Sirona SIDEXIS XG Operator's Manual

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Sirona Dental Systems GmbH
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Sirona Dental Systems GmbH
Operator’s Manual SIDEXIS XG Contents

Contents

1 Introduction................................................................................................... 7
1.1 Components of the SIDEXIS XG system ......................................... 7
1.2 General notes on the use of SIDEXIS XG ........................................ 8
1.3 SIDEXIS XG/ What’s new? .............................................................. 8
1.4 Structure of the documents .............................................................. 11
2 General notes for operation.......................................................................... 12
2.1 Checking the system time before starting ........................................ 12
2.2 Installing other SIDEXIS software components ................................ 13
2.3 Completing work on the system ....................................................... 13
2.4 Creating backup copies .................................................................... 14
3 Operation...................................................................................................... 15
3.1 General ............................................................................................. 15
3.1.1 Start SIDEXIS XG. ............................................................... 15
3.1.2 Logging on (option) .............................................................. 15
3.1.3 Screen layout ....................................................................... 16
3.1.4 Functional description and workflows................................... 17
3.1.5 Working with exams ............................................................. 18
3.1.6 Workflow assistance............................................................. 18
3.1.7 Multi-workstation support for exams..................................... 19
3.1.8 Changing the program.......................................................... 23
3.1.9 Information regarding SIDEXIS, Internet connection ........... 24
3.1.10 Exiting SIDEXIS XG ............................................................. 25
3.2 Exam concept ................................................................................... 25
3.2.1 Generating a new exam ....................................................... 25
3.2.2 Opening a saved exam ........................................................ 27
3.2.3 Saving an exam.................................................................... 28
3.2.4 Printing an exam .................................................................. 29
3.2.5 Exporting an exam ............................................................... 30
3.2.6 Importing an exam................................................................ 32
3.2.7 Deleting an exam ................................................................. 33
3.2.8 Closing the exam.................................................................. 33
3.2.9 Changing the form and the size of objects........................... 33
3.2.10 Displaying and changing object properties........................... 34
3.2.11 Removing objects from the workspace ................................ 35
3.2.12 Copying the active image to the Windows clipboard............ 36
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Contents Operator’s Manual SIDEXIS XG
3.2.13 Pasting images from the Windows clipboard ....................... 36
3.2.14 Working with several open examinations............................. 37
3.2.15 Sending an examination via email ....................................... 37
3.3 Templates ........................................................................................ 37
3.3.1 Ready-to-use templates ....................................................... 37
3.3.2 Self-created templates ......................................................... 38
3.3.3 Managing templates............................................................. 38
3.4 Patient management ........................................................................ 39
3.4.1 Which dialog box is used to register a patient?.................... 40
3.4.2 How do I use the patient selection dialog box?.................... 40
3.4.3 How can I create new patient data?..................................... 43
3.4.4 How can I modify patient data?............................................ 44
3.4.5 How can I delete patient data?............................................. 45
3.4.6 How can I check out a patient? ............................................ 46
3.5 Image management ......................................................................... 47
3.5.1 Saving original images ......................................................... 47
3.5.2 Save image views ................................................................ 47
3.5.3 Opening images from the SIDEXIS database...................... 48
3.5.4 Image description and findings ............................................ 56
3.5.5 Removing objects from an exam.......................................... 59
3.5.6 Close image ......................................................................... 60
3.5.7 Deleting images from the image database........................... 60
3.5.8 Identification of images ........................................................ 61
3.5.9 Exporting image views ......................................................... 64
3.5.10 Importing an image .............................................................. 66
3.5.11 Printing images and diagnostic findings............................... 68
3.5.12 Print preview ........................................................................ 68
3.5.13 Scanning images.................................................................. 70
3.5.14 Sending images via Internet as e-mail ................................. 71
3.5.15 Send image .......................................................................... 72
3.5.16 Move image.......................................................................... 73
3.6 Image acquisition ............................................................................. 74
3.6.1 General ................................................................................ 74
3.6.2 Safety instructions................................................................ 74
3.6.3 Intraoral X-rays..................................................................... 75
3.6.4 Panoramic, Ceph and TSA X-ray exposures ....................... 79
3.6.5 3D X-ray exposure ............................................................... 81
3.6.6 Panoramic X-ray acquisition with GALILEOS ...................... 83
3.6.7 Video exposure .................................................................... 83
3.7 Analysis tools ................................................................................... 87
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Operator’s Manual SIDEXIS XG Contents
3.7.1 Selecting objects in the workspace ...................................... 87
3.7.2 Restore original image ......................................................... 88
3.7.3 Measurement tools............................................................... 89
3.7.4 Display tools ......................................................................... 97
3.7.5 Image filters.......................................................................... 105
3.7.6 Drawing tools........................................................................ 122
4 Special functions........................................................................................... 126
4.1 Explanation ....................................................................................... 126
4.2 Specialized function - Always on top ................................................ 126
4.3 Relocating the image stock .............................................................. 126
4.3.1 Procedure when using an additional hard drive ................... 128
4.3.2 Procedure when using exchangeable external media.......... 130
4.3.3 Opening relocated images ................................................... 132
4.4 Constancy test .................................................................................. 132
4.5 Reducing 3D data volumes .............................................................. 133
4.5.1 Deleting raw data manually .................................................. 133
4.5.2 Deleting raw data automatically ........................................... 133
4.5.3 Deletion process................................................................... 134
4.6 Internet connection to SIDEXIS XG ................................................. 135
5 System setup................................................................................................ 136
5.1 Exposure settings ............................................................................. 136
5.2 Editing an exposure template ........................................................... 140
5.2.1 The configuration workspace ............................................... 141
5.2.2 Creating a new exposure template....................................... 141
5.2.3 Editing an existing exposure template.................................. 143
5.2.4 Changing the exposure position in the exposure
template window................................................................... 143
5.2.5 Changing the tooth registration ............................................ 144
5.2.6 Defining the sequence of exposure positions....................... 144
5.3 Processing standard findings ........................................................... 145
5.4 Configuring a printout ....................................................................... 146
5.5 Configuring E-mail ............................................................................ 147
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5.6 Configuring the export function ........................................................ 149
5.7 Configuring the reminder function .................................................... 150
5.8 Configuring the constancy test option .............................................. 151
5.9 Configuring the relocation function ................................................... 152
5.10 Configuring the permanent dentist data ........................................... 153
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5.11 Displaying an error log ..................................................................... 154
5.12 Service ............................................................................................. 154
6 Buttons and hotkeys ..................................................................................... 155
6.1 “Exam” toolbar .................................................................................. 155
6.2 “Image” toolbar ................................................................................. 157
6.3 “Edit” toolbar ..................................................................................... 159
6.4 “Analysis” toolbar ............................................................................. 160
6.5 “View” toolbar ................................................................................... 163
6.6 “Utilities” toolbar ............................................................................... 165
6.7 “Help” toolbar ................................................................................... 165
7 Appendices................................................................................................... 166
7.1 DICOM Export Wrap&Go ................................................................. 166
7.2 Backup copies .................................................................................. 167
7.2.1 Database backup ................................................................. 168
7.2.2 File-based backup................................................................ 168
7.2.3 Database restoration............................................................ 169
7.3 Customizing the user interface and plug-in administration .............. 170
7.3.1 Commands........................................................................... 171
7.3.2 Toolbars ............................................................................... 172
7.3.3 Plugin Manager .................................................................... 174
7.3.4 Options................................................................................. 176
7.3.5 Access rights........................................................................ 178
7.3.6 Personalization..................................................................... 183
7.4 Error processing ............................................................................... 185
7.4.1 Error messages.................................................................... 185
7.4.2 List of error messages.......................................................... 186
7.4.3 Rescue program (SiRescue.exe) ......................................... 189
7.4.4 Service utility ........................................................................ 191
Index............................................................................................................. 192
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Sirona Dental Systems GmbH 1 Introduction
Operator’s Manual SIDEXIS XG Components of the SIDEXIS XG system

