Manual Del Anatomage Mesa de Diseccion Virtual
Manual Del Anatomage Mesa de Diseccion Virtual
Anatomage, Inc.
303 Almaden Blvd. Suite 700
San Jose, CA – 95110 – USA
408-885-1474
[email protected]
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.
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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.
Copyright
Documentation for Anatomage Table EDU 6.0 and the operating system are copyrighted with all rights reserved. Under the
copyright laws, this documentation may not be reproduced, transmitted, transcribed, or translated into any human or
computer language in whole or part without the prior written permission of the copyright holder.
Note: Table EDU 6.0 is intended for educational purposes only, and is not to be used for clinical or diagnostic
purposes.
Language
The original language of this manual and the Table EDU 6.0 software is English.
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 Body Male (Caucasian): The original slice data is from the Visible Human 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 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)
© 2011 The Board of Trustees of the Leland Stanford Junior University
Table of Contents
System Requirements.................................................................................................................................4
Touchscreen Requirements........................................................................................................................4
Installation Instructions..............................................................................................................................4
Controls......................................................................................................................................................5
Touch Commands................................................................................................................................5
Keyboard-Only Commands.................................................................................................................5
Controlling the Volume Rendering............................................................................................................6
Touch Control......................................................................................................................................6
Keyboard and Mouse Control ...................................................................................................................7
Introduction to the Anatomage Table Application.....................................................................................8
Launching Table EDU 6.0 Application ...............................................................................................8
Application Toolbar.............................................................................................................................8
Opening DCM/INV Scans...................................................................................................................9
User Interface and Layout........................................................................................................................11
Gross Anatomy.........................................................................................................................................29
Image Adjustment....................................................................................................................................31
Female Full Body with Models and DCM/INV Files – Volume Visibility Dialog...........................36
Preset..................................................................................................................................................38
High Resolution Regional Anatomy........................................................................................................39
Library.....................................................................................................................................................40
Curriculum...............................................................................................................................................43
Error: Reference source not found........................................................Error: Reference source not found
Table Application Troubleshooting..........................................................................................................44
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 Intel Core i7 3000 series
(compatible multi-core processor) (comparable multi-core processor)
RAM 8GB 16GB
GPU ATI Radeon HD 6670 or Nvidia GeForce GTX 1070
(Graphics Card) Nvidia GT 640
Hard Disk 500GB 1TB
OS Windows7 64bit Windows7 64bit
Touchscreen Requirements
Summary
Hardware Minimum Requirement
Screen Size (Diagonal) 19 inches
Resolution 1280x720
Touch Points 3 or more
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 (Full Body Male (Caucasian), Full Body Female (Asian),
Full Body Male (Asian), Full Body Female (Caucasian), High Resolution Regional 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 6.0 installer.
Workstation should be connected to a network with internet connectivity.
2. Open Anatomage Table EDU 6.0 Upgrade installer, double click “autorun” and follow on
screen instructions to complete installation.
3. Launch Table application and enter 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 6.0.
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 far left edge of the table screen. The edge of a keyboard will
appear. Touch, hold, and drag keyboard away from edge.
Keyboard-Only Commands
Exiting Full-Screen and Step 1: Press F11 on keyboard or FN + F11 on on-screen keyboard.
viewing application on single Step 2: Press the Windows key and the left/right arrow to snap
display monitor 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.
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 Can adjust clipping plane by scrolling through
Clipping volume rendering in parallel with initial cutting
Plane 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 Can scroll through cross-sectional slices of
slices selected data.
From the desktop, double-tap (double-click) the Table icon to launch the
Anatomage Table application. Users will be shown the Application Toolbar
below.
Open File Opens multi-dicom (DCM) scan files or Invivo (INV) scan files.
Import PACS Opens user interface for establishing PACS connection and downloading files.
Gross Anatomy Opens user interface for selecting full body Gross Anatomy data.
High Res Regional Opens user interface for selecting higher resolution regional scans from male
Anatomy and female real tissue data.
Case Library Opens user interface for selecting educational clinical case data sets.
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.
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.
Step 2: 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 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.
PACS Integration
The Anatomage Table can import scans directly from PACS server. Tap on “Import PACS” and 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.
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.
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.
Icon Description
Application Toolbar
Opens the Application toolbar. (Open File, Import PACS,
Gross Anatomy, High Res Regional Anatomy, Case Library,
Histology, Curriculum, Prosection, Minimize, Exit
Application, and Cancel).
Layout
Tap the Layout icon to display all Layout options. 3D Layout
is selected by default.
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.
3D-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.
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.
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.
Screen Capture
Tap the camera icon to save a screen shot (.jpg, .png, or .bmp)
of the application using three different options.
