can receive images from any Store SCU. If
the Store SCU is not from Carestream Dental, there are some restrictions on SOP class. Refer to CS
Imaging DICOM Conformance Statement for details on supported SOP classes.

Transferring Images in DICOM

CS Imaging 8 can transfer images to the DICOM Server that provides storage SCP, for example a
PACS.

To transfer images using DICOM, follow the steps:

1. Right-click on the thumbnail in the gallery or image in Image Viewing Workspace and select DICOM
Transfer. To transfer cross sections, make sure image type compatibility. “3D View Preferences”

Note: DICOM Transfer is not available for the following image types:
FMS, Model (STL/PLY), CAD, Screenshot, Technical files, Not classified.
See “Using the Dental Arch Filter” for more information about the image
types.

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2. Select the options and press Start Transfer.

Note: When selecting "For Presentation" or "Both", a new image will be

transferred with processing applied.

Important: During image transfer to certain PACS, the image quality

may be reduced.

A progress bar indicates the transfer status.

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Save and DICOM Transfer
DICOM Transfer is also available when saving 2D images. Click "Save and DICOM Transfer" to save
the image and transfer to DICOM servers.

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Managing the DICOM Transaction Log
The DICOM Transaction Log shows the status of transactions such as retrieve and store. It allows to
retry failed transactions or check the status by date. To manage the DICOM Transaction Log, follow
these steps:

1. Access the DICOM Transaction Log by clicking in the upper right-hand corner on the Log monitor
icon on the Dashboard screen, illustrated in red below.

2. The filters can be sorted by Status and Date, with the possibility to select and Refresh or Retry
failed transactions. You can also search by Patient name.

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Use the dropdown list to sort as Successful, In progress, Failed or Pending.

For example, to see all failed transactions, select Failed in the Status dropdown list.

3. Select the failed transactions and then press Retry.

4. Click X in the upper right-hand corner to exit the Transaction Log once all actions have been
completed.

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Managing MPPS status in DICOM
When the MPPS server is correctly configured in the CS Imaging Server Configuration panel, CS
Imaging 8 can manage an MPPS status within a dedicated panel.

1 Verify that the newly-acquired 2D/3D image has been correctly performed. When the indication
has been confirmed, select Completed.
2 If it has not been correctly performed, select Discontinued and choose the reason why from a
predefined dropdown list and click Validate.

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11 Setting Preferences in CS Imaging

The Preferences window, accessed by clicking on the icon, enables you to configure the
following sets of CS Imaging preferences.

“General Preferences”

“Imaging Preferences”

“3D View Preferences”

“Save Preferences”

“Image Processing Preferences” :

 “RVG Processing Preferences”
 “Panoramic Image Processing Preferences”
 “Cephalometric Image Processing Preferences”
 “CR Intraoral Image Processing Preferences”
 “CR Panoramic Imagine Processing Preferences”
 “CR Cephalometric Image Processing Preferences”

“Print Preferences”

“Template Preferences”

“Radiological Log Preferences”

“Service Preferences”

Important: While the Preferences window is open, you cannot perform

other tasks in the software. You must first exit by clicking Cancel or OK.

When you have finished configuring a set of preferences, you have the following options:

 Click on another preferences icon and continue making changes. Your changes are retained
but not yet saved.

 Save your changes and close the Preferences window by clicking OK.

 Cancel all your unsaved changes and close the preferences window by clicking Cancel.

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General Preferences
To set the CS Imaging General preferences, follow these steps:

1 In System icons, click .

The Preferences window appears.

2 Click .

3 Configure the following settings.

Language From the drop-down list, select the language used in the software.
From the drop-down list, select the language for the information that
Help language
appears when you click in CS Imaging.

Name of practitioner Click alongside the text field to enter practitioner name details.
Station name Enter a workstation name.
Department name Enter the name of your department.

Institution name Click to select the name of your institution.

Click on the image frame to browse the computer for an image file of your
Practice logo practice's logo. This logo will appear on your printed images.

4 Click Save to close the window and save your changes.

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Imaging Preferences
These preferences enable you to set parameters that control how images appear on the screen and
what you see when the software starts up.

To configure the Imaging preferences, follow these steps:

1 In System icons, click .

The Preferences window appears.