1 Introduction

Explanation This manual provides instructions and information on the use of the SIDEXIS
digital radiography and video system. It contains comprehensive instructions on how to use the software, as well as an introduction to the exposure technique and the possibilities of visualization and analysis of digital X-ray and video exposures.
Important note
NOTICE
Make sure that all national requirements are observed when using SIDEXIS XG,
for example, the German X-Ray Ordinance (RöV) (see section “Constancy test” [ 132]).

1.1 Components of the SIDEXIS XG system

NOTICE
Please refer to the pertinent manuals for a detailed description of the individual hardware components as well as of the entire system.
General components ● PC with monitor, mouse, keyboard, connection cables, pre-installed
operating system software and manuals (when using a kit solution, this type of PC is required)
● SIDEXIS XG software (already pre-installed on the PC or supplied on CD­ROM) with manual
● Warranty passport
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Intraoral X-ray components ● Wall-mounted X-ray box for image acquisition
● PC slide-in module for image acquisition
● USB X-ray box
● Two X-ray sensors: Full Size and Universal, each with disk and hygiene protection sleeves
● Holder set from RINN
Panoramic and Ceph X-ray components ● The following panoramic X-ray units:
- ORTHOPHOS Plus DS
- ORTHOPHOS Plus DS Ceph
- ORTHOPHOS 3 DS,
- ORTHOPHOS XG
- ORTHOPHOS XG
3D X-ray ● GALILEOS
● GALILEOS GAX 5
Video components ● SIROCAM video camera with foot switch and hygienic protective sleeves
● Optional video camera for extraoral exposures (full-face camera)
● Video acquisition / frame grabber card including software (installed in PC)
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Plus
DS
Plus
DS Ceph
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1 Introduction Sirona Dental Systems GmbH
General notes on the use of SIDEXIS XG Operator’s Manual SIDEXIS XG
Existing systems You can also continue using the following components with existing systems:
● X-ray sensor with holders, diskette and hygienic protective sleeves
● XIO intraoral X-ray image acquisition card XIO (installed in the PC)
● Optional front-end sensor connection
● Optional adapter box with cable for multiroom X-ray operation
● XOP panoramic X-ray image acquisition card (installed in the PC)

1.2 General notes on the use of SIDEXIS XG

Intended use SIDEXIS XG is a software package for the personal computer (PC) which
provides the working environment for generating, managing, archiving and analyzing digital X-ray and video exposures and enables the transmission of images via LAN/WAN and by e-mail.
CAUTION
SIDEXIS XG must not be used for implant planning!
Some special ergonomic features of SIDEXIS XG.
The workspace displayed on the monitor makes use of the user-friendly MS Windows graphical interface. The dialog boxes have been designed according to ergonomic findings.
● Information
SIDEXIS XG always displays the current application status.
● Warning
Prior to important decisions, the user is advised about the consequences. This applies particularly in case of possible data loss.
● Error stability
Incorrect user input can be easily corrected or undone.
● Appropriateness
SIDEXIS has been designed especially for the management, visualization and analysis of digital X-ray and video exposures in the dental field.
● Operation
The program has been designed so that all commands and actions can be initiated both with the keyboard and the mouse. Thus it is possible to develop an individual method of working corresponding to the personal inclinations of the user and practical requirements.
These features enable even inexperienced users to gain easy access to this innovative method of working in the field of dental X-ray and video techniques.

1.3 SIDEXIS XG/ What’s new?

New features of SIDEXIS XG Version 1.0 - Overview
● Innovative examination concept
● Individually adaptable user interface
● Modern and innovative image description tools
● Expandability through plugins
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Sirona Dental Systems GmbH 1 Introduction
Operator’s Manual SIDEXIS XG SIDEXIS XG/ What’s new?
New features of SIDEXIS XG Version 1.2 - Overview
● Configurable display of patient data
● Optional home page
● Selectable large/small buttons for toolbars
● Display of chevrons for hidden buttons
● Optimized examination navigation
● Optimized handling for image positioning
● Convenient rotation of images
● Improved image zoom, display detail is retained
● Movable text boxes for length and angle measurements
● Performance optimizations
● Enhanced plugin integration
● Automated assignment of access authorizations via Setup
