Anatomage Table EDU 9.0 User's Manual

Anatomage Table EDU 9.0 Application Manual Table of Contents

Anatomage, Inc.

3350 Thomas Rd Suite 150

Santa Clara, CA 95054 USA

408-885-1474

[email protected]

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Anatomage Table EDU 9.0 Application Manual Table of Contents

Warranty Statement

There are no warranties, expressed or implied, with respect to the contents of this document, and all information provided

herein is provided “as is.” Anatomage reserves the right to periodically change the information that is contained in this

document; however, Anatomage makes no commitment to provide any such changes in a timely manner or at all.

Limitation of Liability

In no event shall Anatomage or its affiliates be liable to any party for any direct, indirect, special, or consequential damages

in connection with your use of this document, including, without limitation, loss of business revenue or earnings, lost data,

damages caused by delays, lost profits, or a failure to realize expected savings, even if Anatomage was expressly advised of

the possibility of such damages.

Trademarks

Anatomage and related marks, images, and symbols are the exclusive properties of, and trademarks of, Anatomage Inc. All

other brands and marks are the properties of their respective owners.

computer language in whole or part without the prior written permission of the copyright holder. All images and videos

created with the Anatomage Table must be approved by Anatomage. Please contact Anatomage for more information.

About Anatomage and Software

The Anatomage Table Application software (Table EDU 9.0) was released in 2022 as an update to the Table Application

software from Anatomage, Inc. In this document, the Anatomage Table Application software refers to the latest version of

the Anatomage Table Application software and is synonymous with the terms “Table application”, “Table EDU 9.0”, and

“Anatomage Table application”. To learn more about Anatomage, visit our website at www.Anatomage.com.

Note: Table 9.0 is intended for educational purposes only, and is not to be used for clinical or diagnostic purposes.

End of Life Statement

Table EDU 9.0 software is dependent on its hardware requirements. The life-cycle is limited only by the required hardware.

Language

The original language of this manual and the Table EDU 9.0 software is English.

Sound Credit

Sound effects were obtained from https://www.zapsplat.com.

Image Credit

The following image sets were provided by Dr. Jin Seo Park, Department of Anatomy, Dongguk University College of

Medicine and Dr. Min Suk Chung, Department of Anatomy, Ajou University School of Medicine.

Full Body Male (Asian): The original slice data is from the Visible Korean data set.

Full Body Female (Asian): The original slice data is from the Visible Korean data set.

Full Dog and Cat slice data: This work (2012R1A2A2A01012808) was supported by Mid-career Researcher Program through the National Research

Foundation of Korea (NRF) grant funded by the Ministry of Education, Science and Technology (MEST).

Full Head slice data: This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF)

funded by the Ministry of Education, Science and Technology (MEST) (2010-0023360).

The following image sets were provided by the Visible Human Project, Courtesy of the U.S National Library of Medicine.

Full Body Male (Caucasian): The original slice data is from the Visible Human data set.

Full Body Female (Caucasian): The original slice data is from the Visible Human data set.

The following image set was provided by Brad Smith from the University of Michigan ([email protected], NIH award

N01-HD-6-3257 P/G F003637).

Embryo slice data set (Cases 2013 – 2023) Imaging was performed at the Center for In-Vivo Microscopy, Duke University.

The following image set was provided by David R. Hunt, PhD. (Physical / Forensic Anthropologist, D-ABFA) from the

Smithsonian Institute.

Skull collection (Cases 3008 – 3054)

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Anatomage Table EDU 9.0 Application Manual                                                                                              Table of Contents
Table of Contents
System Requirements.................................................................................................................................4
Touchscreen Requirements........................................................................................................................4
Installation Instructions..............................................................................................................................5
Controls......................................................................................................................................................5
Controlling the Volume Rendering............................................................................................................6
Touch Control......................................................................................................................................6
Keyboard and Mouse Control..............................................................................................................7
Introduction to the Anatomage Table Application.....................................................................................8
Launching Table EDU 9.0 Application................................................................................................8
User Interface and Layout..........................................................................................................................9
Navigation................................................................................................................................................32
Cadavers...................................................................................................................................................34
Image Adjustment ...................................................................................................................................35
Annotations..............................................................................................................................................37
DCM/INV Files........................................................................................................................................38
Model Settings...................................................................................................................................39
Preset Dialog............................................................................................................................................40
Functional Anatomy.................................................................................................................................42
Case Library.............................................................................................................................................45
Histology Library.....................................................................................................................................48
Curriculum...............................................................................................................................................49
Prosection.................................................................................................................................................50
Anatomage Share.....................................................................................................................................51
Opening DCM/INV Scans.......................................................................................................................52
PACS Integration......................................................................................................................................53
Table Application Troubleshooting..........................................................................................................54
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Anatomage Table EDU 9.0 Application Manual Table of Contents

SYSTEM REQUIREMENTS

The Table software is a graphically intense application for use on a PC workstation running a

Windows operating system. It has not been designed for use on Linux, OSX, Android or iOS

platforms such as iPads or other tablets.

Summary

Minimum Recommended

CPU Intel Core i5 2500 series

(compatible multi-core processor)

Intel Core i7 10000 series

(comparable multi-core processor)

RAM 16GB 32GB

GPU

(Graphics Card)

AMD Radeon R7 370 NVIDIA RTX 3070

Hard Disk 500GB 1TB

OS Windows7 64bit Windows10 64bit

TOUCHSCREEN REQUIREMENTS

Summary

Hardware Minimum Requirement

Screen Size (Diagonal) 19 inches

Resolution 1280x720

Touch Points 3 or more

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INSTALLATION INSTRUCTIONS

The Anatomage Table application is available from Anatomage. The software is distributed by

downloading an installer and requires a license USB to operate. The installer contains both the

application files and demonstration content (Navigation, Cadavers, Functional Anatomy, Case Library,

Histology Library, Curriculum, and Prosection Library). Be sure you have the license USB and your

Table meets the minimum system requirements.

1. Insert license USB into PC workstation and run Anatomage Table EDU 9.0 installer.

Workstation should be connected to a network with internet connectivity.

2. Open Anatomage Table EDU 9.0 Upgrade installer, double click “autorun” and follow on-

screen instructions to complete installation.

3. Launch Table application and enter the Authorization Code to activate software license.

CONTROLS

The following section discusses controls for the Table software. For touchscreen devices, please refer

to your specific touchscreen hardware manufacture's calibration instructions and verification

procedures before using with Table EDU 9.0.