2 Click .

3 Configure the following settings.

Image overlay color Select the color of text information overlays for your images.
Tooth numbering system Select either ADA (American) or FDI (European).
Select to see all x-rays from inside the patient’s mouth looking out.
The left side of the image on the screen corresponds to the patient’s left
side.
Inside looking out
If this option is not selected, the left side of the image on the screen
corresponds to the patient’s right side. The molars on the right side of the
patient's head appear on the left side of the screen.
Select to apply a blue tint to all images, giving the images the appearance
Blue filter of traditional x-ray images.
Select to see a test pattern the first time you launch CS Imaging on a
given day.
Monitor test pattern
Use the test pattern to calibrate your computer monitor to properly render
radiological images.
Display brand logo on Select to show the equipment brand logo when you view an image in the
images Image Viewing Workspace or Darkroom mode.
Select to see, when available, a dosimeter reading on the newly acquired
images.
Display dosimeter on
newly acquired images Note: Once the new image has been saved, the dosimeter reading is only
displayed on the Image Information window. See “Displaying the Image
Information Window”.
Display calibration Select to see the calibration image on images. See “System-Generated
indicator on images Image Overlays”.
Reset all warning Select this button to reset all warning message settings.
messages
For CS Model, CS Restore, CAD and 3D files, select a default program to
Choose default program open these files from the drop-down lists.

4 Click Save to close the window and save your changes.

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3D View Preferences
In the 3D View preferences, you can optimize performance by configuring the following settings:

 Set 3D rendering prioritization.

 Allow shading.

 Select a rendering technique.

To set the 3D preferences, follow these steps:

1 In System icons, click .

The Preferences window appears.

2 Click .

3 Configure the following settings.

Select a Rendering prioritization:

To set the prioritization of the  Rendering Speed for high speed.

software's performance
 Speed/Quality balance for medium speed.
 Rendering Quality for low speed, but better images.

To activate or deactivate Click Shading.

shading in the 3D View Note: To get the best image results, make sure Shading is selected
Screen
when you take screenshots.

To select a 3D rendering Select one of the following from the Desired rendering technique
option that matches your drop-down list:
computer performance Enhanced hardware-accelerated rendering
Software rendering

Image Processing Check Convert X-ray 3D to SC Images when the remote DICOM
Server does not support X-ray 3D Craniofacial SOP Class, for example,
cross sections. This option is only available when CS DICOM is
activated

4 Click Save to close the window and save your changes.

Note: Changes will be applied once you have restarted the application.

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Save Preferences
To set the Save preferences, follow these steps:

1 In System icons, click .

The Preferences window appears.

2 Click .

3 Configure the following settings.

Automatically save image Select to have changes and revisions to images automatically saved while
modifications you are working on the images.
Select to have new images saved without manual authorization.
Automatically save new This option applies only to newly acquired images; it does not apply to
images imported images.
Note: This is not available when radiological log is activated.
Select to have any images that were viewing when you last closed a
patient record should automatically appear in the Image Viewing
Automatically open Workspace for the same patient record.
default analysis
If this option is not selected, no patient images appear when you open the
Image Viewing Workspace.
Automatically open last Select to open automatically a blank FMS template that was used in the
used FMS template last patient when open a new patient.
Select to have a copy made for any images created, modified, or imported
Automatically save a copy for a patient as a sub-folder within the patient image directory.
of images
You can also select the file format for the image copies.

Click Save to close the window and save your changes.

Image Processing Preferences

Processing preferences for images are displayed on these separate tabs:

 “RVG Processing Preferences”

 “Panoramic Image Processing Preferences”

 “Cephalometric Image Processing Preferences”

 “CR Intraoral Image Processing Preferences”

 “CR Panoramic Imagine Processing Preferences”

 “CR Cephalometric Image Processing Preferences”

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RVG Processing Preferences

In the Processing Preferences, you can set the RVG processing preferences.