● SiAccess tool for manual setup of access authorizations
New features of SIDEXIS XG Version 1.3 - Overview
● The list of X-ray units supported has been extended to include the ORTHOPHOS XG Plus.
● The background is black in the Full Frame mode.
● Images can be zoomed with a wheel mouse.
● A new, improved print preview for both single images and examinations enables new possibilities for preparing printouts.
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New features of SIDEXIS XG Version 1.4 - Overview
● Restriction of access rights;
The functionality can be restricted in SIDEXIS XG by using users and roles. See the menu View / Customize... / Access rights.
● Support of video cards with WDM drivers:
The program NGVidCap for configuring and testing WDM and VfW videos is featured in the application directory. Refer to the Online Help function in NGVidCap for the further procedure.
New features of SIDEXIS XG Version 1.5 - Overview
● Implant visualization plugin
● Free-hand drawings
● The color, transparency and line width of all vector objects are individually adjustable
● Generation and storage of X-ray images with an optional depth of 8 or 16 bits
● All functions of SIDEXIS XG are also available for grayscale images with a depth of 16 bits
● Transfer function for selecting grayscales for display via windowing and gamma value
● Examinations exportable as individual archives (*.nge)
● Examinations (*.nge, *.svg) easy to import via drag&drop, double-click on file or menu/toolbar
● Online selection of user interface language (SIDEXIS XG)
● Subsequently selectable odontogram
● Practice name subsequently editable
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SIDEXIS XG/ What’s new? Operator’s Manual SIDEXIS XG
New features of SIDEXIS XG Version 1.6 - Overview
● A central installation speeds up the SIDEXIS update for the customer. A "master installation" must be set up only one time. The clients then retrieve the required information from the "master". For more information please refer to the Installation Manual.
● An automated update via the internet is now possible.
● New standard database: SQL Server 2005 Express replaces the previous Access DB. Data are imported from the previous database.
New features of SIDEXIS XG Version 2.0 - Overview
● Preparation for GALILEOS systems and GALILEOS/GALAXIS software
● SiDICOM Removable Media extends the import/export functions of SIDEXIS XG
● SIDEXIS Manager for comfortable administration of the SIDEXIS installation
● Central info on master station in the program info dialog box
● Station Manager for comfortable administration of the SIDEXIS stations. It is thus also possible to change the master station.
● Service Pack 1 of SQL Server 2005 is used for new installations
● The administration of templates has been extended
● The positions of docked toolbars can be fixed
New features of SIDEXIS XG Version 2.2 - Overview
● Preparation for XIOS Intraoral System
● SIDEXIS plugin of image data (2D and 3D image acquisition)
● SiDICOM Removable Media with enhanced comfort and automatic installation
● Extended relocation to removable storage media and stationary drives
● Extended image selection dialog box for display of 3D data
● "3D Data Reduction" tool for clean-up of 3D raw data, invoked via SIDEXIS Manager
● "NGSQLConnect" connects SIDEXIS to another SQL database. Invoked via SIDEXIS Manager
"DICOM Export Wrap&Go"
for easy transfer and viewing
New features of SIDEXIS XG Version 2.3 - Overview
● Supports Windows Vista
● Extended options for relocating data
● More comfortable deletion of corrected 3D raw data
● Compression of 3D data in the database
● Tool for collecting support information (NGLogCollect)
● Easy-to-use tool for configuring SQL Server backups (NGSQLBackup)
New features of SIDEXIS XG Version 2.4 - Overview
● XGNetDeploy for automated distribution of software
● Support for XIOS Plus
● Revised demo image database
● Now SQL Server databases and examinations can also be repaired with NGDBRepair
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Sirona Dental Systems GmbH 1 Introduction
Operator’s Manual SIDEXIS XG Structure of the documents
● Revised configuration of X-ray components in the network
● Extension of NGLogCollect with customer feedback
New features of SIDEXIS XG Version 2.5 - Overview
● SIDEXIS XG can now administer and use address data for several practices.
● Images can be transferred from one patient to another.
● Examinations are exportable as single files.
● Examinations can be e-mailed as compressed ZIP files.
● The configuration of the user interface of a station can now be transferred to other stations.
● You have the option of displaying a ruler for X-ray images.