Touch Commands

Right click Touch and hold.

Selecting icons Tap icon to select. If compatible multi-icons are shown, use a second

tap to select desired multi-icon. A double-tap on the same icon will

open the icon.

On-screen keyboard Tap the keyboard icon on the toolbar next to the windows icon. This

will open the onscreen keyboard.

Keyboard-Only Commands

Exiting Full-Screen and

viewing application on single

display monitor

Step 1: Press F11 on keyboard or FN + F11 on on-screen keyboard.

Step 2: Press the Windows key and the left/right arrow to snap

application window to left/right display monitor.

WARNING: Resizing the application window from full-screen to a single monitor will cause the user

interface and scan to be rescaled based on the new application window size.

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CONTROLLING THE VOLUME RENDERING

The following section discusses use of the touchscreen for controlling the volume rendering. Table

application supports keyboard, mouse, and touch controls when navigating the application. Some

functions are keyboard specific and do not have a designated icon in the user interface.

TOUCH CONTROL

Within the Rendering Window, the Table application accepts single- and multi-touch inputs.

Number of Touches Movement Result Description

Volume Viewing:

Single Drag Rotate Rendering will rotate about the scanning

region's geometric center point.

Two Drag Pan Rendering will pan in the dragged direction.

Pinch Zoom in/out Rendering will become larger or smaller.

Rotate Spin Rendering will rotate about the axis

perpendicular to Table surface and through the

scanning region's geometric center point.

(Settings → Spin Enabled)

Three Drag up/down Adjust

Clipping

Plane

Can adjust clipping plane by scrolling through

volume rendering in parallel with initial cutting

plane.

Slice Mode Viewing:

Single DISABLED N/A N/A

Two Drag Pan Slice image will pan in the dragged direction.

Pinch Zoom in /out Slice image will become larger or smaller.

Three Drag up/down Scroll through

slices

Can scroll through cross-sectional slices of

selected data.

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KEYBOARD AND MOUSE CONTROL

Number of Touches Movement Result Description

Volume Viewing:

Left Click Drag Rotate Rendering will rotate about the scanning

region's geometric center point.

Shift + Left Click Drag Pan Rendering will pan in the dragged

direction.

Ctrl + Left Click Drag up/down Zoom in/out Rendering will become larger or

smaller.

Space + Left Click Drag up/down Spin clockwise/

counterclockwise

Rendering will spin clockwise or

counterclockwise about its geometric

center point.

Scroll Wheel Roll up/down Adjust Clipping

Plane

Can adjust clipping plane by scrolling

through volume rendering in parallel

with initial cutting plane.

Slice Mode Viewing:

Shift + Left Click Drag Pan Rendering will pan in the dragged

direction.

Ctrl + Left Click Drag Zoom in/out Rendering will become larger or

smaller.

Scroll Wheel Roll up/down Scroll through slices Can scroll through cross-sectional slices

of selected data.

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INTRODUCTION TO THE ANATOMAGE TABLE APPLICATION

LAUNCHING TABLE EDU 9.0 APPLICATION

From the desktop, double-tap (double-click) the Table icon to launch the

Anatomage Table application. Users will be shown the Application Toolbar

below.

Navigation Opens navigation tool to open Table content related to a specific subject.

Cadavers Opens user interface for selecting full body Gross Anatomy data and Regional

Anatomy scans.

Functional

Anatomy

Opens user interface for selecting functional anatomy related content.

Case Library Opens user interface for selecting educational clinical case data sets including

Ct, MRI and segmented dog and cat.

Histology Opens user interface for selecting histology slides.

Curriculum Opens user interface for selecting curriculum views. Curriculum views,

provided by Anatomage, are single scans with pre-made annotations and view

sequences for teaching purposes.

Prosection Opens user interface for selecting prosection data.

Anatomage Share Opens sign in window for Anatomage created materials and other user content.

Open File Opens multi-dicom (DCM) scan files or Invivo (INV) scan files. Opens user

interface for establishing PACS connection and downloading files.

Help Opens a user interface for selecting “how to” documents for aspects of Table.

Minimize Minimizes the Table application. Available only when case is currently open.

Exit Application Closes the Table application.

Cancel Closes the Application toolbar. Available only when case is currently open.

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USER INTERFACE AND LAYOUT

Icon Description

Application Toolbar

Opens the Application toolbar. (Navigation, Cadavers,

Functional Anatomy, Case Library, Histology, Curriculum,

Prosection, Anatomage Share, Open File, Help, Minimize, Exit

Application, and Cancel).

Learning Assistant

Tap to view more information about a structure.

Layout

Tap the Layout icon to display all Layout options. 3D Layout

is selected by default.

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Red box outlines Rendering Window. Image rendering, surface models, and annotations will

appear in this region. Region accepts keyboard, mouse, single-touch, and multi-touch controls.

Anatomage Table EDU 9.0 Application Manual Table of Contents

3D Layout

Tap to view a volume rendering of the data.

3D-2D Layout

Tap to view a split-screen view of a volume rendering of the

data and a cross-section in the axial, coronal, or sagittal plane.

2D Layout

Tap to view one cross-section at a time. Users can view cross-

sections in the axial, coronal, or sagittal plane.

The user can switch between a single 2D view and two

different 2D layouts that contain three 2D slices each. The

default slices for these split-screen layouts is Axial, Coronal,

and Sagittal. The layouts can be customized to contain slices

in Axial, Coronal, Sagittal, and Parallel planes.

Histology Layout

Tap to view a split-screen view of a volume rendering of the

data and a histology slide. Any histology slides associated

with a structure will be shown when the structure is selected

from the volume rendering using a single tap.

Choose a prosection or CT/MR case. Select the icon for the

content then select the slides icon to open the menu to choose a

case.

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Flythrough

Tap to view split-screen view of a volume rendering of the data

and a flythrough data set. The user can load in default

flythrough data sets when available or create custom

flythroughs if desired.

Curved Planar Reformation

Tap to view split-screen view of a volume rendering of the data

and a curved planar reformation. Curved planar reformations

can be exported.

Spline

Tap to create a spline on the volume rendering of the data. The

user can choose the points of the spline by tapping on a

structure.

Curved Spline

Tap to create a curved spline.

Straight Spline

Tap to create a linear spline.

