Assess and detect dental pathology in x-rays via the Second Opinion interface.

Integrated within MediaWeb PACS, users can automatically send radiographs and receive detections within MediaWeb PACS and view detections in a special viewer..

Note: Second Opinion for MediaWeb PACS is currently in limited release mode. Official general release coming soon

Overview

1. Launch MediaWeb PACS from Dental4Web
   
   

   Click here for instructions
   
2. Within MediaWeb PACS, there are 2 options:
   
1. Select AI TOOLS > Second Opinion from the IMAGES page
   
2. Once an user has selected an individual Xray
   Select  AI Tools > Second Opinion
   
   
3. This opens a new browser tab “Second Opinion Viewer”…
4. The MediaWeb PACS interface area is found on the left (outlined in green); the remainder is the Pearl viewer
   
   
5. Click Greyscale to view x-rays
6. Click RGB to view any colour image (e.g. a colour note or annotation
   
   
7. The year in view shows the number of processes/failed/in progress/total images
8. The Checkbox can be ticked to indicate all images to be sent to AI
   
   
9. View the same information as the year option above, for a study
   
   
10. The green outer frame indicates that the AI results have been delivered
11. The yellow internal frame indicates the currently active/open image
    
    
    
12. The   icon is visible once image has been sent and displays status information for the image from Second Opinion
    
    
    

Ruler

1. Click Ruler icon to activate
2. Click starting point on the image and move the curser to desired measurement area
3. Click again to end the measurement
4. Click Ruler icon again to remove measurement and deactivate the tool
   
   

Edit 

1. Click Edit icon   to activate
2. Move curser over unwanted detections
3. Click red x to remove detection
   
   
4. Click Edit icon again to exit
5. To add detection back, click Edit icon and click green tick
   
   

Measurements 

1. Bone level Measurements are enabled by default
2. Toggle on / off for individual images by clicking the Measurements
    icon 
   
   
   
   
   

   Hide the AI detection on the MediaWeb PACS Viewer page. Click here to see how.

Tooth Parts 

1. Click Tooth Parts icon  to display Tooth Parts filter to image
2. Click icon again to turn off
    

Save

Please note: 

1. If the image in MWP is not calibrated the measurements in the viewer will be shown in pixels rather than millimeters. 

2. The maximum number of measurements are saved which matches the numbers in the Pearl viewer in case the detections are set to low.
   

Other Image Adjustment Tools

 Click Reset View icon to Return image to the original orientation

 Hover over Brightness icon to access the adjustment slider

 Hover over Contrast icon to access the adjustment slider

 Hover over Zoom icon to access zoom controls

 Toggle image inversion with a single click of the Invert icon

 Adjust image clarity (sharpness) via slider by clicking the Pearl Enhanced View icon.

 Click the Rotate icon for 90° clockwise rotation per click

 Horizontal flip with a single click of the Flip icon 

Status Indicators

1. Tick box to select an image or images
   
2. Currently selected (active) image thumbnailed is in a  blue frame
   
   
3. Click Send to send images to the Second Opinion AI server for analysis
   
   
4. Sent images in progress have a yellow border and In Progress button displayed
   
   
5. The green outer frame indicates that the AI results have been delivered
6. The pathology indicator labels thumbnails as small colour circles
   
7. Click Resend In the case something is wrong in the detections, the image can be resent
   
   
   

   See AI Viewer Panel for pathology indicator colour name
   
   
8. The  icon is visible once image has been sent and displays status information for the image from Second Opinion
   
   
9. If an Image analysis has failed it will have a red border
   
   
10. By clicking on the  icon, the reason the image was failed will be displayed.
    
11. In this example, the Image is older than the allowed range in AI
    

Detections

Confidence Slider

1. Click desired confidence levels to be displayed
2. Numbers indicate how many detections are found under each confidence level
   
1. Human: Only human verified detections
   
2. High: High confidence and human verified detections
   
3. Medium: High, medium and human verified detections
   
4. Low: All confidence levels including human verified detections
   
   

AI Viewer Panel

Pathology Controls

1. Untick Pathology to hide all pathology from view
2. Untick a pathology type to hide from view e.g. Calculus
1. Coloured circles indicate pathology type
2. Numbers indicate count per pathology
   
   

Non-Pathology Controls

1. Untick Non-Pathology to hide all Non-Pathology from view
2. Untick Non-Pathology type to hide from view e.g. Filling
1. Grey circles indicate the occurrence count