1.4 Structure of the documents

Structure of the documents
The symbols and character formats used in the present manual have the following meaning:
WARNING
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Identifies warnings where a medium risk of injury to persons exists if they are not observed.
CAUTION
Identifies safety information where the following hazards exist if they are not observed: Slight risk of injury to persons, risk of property damage or damage to the product.
NOTICE
Assistance Identifies additional information, hints and tips.
✔ Prerequisite
➢ Action
or
➢ 1., 2., …
ª Result
See chapter on "General information".
•List
Requests you to do something.
Identifies a reference to another text passage.
Identifies a list.
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“Text between quotation marks“
Identifies commands, menu items or quotations.
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2 General notes for operation Sirona Dental Systems GmbH

Checking the system time before starting Operator’s Manual SIDEXIS XG
2 General notes for operation

2.1 Checking the system time before starting

Why is it necessary to check the system time?
SIDEXIS saves the creation time for each image. For this reason, the date and time setting of the system clock integrated in the PC must occasionally be checked and, if necessary, corrected.
Where do I find the system time? On the Windows desktop, the system time is displayed in the systray, which
is usually located at the bottom right corner of the screen. The date is displayed when pointing with the mouse cursor to the time.
How can I change the system time? The current time setting can be changed in a dialog box which opens when
you double-click the time display. The date is set on the left half of the “Date & Time” tab.
● The month and year settings are selected using drop-down lists, which
● The day of the month can be selected by clicking the corresponding day
● The time setting is changed by clicking the value to be set (hours, minutes
● The dialog box is then closed by clicking
CAUTION
If the system clock is improperly set, the time of creation saved for new images will also be incorrect. This would then result in incorrect documentation and make it difficult to retrieve these images.
unfold when you click the arrows next to them.
on the calendar sheet.
or seconds) and then using the corresponding spin buttons.
Alternatively, the desired value can also be entered directly using the keyboard.
"OK"
.
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Sirona Dental Systems GmbH 2 General notes for operation

Operator’s Manual SIDEXIS XG Installing other SIDEXIS software components

2.2 Installing other SIDEXIS software
components
Explanation It sometimes becomes necessary to install additional or extended software
components on the PC.
NOTICE
Later installation of the X-ray control book or SIMOCON etc. from the CD­ROM.
Example For instance, this is the case when installing a new X-ray sensor or a service
disk. In such cases, you must insert the disk included in delivery in the floppy disk drive. Then start the installation of the software by clicking the “Start” button on the task bar.