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Pointer Tool

Tap to open the Pointer Tool Dialog. Tap to select a particular

pointer icon. Tap or drag in rendering window to move pointer.

The size and color of the pointer may be adjusted in the dialog.

Screen Capture

Tap the camera icon to save a screen shot (.jpg, .png, or .bmp)

of the application using three different options.

Screen Capture with Icons

Tap the camera with icons to save a screenshot (.jpg, .png,

or .bmp) of the application that includes the Table icons.

Screen Capture without Icons

Tap the camera without icons to save a screenshot (.jpg, .png,

or .bmp) of the application that does not include the Table

icons.

Cropped Screen Capture

Tap the scissor icon and drag across screen to select an area

and save a screenshot (.jpg, .png, or .bmp) of the application

within the selected area.

Pen Tool

Tap to open the Pen Tool Dialog. Using second tap, select a

particular Pen Tool.

Draw by dragging in rendering window.

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Predefined Draw Colors

Tap to select a predefined Pen Tool color. From top left going

clockwise: Red, White, Yellow, Blue.

Default width of Draw Stroke for all colors is 2.

Custom Pen Tool

The Custom Pen Tool allows the user to customize the color

and width of a pen.

Step 1: Tap to select a particular pen preset.

Step 2: Tap the Custom Pen Tool Settings icon to adjust color

and stroke width.

The Pen Tool will save the latest setting used for each preset.

Eraser: Tap to enable. Drag on display window to remove

pen, text, or arrow marks.

Text Tool: Tap to activate and then tap on display window to

place text. Use on-screen or external keyboard to enter text.

Arrow Tool: Tap to activate and then tap on display window to

draw arrow tail. Tap again to draw arrow head.

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Undo: Tap icon to undo last drawing action.

Redo: Tap icon to redo last drawing action.

Minimize: Tap icon to minimize Draw Tool dialog.

Clear: Tap icon to erase all drawings in the Rendering

Window.

Measurement Tool

Tap the icon to show the associated measurement icons.

The font size and color of the measurement value may be

adjusted in the Adjust Text window under the Image Control

Settings icon (p. 28).

Measurements can be made in both volume and slice mode

viewing.

WARNING: The default measurement unit will be

millimeters (mm). Any measurement that is less than 1 mm

will be displayed in micrometers (um).

Distance Measurement Tool

Step 1: Select distance measurement tool.

Step 2: Tap on two locations on the volume. Red dots will

indicate the selected spots, and a line will appear between them

with a distance measurement. To adjust a measurement spot,

select and drag the landmark red dot.

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Angle Measurement Tool

Step 1: Select angle measurement tool.

Step 2: Tap on three locations on the volume. Red dots will

indicate the selected spots, and an angle will appear

between them with an angle measurement. Distance

measurements of the angle's sides will also appear. To adjust a

measurement spot, select and drag the landmark red dot.

Area Measurement Tool

Step 1: Select area measurement tool.

Step 2: Tap on multiple locations on the volume. Red dots will

indicate the selected spots, and a line will connect the dots to

outline the area.

Step 3: Tap on the area measurement tool when finished and

an area measurement will appear. To adjust a measurement

spot, select and drag the landmark red dot.

Curved Measurement Tool

Step 1: Select curved measurement tool.

Step 2: Tap on multiple locations on the volume. Red dots will

indicate the selected spots, and a line will connect the dots.

Step 3: Tap on the curved measurement tool when finished and

a distance measurement will appear. To adjust a measurement

spot, select and drag the landmark red dot.

Delete Measurement

Step 1: Select measurement. Specified measurement will turn

red and become bold.

Step 2: Select icon to remove specified measurement.

Clear All Measurements

Select icon to clear all measurements from the volume.

WARNING: Identification of anatomical landmarks and

structures are limited in part to image resolution and

subject to user error. To ensure correct identification of

landmarks and other fine measurements, it is

recommended that users plug-in and use a USB computer

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mouse and keyboard for the most accurate possible

placement of measurement landmarks (red dots). All

measurement landmarks, including those placed using the

touchscreen interface, can be adjusted by selecting and

dragging the landmark. It is the responsibility of the user

to place or adjust the measurement landmark locations as

needed for analysis.

Pin Tool

Used for placing 3D pin models in volume viewing.

To place a pin, select the pin style of choice and then

select a place on the volume. The pin may be moved by

first tapping on the pin to display a red box and again to

display a yellow sphere. Holding and dragging the red box

moves the pin's XYZ location while holding and dragging

the yellow sphere rotates the angle of the pin. The lumbar

needle and syringe within the pin menu are used the same way.

This icon can be used to import in a custom model that can be

placed like the pins, lumbar needle, and syringe. An action

menu will appear which will allow you to manipulate the

model. Double tapping on a model will open the models action

menu also.

This icon will turn on/off the 3D widget which allows you to

precisely move the model.

This icon allows you to map the model to a structure.

Selecting the 3D/2D view icon will open the 3D/3D layout

where you can see the outline of the model in the 2D plane.

This icon will allow you to edit the dimensions (L x W x H) of

the model.

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Volume Orientation

Tap the icon to show orientation icons.

Coronal, Sagittal, Axial Views

Tap to select a particular orientation. From top left going

clockwise: Coronal View, Sagittal View, Axial View.

If an orientation icon is tapped a second time, the view will be

flipped.

WARNING: Image orientation is based on scanner/DCM

definitions or redefined orientations from Invivo6 software.

90° Rotation

Tap once to rotate the image 90° clockwise.

1:1 Life Size Scaling

Tap icon to rescale image to life size.

WARNING: Exact scaling depends on scan size, scan

resolution, and hardware specifications.

Dissection Tool (for segmented cadaver data)

The Dissection Tool allows the user to create custom cuts and

remove structures, or parts of structures, within the sculpt area.

After tapping the tool, the icon becomes highlighted signifying

it is enabled and the Dissection Tool dialog appears. Either a

linear cut or curved sculpt can be selected.

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To make a custom sculpt:

Step 1: Hold and drag the custom sculpt anywhere on the

volume. A red line will appear outlining the sculpt area.

Step 2: Tap inside or outside the area to select dissection

boundaries. All structures in selected boundary can be

removed.

A loading screen followed by a dialog (“Select structure to

remove layer by layer!”) appears. Tap “Ok.”

Step 3: Remove structures within the sculpt area by tapping on

them.