Volume Orientation
Tap to select a particular orientation. From top left going
clockwise: Coronal View, Sagittal View, Axial View.
Pin Tool
Used for placing 3D pin models in volume viewing.
Measurement Tool
Tap the icon to show the associated measurement icons.
Delete Measurement
Step 1: Select measurement. Specified measurement will turn
red and become bold.
Step 2: Select icon to remove specified measurement.
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.
Restore Tool
Selecting this icon will restore the volume to its original state,
removing all operations.
Note: The undo and redo icons do not work for the Freehand
Dissection Tool.
Quiz Mode
Select the quiz name (Custom Quiz, Ready Made, History)
from the first dropdown menu to select which structures will
make up the quiz.
Tap the Go button when the user is ready to begin the quiz.
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.
To use the tool in the Female Full Body with Models and user
created INV files with models:
Step 1: Tap the icon to enable the tool (icon will brighten).
Step 2: Tap anywhere on the volume. The model closest to
the touch will be annotated.
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.
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 same structure again to remove all
transparent structures. Tap a third time to add 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. 26).
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. 31 for more information on using the Volume
Visibility dialog.
Annotations
Tap “A” icon next to any entry to turn on all annotations under
that entry.
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 auto adjust surface and volume transparencies (50%
surface opacity, 0% volume opacity) for selected structure. A
blue background indicates that a transparency is applied.
Color Select
Tap downward arrow to choose a color from the drop down
color 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.
Curved Dissection
Tap to activate the curved dissection tool, as indicated by a
blue background.
Reset Dissection
Tap to remove any dissections performed on the structure,
returning the structure to its natural state.
Pen Tool
Tap to open the Pen Tool Dialog. Using second tap, select a
particular Pen Tool.
The Pen Tool will save the latest setting used for each preset.
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.
After the language has been changed, the user must adjust the
system locale.
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.
Gross Anatomy
(This section contains images featuring educational content and should not be used as clinical
reference or for diagnostic purposes).
Tap Gross Anatomy on Application toolbar to open the Full Body Anatomy menu.
Image Adjustment
Segmented Cadaver Data
Selecting the Volume Visibility Control Icon will open the following dialog.
• 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
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.
◦ Tap the circled “A” button at the lower right of the dialog to show/hide all enabled
annotations.
◦ Tap the “A” icon next to each entry to enable all annotations under that entry.
◦ 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 Load in default annotations (.csv file) from the Presets, Annotations folder on
Annotations 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 can be added, removed, or edited by opening the annotation file
Annotations (for linked to the desired data set (.csv file with character set “UTF-8”, separated
DICOM Data) by tab and set to “quoted field as text”) in OpenOffice. Separate annotation
files can be found for the Male Full Body (Caucasian) scan, Female Full
Body Scan, Male Full Body (Asian) scan, Female Full Body with models
scan, as well as each of the High Res Regional scans. For more instruction
on customizing annotations, consult the “How to Make and Import Custom
Annotations 6.0” PDF file.
WARNING: Open same data set that was used to create annotation file in order to
preserve correct coordinate system.
(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.
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
Preset Dialog
Save Preset Create an unlimited number of presets: saves
volume orientation, clipping planes, freehand
dissection cuts, model visibility, volume
visibility, annotations, and pins.
Select All Selects all Presets, as indicated by a blue
number to the left of the dialog.
Remove Selected Delete the currently selected preset(s).
Presets
Import VPF Load in preset file (.vpf).
Export VPF Export all selected presets as a visibility
preset file (.vpf).
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.
Tap High Res Regional Anatomy on Application Toolbar to open the Regional Dialog.
• Dialog lists all available regional scans with Region, Resolution, Size, and Gender of original
scan.
• Tap entry name, then tap Open or double tap entry name.
• Tap Close to close dialog.
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 region (Head & Neck, Thorax, etc.) and type (4D, Comparison, etc.)
• 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 MRI, Fracture, Cancer, or Pediatrics to see scans organized by tag.
• To search the Case Library, type text into the bottom left search bar, then tap Apply.
• Tap on the icon to access Folders category. Anatomage preinstalls three default folders
including Recently Opened, Anatomage Favorites, and Recently Added.
• To create your own folder, tap the button and enter in the desired Folder name.
• To add a case to a folder, tap the button and choose the desired folder.
• 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.
• Recently opened scans are saved under the Recently Opened 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.
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.
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 region (Cardiovascular, Connective Tissue, Reproductive, etc.) and type
(Pediatric).
• Tap on a divisional icon to view all associated slides.
• 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.
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).
For all troubleshooting, be sure to follow the safety guidelines outlined in the Safety Instructions
and Warnings section of the hardware manual.