2.3 Completing work on the system

Explanation
CAUTION
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The operating system must always be shut down properly to prevent data loss.
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2 General notes for operation Sirona Dental Systems GmbH
Creating backup copies Operator’s Manual SIDEXIS XG
Example – Windows XP
1. Open the start menu using the
2. Select the function
"Turn Off Computer..."
"start"
button.
.
3. Select the option
ª Unsaved data is automatically saved.
ª Depending on the type of computer, either a message is displayed after
some time prompting you to turn off your PC (i.e., you can turn off the PC then) or the computer shuts down automatically.
"Turn Off"
in the corresponding dialog box.

2.4 Creating backup copies

Why make backup copies? To prevent a possible loss of data following a system failure, image and
patient data should occasionally be backed up from the integrated PC hard disk to removable storage media. This procedure thus provides users with a backup copy that they can recur to in case the original data is lost.
What is a backup? Such a copy is generally referred to as backup copy.
Please refer to Section “Backup copies" [ 167]for further information on making backups.
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Sirona Dental Systems GmbH 3 Operation
Operator’s Manual SIDEXIS XG General

3 Operation

3.1 General

3.1.1 Start SIDEXIS XG.

Activating the function
➢ Double-click the program icon on the desktop.
or
➢ Activation via the “Start” button and the program icon. This icon is
typically located in the lower left corner of the screen. The display may vary depending on the operating system and the settings.
After the start A splash screen appears after program start. This screen disappears
automatically after a couple of seconds.

3.1.2 Logging on (option)

Explanation If the access rights have been restricted, the
the welcome screen. The user must enter his or her user name and password here.
"Login"
dialog box appears after
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Configuration
The configuration is described in Section “Access rights” [ 178].
Password input 1. Enter your user name in the
2. Enter your password in the
3. Confirm your entry with the
NOTICE
When you create a new user and activate the password request function for him or her, this user does not have a password yet. When the new user logs on the next time and enters his or her user name and confirms with
"OK"
, another dialog box for assigning a new password appears once.
"User"
field.
"Password" "OK"
button.
field.
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General Operator’s Manual SIDEXIS XG
Switching users While SIDEXIS XG is running, you can switch between users by pressing the
[Ctrl] + [Shift] + [U] key combination.
"Login"
The
➢ Simultaneously all images and exams are closed and the registered
window opens.
patient is deregistered.

3.1.3 Screen layout

After SIDEXIS XG is started, the program window with the specific program components appears:
1 System menu of the program window (see documentation of
the operating system)
2 Title bar with selected patient data (See section "Options" [
176].)
3 Buttons for controlling the window size (see documentation of
the operating system)
4 Menu bar
5 Workspace
6 Area for management toolbars
7 Area for image processing toolbars
8 Status bar
Workspace The working and diagnosing processes of all exams are displayed together in
the exam workspace.
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Operator’s Manual SIDEXIS XG General
It is called “
Area for management toolbars The area on the left margin of the program window shows various sorted
toolbars with management tools
Area for image processing toolbars The area on the right margin of the program window shows various sorted
toolbars with image processing tools
Toolbars The toolbars consist of buttons which contain graphical symbols (icons).
These icons are comparable to the keys on themultitimer control of the X-ray system. A system function can be launched by clicking one of these buttons.
Logically related functions are always grouped in one toolbar.
Status bar The status bar displays information about the currently active function.
For example, the angle during an angle measurement.
"Exam"
” and can be opened, saved and managed in SIDEXIS XG.

3.1.4 Functional description and workflows

Explanation The functions and workflows of “SIDEXIS XG” are described in several
chapters of the manual.
Subdivision The functional description is divided into the following sections:
● Patient management
● Image management
● Measurement tools
- Measurement tools
- Display tools
- Image filters
● Special functions
- System setup
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Workflows The following workflows are briefly explained here:
● Taking a new exposure
● Opening a saved exposure
● Opening a saved exam
Taking a new exposure 1. Register the desired patient.
2. Select the desired type of exposure.
3. Release an exposure.
4. Interpret the exposure.
Opening a saved exposure 1. Register the desired patient.
2. In the “
There are two ways to open exposures.
● New
Opening a saved exam 1. Register the desired patient.
2. In the “
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"Exam"
” window, select the option “
All images assigned to the patient can be opened via the image selection dialog box.
"Exam"
” window, select the option “
"Existing"
"Existing"
”.
”.
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General Operator’s Manual SIDEXIS XG
All saved exams are displayed.
➢ Select the desired exam.