Freehand Dissection Tool (for segmented cadaver and

DICOM data)

The Freehand Dissection Tool allows the user to create custom

cuts on the segmented cadaver or scan volume. After tapping

the tool, the icon becomes highlighted signifying it is enabled.

To make a custom sculpt:

Step 1: Hold and drag the custom sculpt anywhere on the

volume. A green line will appear outlining the sculpt area.

Step 2: Tap inside or outside the area to remove the visible

volume on either the inside or outside of the sculpt outline,

respectively.

To enable another freehand sculpt, tap the Freehand Dissection

Tool icon again. Once the icon is highlighted, repeat steps 1

and 2 to make another freehand sculpt.

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Restore Tool

Selecting this icon will restore the volume to its original state,

removing all operations.

Undo: Will undo the last structure removal action.

Redo: Will redo the last structure removal action.

Note: The undo and redo icons do not work for the Freehand

Dissection Tool.

Craniotomy Tool (For DICOM data)

Step 1: Select craniotomy tool.

Step 2: Hold and draw custom sculpt across any cranial

portion of the CT or MRI Scan.

Step 3: Release touch and software will automatically close

the custom sculpt and perform craniotomy.

WARNING: The Craniotomy Tool is meant to be used as

a Demonstration Tool only. The amount of volume

removed from a scan is dependent on the scalar range

used to view DICOM data.

Clipping Plane Control

Tap icon to display Clipping Plane Control all Clipping Plane

icons as well as the Flip and Reset icons.

Custom Clipping Plane is activated by default.

Case Information (For DICOM data, Histology, and

Prosection)

View scan and case information.

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Custom Clipping Plane

Step 1: Tap scalpel icon with the straight line to activate

custom clipping plane. The custom clipping plane is activated

by default (indicated by a blue highlight.)

Step 2: Using one touch, drag anywhere across the volume to

generate the custom clipping plane, defined by a blue line. The

line will update to show the current clipping definition.

Step 3: Release touch to finish defining plane.

Step 4: Select a side of the plane to remove by tapping the

volume on that side.

Repeat the above steps to create up to six (6) Custom Clipping

Planes. After the sixth plane, the seventh plane will replace the

first defined Custom Clipping Plane. The eighth will replace

the second and so forth.

Predefined Clipping Planes

Select a predefined clipping plane by tapping on the icon. The

volume will automatically be clipped in the designated

direction. From top left going clockwise: Sagittal Plane,

Coronal Plane, Axial Plane, Parallel Plane.

Parallel defines the Table surface as the clipping plane.

Only one predefined clipping plane may be applied at a time.

Flip Clipping Plane

Tap icon to flip visibility between sides of the clipping plane.

This affects all predefined clipping planes and the most

recently defined custom clipping plane.

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Reset Clipping Plane

Tap icon to remove all applied clipping planes (custom and

predefined).

Clipping Plane Slider Bar

When a clipping plane, either a predefined or a custom plane,

is active, the slider bar can be used to adjust the location of the

plane. The slider bar can be used to adjust only the most

recently defined clipping plane.

Presets

Tap to show presets numbered 1-10. Use a second tap on one

of the numbered icons to select a particular preset, or open the

Presets Menu by tapping on the cogwheel icon.

Users can create an unlimited number of presets using the

Preset Menu. Presets will automatically switch the image in

rendering window based on saved definitions. See Table 9.0

“How to Use Presets” for more information on how to create,

save to folder and export presets.

Quiz Mode

Select the quiz icon then select the icon to create a quiz or take

a quiz.

Set up the desired structure view and add annotations to define

quiz questions.

Adjust any quiz settings (enabled features, randomize

questions, timing, scoring, etc.) by tapping on settings.

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Select the quiz type (Pick Me, Flashcards, Highlight, Multiple

Choice, or Game).

See Table 9.0 “How to Use Quiz Mode” for more information

on how to create and take a quiz.

Explore Tool

Used for identifying segmentation and structures.

Step 1:

Tap the icon to open up the Explore Tool Dialog. Next, select a

particular icon with a second tap. The icon will become

highlighted to indicate it is enabled.

Step 2:

Remove Tool

Tap anywhere on volume. Structure closest to touch location

will be removed from view.

After removing structures, select white removal icon to view

removed structures on the right.

When the isolated structure appears on the right, you can turn

on sync to have the two images rotate together. Turning off

sync will allow the two images to rotate individually.

Blood Flow Tool

Tap on a vein or artery. Blood flow will be simulated to or

from the Heart. A second tap will apply a flat color to the vein

or artery. A third tap will add annotations to all branches of the

vein or artery.

Isolate Tool

Tap anywhere on volume. Structure closest to touch location

will be annotated and all other volume elements will be made

transparent. Tap on the isolation icon again to remove all

transparent structures. Tap a third time on the icon to add

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structures back in again. Tap on name to enable more detailed

annotations.

Step 3: To exit out of any explore tool mode, tap the enabled

tool to disable (the icon will no longer be highlighted).

Undo & Redo:

After using the Removal or Isolate Tool, tap Undo to undo the

last action or Redo to redo the last action.

The font size and color of the explore text may be adjusted in

the Adjust Text window under the Image Control Settings icon

(p. 28).

Live Tool

Tap on the icon to open live tool dialog.

Blood Flow (Only in Cadavers)

Tap once on the icon to turn on blood flow. A second tap will

turn off the feature.

Heart Motion (Only in Cadavers)

Tap once on the icon to turn on heart motion. A second tap will

turn off the feature.

Visibility Control

Structures

Tap icon to open Volume Visibility dialog to adjust rendering

window images. User can add/remove structures in data sets

or adjust volume rendering view presets for any DCM file data

sets. See p. 35 for more information on using the Volume

Visibility dialog.

Annotations

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Tap “A” icon next to any entry to turn on all annotations under

that entry.

Brightness/Contrast Slider Bars

When viewing segmented cadaver data:

Drag the upper slider bar right/left to add/remove large systems

or structures from the volume rendering. Drag the lower slider

bar left/right to add/remove the cardiovascular, nervous, and

lymphatic systems from the volume rendering.

When viewing DICOM data:

Drag the upper slider bar right/left to increase/decrease the

Brightness (density) of the volume in the Rendering Window.

Shift the lower slider bar right/left to increase/decrease the

Contrast of the volume in the Rendering Window.

WARNING: Brightness and Contrast settings are dependent

upon the volume rendering range defined in the Image

Control Settings (p. 26).