Acquisition Preferences

Select to install a CCX synchronization link and timer. The acquisition

icon is permanently displayed in green when the synchronization timer is
turned on, and exposures can be made at any time.
When using the synchronization link, follow the appropriate steps for your
specific hardware:
 When using RVG5 sensors, the CCX link plugs in directly to the RVG
USB box or the RVG PCI card in the computer.
 When using RVG 5x00 or RVG 6x00 sensors, the CCX link connects
to one of the USB ports of the computer. A specific CCX device must
Synchro-link installed be installed between the x-ray generator and the computer to convert
the link to USB format.
Once the CCX hardware is installed and the option is selected, the
following changes will occur in the CS Imaging software:
 The RVG x-ray icon is set to green.
 RVG acquisition is launched by acquiring x-rays. The image window
on the computer.
 Click RVG5x00/6x00 sensor to change the orientation of the
captured image, unless you are using FMS. Clicking this button also
changes the active sensor.
Display button to manually When you select this option, an additional button is available that allows
connect RVG 6500 sensors you to connect the RVG 6500 sensor to the computer.
When you select this option, you can acquire RVG to the same tooth
Save images to same tooth number as the RVG image displayed in the Image View Workspace. This
number as active image is useful for endo treatment.
From the drop-down list, select one of the following options:
Hi Resolution (HR): This is the default setting for the RVG5 sensor. It is
RVG5 used to acquire images with the maximum detail.
Hi Sensitivity (HS): This setting acquires images with less detail, but
requires less radiation and is therefore recommended for pregnant
women or young children.
Configure the location used to store RVG synchronization files.
Network shared folder path for
RVG synchronization files Click to browse and select a different location.

Acquisition Settings

Select to have image details sharpened with increased contrast.

Sharpness filter Note: The Sharpness filter option can be disabled on an image if you
apply a combination of filters. See “Using the Histogram”.
From the drop-down list, select one of the following options:
Perio: Optimizes the display of periodontal tissues.
Anatomical mode Endo: Optimizes contrast values to display canals and roots.
Dentin-to-enamel junction: Strongly accentuates contrast values in the
more radio-opaque tissues at the crown, the amelo-dentinal junction, and
the roots. This mode provides a clear display of any caries or lesions.

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Image Processing Preferences
The options available here will vary according to the RVG acquisition hardware connected to your
system. If you previously used a Carestream Imaging software as your image analysis tool, these
settings will automatically be retained in CS Imaging.

From the drop-down list, select one of the following options:

 6500 contrast
RVG 5100/6100  Optimized contrast and sharpness
 Higher Sharpness
These options must be the same as the processing configuration of your
RVG sensor.
RVG 5200/6500 From the drop-down list, select the applicable sharpness filter strength.

RVG 6200 Favorite selection

and customization Click to configure and select filter favorites in CS Adapt Library.

You can also adjust contrast settings for RVG images post acquisition using the Image Processing
tool in the Control Panel. See “Using the Image Processing Tool”.

Panoramic Image Processing Preferences

In the Processing tab, you can configure default settings for Panoramic image acquisitions
instead of applying filters to individual images.

Select to have image details sharpened with increased contrast.

Sharpness filter Note: The Sharpness filter option can be disabled on an image if you
apply a combination of filters. See “Using the Histogram”.
From the drop-down list, select a Sharpness filter strength.
Sharpness filter strength
You use this option if you work with Ethernet panoramic images.
From the drop-down list, select one of the following options:
 Linear: Displays images with softer tones (no edgy contrasts).
Contrast mode  Optimized contrast: Optimizes contrast and sharpens up image
detail.
 Strong contrast: Applies a strong optimization contrast.

Favorite selection and

customization Click to configure and select filter favorites in CS Adapt Library.

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Cephalometric Image Processing Preferences

In the Processing tab, you can to configure default settings for Cephalometric image
acquisitions instead of applying filters to individual images.

Acquisition Settings

From the drop-down list, select one of the following options:

 Linear: Displays images without image enhancing filters.
Contrast mode  Optimized contrast: Optimizes contrast and sharpens up image
detail.
 Bone density: Optimizes contrast for analyzing bone density.
 Edges: Optimizes contrast for identifying the edges.

For some panoramic acquisition devices, you need to select a bone

Bone density filter strength density filter strength.

Edges filter strength For some panoramic acquisition devices, you need to select an edge
filter strength.

Favorite selection and

customization Click to configure and select filter favorites in CS Adapt Library.

Note: To launch the cephalometric Tracings Editor, go to the Templates

preferences tab. See “Template Preferences”.

Ceph Image True Size Calibration

Specify a default zoom factor for printing a cephalometric image. Enter 1

Magnification Factor for true size.

CR Intraoral Image Processing Preferences

In the Processing preferences, you can configure CR Intraoral acquisition defaults.

Select to have image details sharpened with increased contrast.