3.1.5 Working with exams

Explanation ● Users of conventional, film-based X-ray systems mostly use self-
adhesive labels or felt tip pens to highlight certain areas on X-ray images or to take down notes.
● The images are manually positioned on the X-ray viewing box. Then, they are compared with other images, measured, superimposed with photos (orthodontics!) or put in an envelope and sent to a specialist.
● The working procedures applying to conventional film exposures were transferred to the SIDEXIS XG user interface.
● The working and diagnosing processes of all exams are displayed together in the exam workspace.
- It is called “Exam” and can be opened, saved and managed in SIDEXIS
XG.
● The SIDEXIS XG software is used in the context of an “Exam”.
● Each image processing session can be saved as an “
- “Processing” also describes the act of merely opening exposures which
are saved in the image database.
- Newly generated exposures are automatically included in the image
database.
● Diagnostic findings are linked to the exposures in the image database and are also saved there.
● When an “ (exposures), which are displayed on the exam workspace, are saved in a database of their own.
● Such an “Exam” can also be printed out and exported.
● The first step of starting an “
● The lower half of the patient selection window already provides a number of selection options for opening an “
● If a patient is already registered, a specific dialog box for selecting an “
"Exam"
"Exam"
” is saved, only the objects and/or their references
” is displayed.
"Exam"
” is to register a patient.
"Exam"
”.
"Exam"
”.
Function See also Section "Exam concept [ 25]".

3.1.6 Workflow assistance

Explanation Predefined linear workflows are provided as exam templates in the SIDEXIS
XG.
These workflows are divided into logical steps.
SIDEXIS XG provides navigating functions for this purpose within those workflows.
One step forward
Activation
➢ Click the button.
or
➢ Hotkey: Press the [Enter] key.
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Operator’s Manual SIDEXIS XG General
or
One step back
Continuing an interrupted workflow with the next step
➢ From the menu bar
"E[x]am"/"[S]teps"
, select the menu item
"[N]ext"
.
Example
When SIDEXIS XG is started, the [Enter]Register patient key. After selection of the patient and pressing the [Enter] key again, the
"Select image"
function is started.
"Register patient"
Activation
➢ Click the button.
or
➢ Hotkey: Press the [Esc] key
or
➢ From the menu bar
"E[x]am"/"[S]teps"
, select the menu item
"[B]ack"
.
Example
Pressing the [Esc] key repeatedly first closes any images available one after the other and then finally checks out the registered patient. Another activation of the key exits the SIDEXIS XG program altogether.
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Activation
➢ Click the button.
or
Repeating a step
➢ From the menu bar
"E[x]am"/"[S]teps"
select the menu item
"[C]ontinue"
Activation
➢ Click the button.
or
➢ From the menu bar
"E[x]am"/"[S]teps"
, select the menu item
"[R]epeat"