Action Menu

Tap structure and then action menu or double tap a structure to

view action menu for selected structure. The functions of each

tool within the Action Menu are outlined below.

Structure On/Off

Tap to toggle a structure on or off. A white check mark

indicates that the structure is toggled on. A dashed check mark

indicates that the structure is toggled off.

Transparency

Tap to adjust surface and volume transparencies (50% surface

opacity, 0% volume opacity) for selected structure. A blue

background indicates that a transparency is applied.

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Color Select

Tap downward arrow to choose a color from the drop-down

menu. Tap the color button to highlight selected structure in

chosen color.

Annotations

Tap to enable all annotations for selected structure. A blue

background indicates that annotations are applied.

Origin and Insertion

Tap to display origin and insertion points for a selected bone.

A blue background indicates that origin and insertion points

are turned on. A grayed-out icon indicates no origin/insertion

for a structure.

Tap on any of the painted surfaces to turn on/off the

annotations.

Bony Landmarks

Tap to display bony landmarks for a selected bone. A blue

background indicates that the bony landmark points are turned

on. A grayed-out icon indicates no bony landmarks for a

structure.

Tap on any of the painted surfaces to turn on/off the

annotations.

Blood Flow Tool

Tap to display blood flow for selected vein or artery. A blue

background indicates that the blood flow tool is activated. A

grayed-out icon indicates no bloodflow for a structure.

Curved Dissection

Tap to activate the curved dissection tool, as indicated by a

blue background.

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Step 1: Hold and drag anywhere on the selected structure. A

red line will appear outlining the sculpt area.

Step 2: Tap inside or outside the area to select dissection

boundaries. The cut will be made only on the selected

structure.

Linear Dissection

Tap to activate the linear dissection tool, as indicated by a blue

background.

Step 1: Hold and drag anywhere on the selected structure. A

red line will appear.

Step 2: Tap on either side of the line to select which side will

be dissected. The linear cut will be made only on the selected

structure.

Reset Dissection

Tap to remove any dissections performed on the structure,

returning the structure to its natural state.

Application Properties

Tap the icon to open the Image Control Settings dialog to

adjust the multi-touch and rotation controls, volume rendering

range (DICOM data only), camera projection, UI settings, and

to enable Feature Lock.

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Tap the Layout button to make adjustments to the Layout

Options and to enable Vertical Viewing Mode.

Adjust Layout: Toggle the application icons between the four

quadrants of the Anatomage Table. Icons are rotated to

accommodate users in different areas of the Anatomage Table.

Split Screen: Tapping the split screen icons will snap the

software to the left monitor or to the right monitor.

Enable Vertical: Toggle between Vertical Viewing Mode and

Horizontal Viewing Mode. In Vertical Viewing Mode, icons

are rotated and condensed into categories. Table application

has slightly limited functionality.

WARNING: If Table application detects that some DCM files

are missing, corrupt, or otherwise determined inaccurate, an

error message will appear about possible inaccurate

reconstruction. The user may continue with volume

reconstruction and should exercise caution when reviewing

any data with possible inaccuracies. An inaccurate volume

reconstruction created in Horizontal Viewing Mode will still

contain inaccuracies when viewed in Vertical Viewing Mode.

Volume Rendering Preference (for DICOM Data Only):

Min/Max: Define the minimum and maximum limits of the

scalar values for reconstructing volume from slice image data.

Anatomage recommends -500 to 1500 for CT data and 0 to

3000 for MRI data. Table 9.0 will automatically set this value

upon loading a scan.

WARNING: The values set in this Volume Rendering

Preference field will have a direct effect on how the image

data is reconstructed and displayed within the rendering

window. The rendering range should be adjusted

appropriately depending upon the modality (CT, MR, etc.)

and scanning parameters.

Quality: When icon is selected, quality rendering is on. When

icon is not selected, performance rendering is turned on.

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Apply: Enable any changes made to the rendering range or

rendering performance adjustments.

Adjust Text: Tapping the Adjust Text icon brings up the

Adjust UI Dialog. In the dialog, the user can customize the

behavior of annotations, and size and color of annotations,

measurements, and explorer text with the corresponding pull-

down menus. They can also adjust the structure labeling.

Link 2D and 3D view: Determines whether or not 2D cross-

sectional image will snap to structure chosen using Explorer

Tools (must be in 3D + 2D viewing mode).

Dissection Tool Labels: Determines whether annotations will

appear when removing structures via Dissection Tool.

Lead lines linked to Clipping Plane: The annotations are by

default linked to the clipping plane. If a clipping plane is

applied, any annotations turned on will only have their lead

lines appear if they are mapped to a location within a few mm

of the clipping plane. To turn this option off, tap to uncheck the

white box.

Adjust Colors: The user can apply a flat color to veins (blue),

arteries (red), nerves (yellow), and lymphs (green).

The user can also change the background color of the Volume

Rendering Window to black, white, or gray using the quick

access buttons, or to other colors using the drop down menu.

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Default On: The user can adjust the default settings so that

Live mode and Learning Assistant are turned on or off upon

initial loading of scan.

Structure Pronunciation: The Table will read aloud a

selected structure.

Turn this function on or off by tapping the icon to enable or

disable. Tap the R/L icon to read only the structure name

without identifying which side of the body it is on.

Feature Lock: Lock specific features. The features that are

checked will be unlocked.

Define locked features using Options. Create a password for

managing use of the Feature Lock and enable it using Enable.

Password must be used for disabling Feature Lock as well. In

the event that the password is forgotten, the master password

can be used to disable Feature Lock.

Master password – AnatoTest0

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Language Menu: The user can toggle between languages.

Currently supported languages include Chinese (Simplified),

English, French, German, Italian, Kazakh, Korean, Russian,

Spanish (Spain).

After the language has been changed, the user must adjust the

system locale.

Annotation Controls (for DICOM data and Prosection)

Opens Annotation interface that allows for custom annotations

to be made. These annotations can be added to a group and

new annotations can be put in a specific group.

To place the annotation, tap a location on the scan. Location of

annotations can be edited.

Once the annotations are made, they can be turned on/off by

checking the box or tapping the “A” at the bottom of the menu.

A list of annotations can be exported and imported.

Annotation Regions/Histology Labels (for Prosection and

Histology)

Tap icon to open Annotation Regions in Prosection and

Histology Labels in segmented Histology.

Turn on/off a region or label by checking the box and turn

on/off annotations by tapping the “A”.