Sharpness filter Note: The Sharpness filter option can be disabled on an image if you
apply a combination of filters. See “Using the Histogram”.
From the drop-down list, select one of the following options:
 Perio: Optimizes the display of periodontal tissues, and to search for
information contained in radio-transparent tissues. The digital image
becomes generally whiter, with only the periodontal area displayed
effectively.
Anatomical mode  Endo: Optimizes the contrast values over the entire gray scale range
to enhance contrast at the canals and roots. It also provides good
overall contrast throughout the image.
 Dentin-to-enamel junction: Strongly accentuates contrast values in
the radio-opaque tissues at the crown, the amelo-dentinal junction,
and the roots. This mode provides a clear display of any caries or
lesions.

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CR Panoramic Imagine Processing Preferences

In the Processing preferences, you can configure CR Panoramic acquisition defaults.

Select to have image details sharpened with increased contrast.

Sharpness filter Note: The Sharpness filter option can be disabled on an image if you
apply a combination of filters. See “Using the Histogram”.
From the drop-down list, select one of the following options:
 Linear: Displays images without image enhancing filters.
Contrast mode  Optimized contrast: Optimizes contrast and sharpens up image
detail.
 Strong contrast: Increases edge sharpness in the filter.

CR Cephalometric Image Processing Preferences

In the Processing preferences, you can configure CR Cephalometric acquisition defaults.

From the drop-down list, select one of the following options:

 Linear: Displays images without image enhancing filters.
Contrast mode  Optimized contrast: Optimizes contrast and sharpens up image
detail.
 Bone density: Optimizes contrast for analyzing bone density.
 Edges: Optimizes contrast for identifying the edges.

From the drop-down list, select the default contrast for analyzing bone
Bone density filter strength density.
From the drop-down list, select the default edge enhancement strength
Edges filter strength for your cephalometric images.

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Print Preferences
To set the CS Imaging Print preferences, follow these steps:

1 In System icons, click .

The Preferences window appears.

2 Click .

3 Configure the following settings.

From the drop-down list, select the template that will be applied in Film
Composer when you print images.
Choose Print template
Note: Click to read an important template warning about
de-selecting the default template.
Print page layout

Optimized print layout Select to have the print layout automatically optimized by your CS
Imaging software.
One image per page Select to print each image on a separate page.
Print FMS
Print FMS and each intraoral Select to print each FMS and its component images on separate pages.
image (multiple pages)
Print FMS on one page Select to print the FMS on one page.
Print comments Select to prints all comments on one page.
From the drop-down list, select the background color for printed pages
Print background color (Black, White or Gray). The default is White.

4 Click Save to close the window and save your changes.

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Template Preferences
To set the CS Imaging Template preferences, follow these steps:

1 In System icons, click .

The Preferences window appears.

2 Click .

3 Configure the following settings.

FMS templates path Click to change the storage location for FMS template files.
Select one of the following options to configure the default setting
for how images are displayed within FMS templates:
 Stretch image to frame
Stretches the image to fit the frame. This may give the
appearance of distorted anatomy if a smaller sensor/CR plate is
FMS image proportion used to acquire an image in a frame intended for a larger
sensor/CR plate.
 Relative size proportions
Scales the image in proportion to the window size. This option
displays the images acquired at the relative size of the sensor/CR
plate. This might make an FMS appear smaller than it does when
the Stretch image to frame option is selected.
Click to open the FMS Editor, in which you can manage existing
FMS Editor
templates and create templates. See “Using FMS”.

CEPH tracing templates path Click to change the storage location for cephalometric tracing
template files.
Click to open the cephalometric Tracings Editor, in which you can
Tracings Editor customize automatic tracings and define your own cephalometric
tracings templates. See “Using the Tracings Editor”.

Custom presets path Click to change the storage location for custom preset files.

Favorite presets path Click to change the storage location for favorite preset files.

Film composer template path Click to change the storage location for film composer template
files.

4 Click Save to close the window and save your changes.

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Radiological Log Preferences
To set the CS Imaging Radiological log preferences, follow these steps:

1 In System icons, click .

The Preferences window appears.

2 Click .

3 Configure the following settings.

Activate radiological log Select the check box to start logging radiological data.
Select the intra-oral generator from the drop-down list or create your
Intra-oral generator own generator. In the adjacent fields, specify acquisition dosimetry
values in Kilo Volts and Milli Amps.

Path
Specify the location of the radiological file. This can be a local
folder or a shared folder.
Review Click to review the radiological log.
Click to export the entire radiological log to a specified .csv file.
Export The .csv file can then be opened for viewing in a spreadsheet such
as Microsoft Excel.