3.1.7 Multi-workstation support for exams

Explanation The following services are intended especially for use in a multi-workstation
installation. The SIDEXIS system can be operated in a multi-workstation environment, but can also be used in astand-alone installation without restrictions.
Amulti-workstation installation combines several units with a cable. Such a combination of several workstations is also referred to asnet ornetwork. All connected units can then access the same database (i.e., patient and image data).
.
.
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A
B3
B2
B1
General Operator’s Manual SIDEXIS XG
Example
A X-ray room
B Treatment room 1
C Treatment room 2
D Treatment room 3
An example of a SIDEXIS multi-workstation installation is a network of several dental treatment rooms, each with a SIDEXIS workstation, and a central X­ray room with an X-ray PC.
Each workstation can issue X-ray orders, which are accepted and executed by the SIDEXIS station in the X-ray room. The exposures are available at every X-ray PC as well as everyworkstation for subsequent diagnostics. The SIDEXIS workstations in the treatment rooms do not support X-ray image acquisition and are therefore also referred to asviewing stations.
3.1.7.1 Generating an order in a multi-workstation
environment
Explanation In a SIDEXIS multi-workstation installation, each workstation may produce X-
ray orders, which are then accepted and executed by the stations having the required equipment (X-ray unit or SIROCAM).
NOTICE
To enable processing of the new order at another station, the respective patient must be checked out at the station that has produced the order.
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Scope This function can be used for X-ray and video images.
The relevant patient must be registered.
If several orders are to be generated for a single patient, this function can be used repeatedly until all orders are generated.
After the orders have been accepted and the X-rays have been taken in the X-ray room, these are then available at every SIDEXIS workstation.
Activating the function
➢ Activate the icon.
or
➢ In the menu bar
.
[o]rder"
Order specifications After activating the function, you can enter the information required for the
order in a dialog box:
Specifying the patient’s gender The patient’s gender is specified in the “
Click the desired option button to do so.
"E[x]am"/"[S]teps"
, select the menu item
"Sex:"
” dialog box area
"Produce
● The option button
● The option button
Enter possible pregnancy (only relevant for X-ray) in the
pregnancy"
Reason for image acquisition and/or notes The reasons for image acquisition and/or further remarks are specified in the
"Reason/notes"
"Male" "Female"
check box.
text box.
represents a male person.
represents a female person.
"Existing
NOTICE
When entering the reason for the exposure or additional remarks, you may select prefabricated phrases via a context menu, which opens after right­clicking or pressing the [Alt] + [T] key combination, similar to the procedure used in image description / findings. You can combine several of these texts by repeating this step.
The [Esc] key closes the context menu without further actions. Section "Processing standard findings [ 145]" describes how the texts can be configured individually.
Specifying the image type The patient’s sex is specified in the dialog box
The following image types are available:
● Intraoral X-ray exposures
● Panoramic X-ray exposures
● Cephalometric X-ray exposures
● Transversal slices
● Video exposures
● 3D data
You specify the desired image type as usual by clicking the corresponding buttons in the lower half of the dialog box.
"Order to be produced"
.
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Example screenshot
3.1.7.2 Accepting an order in a multi-workstation environment
Explanation The program automatically jumps to the
has not yet occurred during activation. If possible, the patient for whom orders are pending is already pre-selected in the patient registration dialog box.
Scope This function can be used for X-ray and video images.
"Register patient"
dialog box if this
NOTICE
The SIDEXIS station with the required equipment cannot accept and execute existing X-ray and video orders for a certain patient until the patient concerned has been registered there, as usual.
Activating the function
➢ Click the button.
or
➢ In the menu bar
Operation A list of pending orders for the registered patient then appears in the following
dialog box:
"E[x]am"/"[S]teps"
, select the menu item
"[A]ccept order"
.
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In addition to the image type, reason or notes, date and time of creation, the name of the workstation that has produced the order is also displayed. This simplifies possible queries. The buttons for selecting the image type and tooth are unavailable here – they only indicate the desired image type.
After the dialog box is confirmed, the marked order is removed from the list of orders. With intraoral X-rays, it is then possible to automatically switch to readiness for exposure and to take the exposure.
Video exposures are started in the usual way by removing the camera from its holder. To make the system ready for panoramic and Ceph X-rays, proceed as usual.
CAUTION
An order is also removed from the list of orders if no exposure is taken after the dialog box has been confirmed.
Orders which are not processed are considered obsolete after some time and automatically removed from the list.
The data entered on producing the order are taken over as far as possible in its execution and used as a basis for the image description of new exposures.

3.1.8 Changing the program

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Explanation If desired, the service engineer who installs and configures the system can
configure an automatic program switchover. This can be used e.g. for quickly switching from SIDEXIS to a practice management program or any other software installed on the same PC.
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Activating the function
➢ Click the button.
or
➢ Use the
Function ● If only a single program change is configured, then the desired program
appears on the screen immediately after you launch the command.
● If several programs are interfaced to SIDEXIS in this way, then you make the required choice in a dialog box.
"E[x]am"
menu bar to select the
"Change [p]rogram"
menu item.
NOTICE
If an error occurs when you try to start the selected program, a message appears. You must then check that the target program is correctly installed and access to it has been correctly configured.
3.1.9 Information regarding SIDEXIS, Internet
connection
Activating the function
➢ Click the button.
or
➢ Use the
Function The dialog box which opens displays information about the version number
and the disk space available for images.
"[H]elp"
menu bar to select the
"[A]bout..."
menu item.
NOTICE
You should check the available disk space occasionally and relocate older images in due course. Detailed information on relocation is provided in Section “Relocation of the image stock” [ 126].
You can make an email connection to the SIRONA hotline using the
button on the left side.
to:..."
The button on the right side starts the Internet browser installed on your system and connects you to the Homepage of SIRONA.
"Info"
The purposes.
This text file is displayed in the standard text editor.
This can be saved, printed or processed further.
button in the center creates a text file with system data for service
"Mail
"Info"
button
The text file contains the following information:
● Operating system used
● Name of the computer
● User who is currently logged on
● Name of the database
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● Database path with information on the available disk space
● Information about the SLIDA interface
● Information about the connected digital X-ray components

3.1.10 Exiting SIDEXIS XG

Explanation When you quit SIDEXIS, all open image windows as well as the patient file
are automatically closed.
Activating the function
➢ Click the button.
or
➢ Click the button on the title bar.
or
➢ Hotkey: Activate the key combination [Alt]+[F4]
or
➢ Use the
"E[x]am"
menu bar to select the
"[E]xit"
menu item.
NOTICE
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A confirmation prompt appears before the program is terminated.