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Slider Bar (for Prosection)

Tap and drag the slider bar to adjust the view for prosections

with different states.

View Sequencer

Tap icon to import and playback View Sequences (.vseq files)

created from Invivo6 software. Use this icon to also play the

4D cases in the Case Library.

This icon can also be used to view Curriculum slides in the

Curriculum data sets.

WARNING: View Sequencer behavior is best when using the

same particular image data set that was used when initially

creating the View Sequence in Invivo6.

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NAVIGATION

Navigation is an easy way to open Table content related to a specific subject.

There are ten subjects with content:

• Cardiology

• Sports Medicine

• Interesting Pathology

• Optometry

• Nervous

• Dental

• Oncology

• Surgical Devices

• Developmental anatomy

• Respiratory

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Each thumbnail image is outlined in a different color which represents where the Table scan is located

within the Table:

Color Scan Location Example

Purple Cadavers

Red Functional

Anatomy

Cyan Case Library

Blue Histology

Orange Prosection

Green Curriculum

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CADAVERS

(This section contains images featuring educational content and should not be used as clinical

reference or for diagnostic purposes).

Tap Cadavers on Application toolbar to open the Gross Anatomy and Regional Anatomy menus.

• Dialog lists all available Gross Anatomy and Regional Anatomy scans with resolution, size, and

gender.

• Tap entry name, then tap Open or double tap entry name.

• Tap Close to close dialog.

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IMAGE ADJUSTMENT

Segmented Cadaver Data

Selecting the Volume Visibility Control Icon will open the following dialog.

• Structures are organized into systems and categories.

• Tap Checkbox icon at the bottom of the system list to turn all structures On/Off.

• Tap Checkbox icon next to each entry to turn systems, categories, or individual structures On/Off.

• Tap a system or category to show associated subsystems. Selected entry name will be highlighted blue.

• Tap grayed color wheel icon next to entry names to adjust Opacity, No Clip, and Color settings for

volumes and to toggle Origin/Insertion and Bony Landmarks for bones. If adjusted, gray color wheel

icon becomes colored.

No Clip: If enabled, structures cannot be

sliced through.

Transparent: Auto adjust surface and

volume transparencies (50% surface

opacity, 0% volume opacity)

Opacity: Adjust slider bars to adjust

surface and volume transparencies.

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Flat Color: Choose a color from quick

access or the drop-down color menu. Tap

button to highlight structure in chosen

color.

Origin and Insertion: Toggles On/Off

Origin and Insertion for selected bone

structure.

Bony Landmarks: Toggles on/off bony

landmarks for selected bone structure.

• L and R buttons in lower left-hand corner allow the user to toggle On/Off the left and right structures

for select systems and categories.

• The counter-clockwise, curved arrow color wheel button restores the cadaver to its default view by

removing any Opacity, No Clip, Color settings, Origin/Insertion and Bony Landmarks.

• The A button in the lower right corner expands the Volume Visibility dialog to include Annotations.

When the dialog is expanded: the circled A button toggles On/Off Annotation Visibility, the downward

and upward arrow buttons allows the user to import and export custom annotations, and the counter-

clockwise, curved arrow allows the user to restore to default annotations. See p. 37 for additional

details on Annotations.

• Search bar in lower right corner allows user to search for a particular structure. Tap X to clear all search

terms.

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ANNOTATIONS

Annotations can be activated in the Volume Visibility Dialog. Annotations are linked with clipping

planes. Chosen annotations will be displayed, but lead lines will only appear when associated volume

is close to the clipping plane. If no clipping plane is defined, lead lines will always appear.

• Tap the “A” button at the bottom right of the Volume Visibility Dialog to expand the dialog to

include Annotations. This includes structure annotation, Origins/Insertions, Bony Landmarks.

◦ Tap the arrow icon next to Annotations, Bony Landmarks, or Origins/Insertions to expand

that annotation list.

◦ Tap the circled “A” button at the lower right of the dialog to show/hide all enabled

annotations.

◦ Check the box next to each entry to enable that specific annotation.

◦ In the Annotation list, tap “New Annotation” to create your own annotation. Type out the

desired annotation text and tap anywhere on the volume to select annotation coordinate.

• Tap on the settings tab and tap “Adjust Text” to adjust where annotation texts will appear (Top,

Bottom, Right, Left) and how annotation text will appear (Size, Color).

• Annotations saved with Invivo will appear with Comment and Marker as System and Category,

respectively.

• User can adjust coordinates of annotations by tapping the Ellipsis Button to the right of the

annotation and then “Edit Location”. A dialog will appear prompting “Edit Location” and the

user can tap anywhere on the structure to change its location. When the Annotation (.csv) file

is exported, the new location(s) will be updated.

WARNING: Saving the new coordinates for an annotation will overwrite the associated

information on the currently loaded .csv annotation spreadsheet. A back up annotation

spreadsheet is available on the Table desktop.

Load Default

Annotations

Load in default annotations (.csv file) from the Presets, Annotations folder on

the Table desktop.

Load Annotation File Load in custom annotations (.csv file with character set “UTF-8”, separated

by tab, and set to “quoted field as text”) created using Invivo6 software (or

other software).

Customizing

Annotations (for

DICOM Data)

Annotations can be added to any DICOM scan. There are no default

annotations for these scans, but custom annotations can be made by tapping

on “New Annotations”. Placing these is this same as with Gross Anatomy.

WARNING: Open same data set that was used to create annotation file in order to

preserve correct coordinate system.

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DCM/INV FILES

(This section contains images featuring educational content and should not be used as clinical

reference or for diagnostic purposes).

Selecting the Volume Visibility Control Icon will open the following dialog.

Volume Renderings

(Gray Scale, X-Ray,

Transparent Soft Tissue,

Transparent Hard Tissue,

Transparent Soft + Hard,

etc.)

Collection of different volume rendering presets (filters.) Each can be

adjusted using the Brightness and Contrast slider bars on the main

Table user interface. Users can create their own custom volume

rendering presets using the Invivo6 software. This setting can be

exported as a volume configure file (.vcf). Custom loads in a .vcf file.

WARNING: Ultra High-Quality Rendering (UHQ) requires an NVIDIA graphics

card to function. If Table application detects that some DCM files are missing,

corrupt, or otherwise determined inaccurate, an error message will appear about

possible inaccurate reconstruction. The user may continue with volume

reconstruction and should exercise caution when reviewing any data with possible

inaccuracies.