4 Click Save to close the window and save your changes.

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Service Preferences
To set the CS Imaging Service preferences, follow these steps:

1 In System icons, click .

The Preferences window appears.

2 Click .

3 Enter an input service password.

The Services are only for services and are protected by the following password that should not be
shared with patients: 2748.

The General preferences appear.

4 Configure the following settings.

Select so that you can locate images on your computer. See

Localize image “Locating an Image File”.
Select to see the Patient List in the Patient Browser when you
Display patient list at start-up open the software in standalone mode.
If this option is not selected, then the Patient List will be blank.
Select to allow patient cards and images to be deleted. See
“Deleting a Patient Card”.
Allow to delete patient cards
and images Important: Patient cards and images are deleted permanently
and cannot be retrieved, except by using a data recovery. See
“Data Recovery”.
Allow to assign images to Select to allow the user to assign images to another patient. See
another patient “Reassigning Images and Other Objects to a Different Patient”.

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5 Click on Server tab. Configure CS Imaging Server’s IP address and Web Server Port connection
parameters, then click Verify to confirm good connectivity.

Note: In any case, if CS Imaging client loses

connection to CS Imaging server, an error
message will pop up on the client and you can
update server connection parameters.

6 Click Save to close the window and save your changes.

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12 Data Backups
To back up data means to regularly copy important data in a safe location as a precaution against
unexpected computer failure.

During a recovery process, the backed up data is restored to specified locations on the repaired
computer, so as to restore normal service as quickly as possible.

WARNING: You must regularly backup all your CS Imaging data. Contact
your local support representative if you need technical assistance with this.

Backing Up Your Data

To back up your CS Imaging images and database, follow these steps:

1 Go to CS Imaging Server computer.

2 Click in the Windows system tray.

The Monitor panel appears.

3 Select CS Imaging Server, then configure.
4 In CS Imaging Server Configuration tool, General Setting tab, browse Image Repository path to
access your image repository.

Note: All folders and sub-folders should be backed up to your backup device or
location.

5 In CS Imaging Server Configuration tool, Service tab, browse Directory for database backup
path to access your Microsoft SQL Server database backup if you installed embedded Microsoft
SQL Server on the server PC. If Microsoft SQL Server is on a different PC, contact your Database
Administrator (DBA) to backup the Microsoft SQL Server database.

Data Recovery
In the event of an unexpected computer failure or malfunction, data recovery is the process of restoring
the backed up data to specific locations on the repaired computer to restore normal service.

If you are faced with this situation, contact your local support representative for technical assistance
with data recovery.

Note: If you cannot find an acquired image in the Patient History after a technical
issue, you can try to recover the original image in one of the folders on your
computer's hard disk.

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13 Contact Information

Manufacturer’s Address

Factory
Trophy
4, Rue F. Pelloutier, Croissy-Beaubourg
77435 Marne la Vallée Cedex 2, France

Authorized Representatives
Authorized Representative in the European Community
EC REP

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

UK Responsible Person
CARESTREAM DENTAL LTD
Jessica Igies-Mikaelson
Wiltron House, Rutherford Close Stevenage, Hertfordshire
SG1 2EF
England, United Kingdom

Authorized Representative in Brazil

CARESTREAM DENTAL BRASIL EIRELI
Rua Romualdo Davoli, 65
1º Andar, Sala 01 - São José dos Campos
São Paulo - Brazil
CEP (Zip code): 12238-577

CS Imaging User Guide (SMA23)_Ed11 151

List of Importers for European Union according to MDR 2017/745

CARESTREAM DENTAL FRANCE

4, Rue F. Pelloutier, Croissy-Beaubourg
77435 Marne-la-Vallée Cedex 2, France

CARESTREAM DENTAL GERMANY GmbH

Hedelfinger Str. 60, 70327 Stuttgart, Germany

CARESTREAM DENTAL SPAIN

S.L.U. Paseo de la Castellana, 79 Madrid 28046, España

CARESTREAM DENTAL Italy S.r.l

Via Mario Idiojmi 3/3, Assago 20090 (MI), Italia

List of Importers for Switzerland

CURADEN AG
Riedstrasse 12
CH-8953 Dietikon
Switzerland

Jordi Rontgentechnik AG
Dammstrasse 70
CH-4142 Münchenstein
Switzerland

Dema dent AG
Furtbachstrasse 16
CH-8107 Buchs
Switzerland

E. Schweizer AG
Bernerstrasse Nord 182
CH-8064 Zürich
Switzerland

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