3.2 Exam concept

3.2.1 Generating a new exam

Explanation This function is used to generate a new
If no patient is registered yet, the patient selection dialog box opens. See also Section "How do I use the patient selection dialog box? [ 40]" .
Activating the function
➢ Click the button.
or
➢ Hotkey: Activate the key combination [Ctrl]+[N].
or
➢ Use the
ª A selection dialog box appears.
"E[x]am"
menu bar to select the
"Exam"
"[N]ew..."
.
menu item.
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Selection dialog box
All templates saved for an
NOTICE
The use of this drawing function is explained in Section "Templates [ 37]".
Function The
empty workspace.
NOTICE
It is recommended to select this template for daily routine operation if you do not want to use a saved template.
The graphically.
"Exam"
are displayed in the selection dialog box.
"New"
template appears in the first line. This template consists of an
"Show previews"
check box can be used to display the templates
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"Show previews"
check box
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3.2.2 Opening a saved exam

Explanation This function is used to open a saved
If no patient is registered yet, the patient selection dialog box opens. See also Section "How do I use the patient selection dialog box? [ 40]."
Activating the function
➢ Click the button.
or
➢ Hotkey: Activate the key combination [Ctrl]+[O].
or
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➢ Use the
ª A selection dialog box appears.
"E[x]am"
menu bar to select the
"Exam"
.
"Se[le]ct..."
menu item.
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Selection dialog box
Function The selection dialog box contains all saved exams of the corresponding
patient.
The exams are sorted chronologically in the order in which they were created.
In addition, the last saved exam is displayed in the first line.

3.2.3 Saving an exam

Explanation All objects of the examination window can be saved as an
"Exam"
.
NOTICE
Use the before from the exam database without overwriting the original data.
Activating the function
➢ Click the button.
or
➢ Hotkey: Activate the key combination [Shift]+[F12].
or
➢ Use the
"Save [a]s..."
"E[x]am"
function if you want to save a current
menu bar to select the
"[S]ave"
menu item.
"Exam"
loaded
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ª The Save dialog box appears.
Saving an exam under a new name Use the
before from the exam database without overwriting the original data.
Activating the function
➢ Click the button.
or
➢ Hotkey: Press the [F12] key
or
➢ Use the
ª The Save dialog box appears.
Save dialog box
SIDEXIS XG suggests a name for the modified.
Use the

3.2.4 Printing an exam

"Save [a]s..."
"E[x]am"
"OK"
button to save the
function if you want to save a current
menu bar to select the
"Exam"
"Save [a]s..."
"Exam"
. This suggestion can be
.
"Exam"
loaded
menu item.
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Explanation When the
one page.
There are two ways to print an exam.
● Printout via the function described below.
● Printout via the print preview (see section "Print Preview" [ 68]).
"Exam"
is printed, all of the objects in the workspace are printed on
NOTICE
Select the printer and the page view prior to the printout. (See "Setting up the printer").
Activating the function
➢ Click the button.
or
➢ In the menu bar
ª The print dialog box of the operating system appears.
Function The print dialog box of the operating system is used to print out the
Setting up the printer
➢ Click the button.
or
➢ Use the
"E[x]am"
"E[x]am"/"Print"
menu bar to select the
, select the menu item
"Print Set[u]p..."
"Pr[i]nt..."
menu item.
.
"Exam"
.
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ª The print dialog box of the operating system appears.
NOTICE
It is advisable to set the page orientation to the landscape format when printing an exam.
This ensures that the paper size will be optimally utilized.

3.2.5 Exporting an exam

Explanation
Activating the function
NOTICE
Please note that this function exports 2D information only. The "SiDICOM Removable Media" plug-in can be used for importing and exporting GALILEOS data sets.
You can export the current exam using the
Exporting an exported.
➢ The patient's first name, last name and date of birth are also exported.
Exports can be performed in two different formats:
● NGE format
The NGE format [ 30] can be exported from and imported to SIDEXIS XG in version 1.5 and higher.
● SVG format
The SVG format [ 31] can be displayed with an SVG viewer.
- Extended functionality
➢ Click the button.
or
➢ In the menu bar
"Exam"
means that all objects in the exam workspace are
Compressed SVG as ZIP for sending via email. See section "Send examination via email" [ 37] for more information.
"E[x]am"/"Export"
"Export exam"
, select the menu item
function.
"E[x]port..."
.
3.2.5.1 NGE format
Explanation
The NGE format is an separate SIDEXIS XG format starting with version 1.5.
Exporting in NGE format
Exporting an workspace are saved to a file.
"Exam"
in NGE format means that all objects in the exam
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