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CT Settings (Only available in slice mode for DCM image sets)

Tap to show all available radiology presets. Using a second tap, select a particular

radiology preset. The brightness and contrast can be adjusted using the slider bars to

the right.

Available CT presets: Brain, Abdomen, Mediastinum, Bone, Lung, Liver

WARNING: CT presets are dependent upon original scanner/DCM HU

definitions. User is responsible for adjusting rendering range and settings

to ensure all structures are visible in the scan.

WARNING: MRI scans will automatically have their volume rendering

range adjusted for optimal viewing. The user can specify a specific

rendering range by manually entering the minimum and maximum

values in the settings menu.

MODEL SETTINGS

Open an INV file with models created from a

DICOM file in Invivo or MedicalDesignStudio.

Open Visual Property Dialog for currently selected

digital surface model.

Visibility

• Turn On/Off model visibility

• Adjust the Opacity of a particular model

Rendering

• Adjust Mode: Surface, Wireframe, or Points

• Adjust shading: Smooth or Flat

• Turn On/Off Back Face Culling

• Enable No Clipping (clipping planes do not

affect model)

Material

• Adjust surface model appearance by

changing color and light settings

Texture

• Turn On/Off texture applied to model

• Turn On/Off shading applied to model

Tapping OK will close the Visual Property window

and save the changed settings.

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PRESET DIALOG

Select All

Selects all Presets, as indicated by a blue

number to the left of the dialog.

Save Preset

Create an unlimited number of presets: saves

volume orientation, clipping planes, freehand

dissection cuts, model visibility, volume

visibility, annotations, and pins.

Remove Selected

Presets

Delete the currently selected preset(s).

Reorder Presets

When tapping on this icon, each preset will

have this icon preset. Drag this icon for a

select preset to adjust the numbered order of

the presets.

Load in preset file (.vpf).

Export all selected presets as a visibility

preset file (.vpf).

Choose to add a select preset(s) to a custom

folder. You can lock a folder by giving it a pin

number.

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This will show a list of all folders made.

There is a purple “Anatomage Created” folder

within this.

Tapping on this folder will show premade

Anatomage created presets with annotations

and flat colors applied for each system.

Tap on the preset icon then tap on this icon to open the playback

dialog. Use the play button or scroll bar to play through presets.

WARNING: Preset behavior is best when using the same particular image data

set and volume rendering range that was used when initially creating the presets.

Current presets in the menu will be overridden by newly imported presets.

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FUNCTIONAL ANATOMY

(This section contains images featuring educational content and should not be used as clinical

reference or for diagnostic purposes).

Tap Functional Anatomy on Application Toolbar to open the Functional Anatomy Dialog.

• Dialogue lists all available Functional Anatomy scans with type and description.

◦ Dental: Shows dental arch and pano slice view.

◦ Kinesiology: Shows various joint movements.

◦ Pregnancy: Shows a pregnant cadaver with fetus.

◦ Ocular Applications: Shows vision and ocular movements.

◦ Neural Pathways: Shows what nerves innervate specific dermatomes, muscles, and organs.

◦ Cardiology: Shows a beating heart with ECG.

◦ Cardiology (Full Body): Shows a beating heart with ECG in full body cadaver.

◦ Pathways: Outlines a particular physiology pathway. (Available in both male and female).

◦ Catheterization: Steps through the placement of a few heart cauterization procedures.

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• Tap entry name, then tap Open or double tap entry name.

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Femur on Pelvis

From left to right: Abduction/Adduction,

Internal Rotation/External Rotation,

Flexion/Extension

Volume Visibility (in Pregnancy only)

Tap on the pink icon to open Volume Visibility dialog for the

pregnant cadaver. Tap on the blue icon to open Volume Visibility

dialog for the fetus.

Knee

From left to right: Flexion/Extension,

Internal Rotation/External Rotation

Joint Movements (in Kinesiology only)

Tap this icon to open joint movements dialog. Tap

on a joint icon or tap directly on a joint and use

arrows to view movements.

Shoulder

From top left going clockwise:

Abduction/Adduction, Flexion/Extension,

Internal Rotation/External Rotation,

Protraction/Retraction, Elevation/Depression

Pelvis on Femur

From left to right: Abduction/Adduction,

Internal Rotation/External Rotation,

Flexion/Extension

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Pathways (in Pathways only)

Tap on this icon to open the pathways interface. Tap on any of the arrows

or a certain pathway to play through this pathway. Create a new pathway

and customize by tapping on the structures in the pathway and adding

them to a list.

Nerve Flow Visualization (in Neural Pathways only)

Tap this icon to open the nerve flow vizualization tool. Tap on a

dermatome, muscle, or organ to reveal the nerve pathway. Tap on the

highlighted region in the legend to see more details.

ECG (in Cardiology or Catheterization only)

Tap this icon in either of the above scans to open the ECG

interface to adjust the controls and view the beating heart.

Catheter (in Catheterization only)

Tap to choose a procedure and path. Go step by step through the procedure.

ECG (in Pregnancy only)

Tap the pink icon to open ECG interface for the pregnant

cadaver. Tap the blue icon to open the ECG interface for the

fetus.

Vision (in Ocular Applications only)

Tap this icon to open vision dialog. Use slider bars to adjust vision.

View adjustments with eye chart.

Ocular movements (in Ocular Applications only)

Tap this icon to open ocular movements. Use slider bars to adjust

motions.

Anatomage Table EDU 9.0 Application Manual Table of Contents

CASE LIBRARY

(This section contains images featuring educational content and should not be used as clinical

reference or for diagnostic purposes).

The Case Library is a collection of scans showing various clinical case examples. Through the use of contrast

media and other imaging techniques, real patient anatomical features are highlighted. Each scan comes with scan

information, if available.

Select Case Library from Application toolbar to open the Case Library dialog.

• Scans are sorted by the following icons: Head and Neck, Thorax, Abdomen and Pelvis, Upper Limb,

Lower Limb, Full Body, Animal, Archaeology, Embryo, and 4D.

• Tap on a divisional icon to view all associated scans.

• Select scan name to display additional clinical information (Info, History, Findings, Impression, Other)

along with scan resolution and size.

• Tap the MRI or CT icons to see scans organized by tag.

• To search the Case Library, type text into the bottom left search bar, then tap Apply.

• There are also two folder icons for Recently Viewed and Case Folders.

• Case Folders include Recently Added and Favorites.

• To create your own folder, tap the button and enter in the desired Folder name.

• To remove your own folder, tap the button.

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• To add a case to a folder, tap the button and choose the desired folder.

• To remove a case to a folder, tap the button.

• To export a custom folder (.txt file), open the custom folder and tap the button. A dialog will

appear allowing the user to choose the name and location of the .txt file.

• To import a custom folder (.txt file), tap the button under the folder’s category and locate the .txt

file for the desired custom folder.

Comparison Displays three related scans linked in movement, clipping plane,

brightness/contrast, and volume rendering mode for comparison. Note:

Comparison Cases are not compatible with Vertical Viewing Mode.

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4D scans Scans showing movement

To Play 4D scan:

Step 1: Tap the View Sequencer icon .

Step 2: Tap to start/pause movement. Tap to loop playback.

Step 3: Tap to move forward one frame. Tap to move backward one frame.

Step 4: Tap to cut to the last frame. Tap to return to the first frame in the sequence.

Step 5: Tap the red X in the upper right to close dialog.

User can rotate or clip volume while video loop is playing. Video playback will pause when user is

rotating volume. Pause playback when not viewing scan to conserve computer memory.

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HISTOLOGY LIBRARY

(This section contains images featuring educational content and should not be used as clinical

reference or for diagnostic purposes).

The Histology Library is a collection of slides showing various physiological and pathological examples with

the use of various microscopic and staining techniques. Each slide comes with information, if available.

Select Histology from Application toolbar to open the Histology Library dialog.

• Slides are sorted by tissue type (ET, CT, MT, NT) or by organ system (Cardiovascular, Connective

Tissue, Reproductive, etc.).

• Tap on a divisional icon to view all associated slides.

• Tap Interactive to view slides with drawings and annotations.

• Tap on this icon then double tap on up to 4 slides to compare them side by side.

• Select scan name to display additional information, including a larger preview image, and microscopic

technique/stain when available.

• To search the Histology Library, type text into the bottom left search bar.

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CURRICULUM

The Curriculum consists of a set of single scans with pre-made annotations and view sequences,

provided by Anatomage. Scans are sorted by region (Thorax, Upper Limb, etc) and system (Skeletal,

Muscular, etc). The curriculum is intended for teaching purposes.

(This section contains images featuring educational content and should not be used as clinical

reference or for diagnostic purposes).

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PROSECTION

Prosections consists of regional prosected 3D real cadaver images. These images consist of the

external data so they can be rotated to view at different angles. No cuts can be made through these

images. Some prosection images have pathology (diseased liver, partial knee replacement, etc.) and

some are “healthy” prosections (brain, lower limb, etc.)

(This section contains images featuring educational content and should not be used as clinical

reference or for diagnostic purposes).

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ANATOMAGE SHARE

Anatomage Share is a website platform where users can access Anatomage Created materials (like

example activities, tutorial videos, How-to Documents, and more), upload and store their Anatomage

content, and share material with other Anatomage users around the world.

See Table 9.0 “How to Use Anatomage Share” for more information on how to create an account,

navigate the website, and upload or download content.

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OPENING DCM/INV SCANS

Step 1: Select Open File from the Application toolbar.

Step 2: Tap on browse and use the Windows Explorer interface to navigate to directory of INV file or

DCM file series.

INV file Select file and press Open.

DCM series Select a single DCM file and press Open. Software will scan through

folder and check each DCM file's metadata prior to loading all DCM files

in the same series.

Step 3: Table application will automatically construct image volume based on INV or DCM file.

For INV files, any additional content created and saved with the patient data using Invivo6

software (surface models, models, etc.) will be loaded as well.

WARNING: Table application and Invivo6 software will load in DCM files contained within the same

folder and of the same imaging series when reconstructing the volume. It is the responsibility of the

user to confirm that all slice information is available and in the same folder when loading onto

Table6.0 or saving from Invivo6.

WARNING: If Table application detects that some DCM files are missing, corrupt, or otherwise

determined inaccurate, an error message will appear about possible inaccurate reconstruction. The

user may continue with volume reconstruction and should exercise caution when reviewing any data

with possible inaccuracies.

WARNING: When loading additional content created (surface models, comments, etc.), content is

created by another user and is not part of the original patient image data.

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PACS INTEGRATION

The Anatomage Table can import scans directly from PACS server. Tap on “Open File”, tap on

“Import PACS” and then tap on “Configure”. Under Server Setup, type in the PACS server AE Title,

Host Name and Port. Under Client Setup, type in the AE Title and Port.

Tap Test Connection to confirm that the connection is successful.

Please contact Anatomage with any questions regarding this process.

WARNING: Anatomage is not responsible for verifying the accuracy of patient information from

a PACS system. Anatomage also assumes no responsibility in relation to privacy requirements for

viewing and sharing patient scan information.

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TABLE APPLICATION TROUBLESHOOTING

This section discusses common software troubleshooting issues.

For all troubleshooting, be sure to follow the safety guidelines outlined in the Safety Instructions

and Warnings section of the hardware manual.

Issue With Problem Action

Installation

Error Message: Server is not responding

Check Internet connection. If Internet is connected, try

again later.

Error Message: Please run as

administrator to activate software

Run the application as administrator.

Error Message: Invalid Authorization code Check license code and try again.

File Operations

Error Message: Error: Cannot read this file Check if this file is supported by Table 9.0.

Error Message: Failed to read DICOM file! Check if this file is supported by Table 9.0.

Image Rendering

Error Message: Can't detect hardware

acceleration for OpenGL support!

Check if graphics card meets system requirements.

Check if latest driver is installed for graphics card.

Image is distorted Switch to another view and switch back.

Grayscale image shows up for all rendering

presets

Check if graphics card meets system requirements.

Check if latest driver is installed for graphics card.

Warning message: 3D reconstruction may

not work!

Check if the DICOM files are exported correctly.

Slow performance

For Cadavers and Functional Anatomy, keep a

maximum of 2-3 applications open at any given time.

These require the most data and keeping too many open

can cause slow performance or lag. If this is observed,

close one of the applications.

Computer Blue screen

Restart system and see if problem persists.

Note the error code given and learn more at

support.microsoft.com

Contact Anatomage at (408) 885-1474 for additional support.

TS001 Ver A. 4 October 2022 - Page 54 of 54 - UM-TSWEDU-ENG-80A