Netter’s 3D Interactive Anatomy Professional Edition Online powered by Learning Anatomy in a Whole New Dimension User Reference Manual Netter’s 3D Interactive Anatomy:Professional Edition Online – version 1.0.01 Copyright © Elsevier, Inc., 2010. All rights reserved. Read our Terms and Conditions of Use and our Privacy Policy at the end of this manual. Information in this document is subject to change without notice and does not represent a commitment on the part of Cyber-Anatomy, Inc. or Elsevier, Inc. The software system described in this document is furnished under the Software License Agreementas accepted by the user. Software may be used only in accordance with the terms of the License. See Software License Agreement and Registered User Agreement at the end of this manual. 1 Table of Contents Table of Contents............................................................................................................ 2 1 Getting Started ......................................................................................................... 4 1.1 Before We Begin............................................................................................... 4 1.1.1 The 3D Via Web Player ............................................................................. 4 1.2 Supported Software and Systems..................................................................... 7 1.2.1 Windows .................................................................................................... 7 1.2.2 MAC........................................................................................................... 7 1.3 Using the Software For The First Time ............................................................. 7 1.4 The Mentor Window.......................................................................................... 7 1.5 Text Hovering Over Buttons.............................................................................. 8 1.6 Moving Menus and Tool Palettes...................................................................... 9 2 A Simple Example.................................................................................................. 10 3 User Interface......................................................................................................... 17 3.1 Overview......................................................................................................... 17 3.2 Anatomy Builder Window................................................................................ 17 3.2.1 Manipulating the Anatomy Builder Window.............................................. 17 3.2.2 Systemic, Regional, Group approaches................................................... 20 3.2.3 Male and Female Models......................................................................... 21 3.3 Navigate Tool Palette...................................................................................... 22 3.3.1 Navigate Overview................................................................................... 22 3.3.2 Orbit ......................................................................................................... 22 3.3.3 Zoom........................................................................................................ 23 3.3.4 Pan .......................................................................................................... 24 3.3.5 Reset View............................................................................................... 25 3.3.6 Walk......................................................................................................... 26 3.4 Dissect Tool Palette ........................................................................................ 27 3.4.1 Dissect Overview ..................................................................................... 27 3.4.2 Peel.......................................................................................................... 28 3.4.3 Stick ......................................................................................................... 29 3.4.4 Hide ......................................................................................................... 30 3.4.5 Unhide ..................................................................................................... 31 3.4.6 Explode.................................................................................................... 32 3.4.7 Implode .................................................................................................... 33 3.4.8 Transparent-Opaque Toggle.................................................................... 34 3.4.9 Select....................................................................................................... 35 3.5 Label Tool Palette ........................................................................................... 36 3.5.1 Label Overview ........................................................................................ 36 3.5.2 Mark......................................................................................................... 37 3.5.3 Delete Mark ............................................................................................. 38 2 3.5.4 Label........................................................................................................ 39 3.5.5 Pins.......................................................................................................... 40 3.6 Labeling Example ........................................................................................... 41 4 Netter Plates .......................................................................................................... 45 4.1 Launching the Netter Plates window............................................................... 45 4.2 Selecting the Netter Plates.............................................................................. 45 4.3 Viewing a Netter Plate in the Simulation Window ........................................... 46 4.4 Transparency and Hiding Occluded Objects................................................... 48 4.4.1 Transparency........................................................................................... 48 4.4.2 Hiding Occluded Objects ......................................................................... 49 4.5 Netter Plate Labeling and Searching .............................................................. 51 5 Imaging Scans ....................................................................................................... 54 6 Search.................................................................................................................... 56 6.1.1 The Search Menu .................................................................................... 56 6.1.2 Transparency........................................................................................... 57 6.1.3 Building Anatomy Using Search .............................................................. 58 7 Explore Exercises .................................................................................................. 59 8 Quizzing ................................................................................................................. 60 9 Control Shortcut Quick Reference.......................................................................... 62 10 Help .................................................................................................................... 64 10.1 Website Support ............................................................................................. 64 11 Appendix: Conventions....................................................................................... 64 11.1 Mouse Control Conventions............................................................................ 64 11.2 Tool Palette Conventions................................................................................ 65 11.3 Documentation Conventions........................................................................... 66 11.4 Active Selection Convention ........................................................................... 67 12 Frequently Asked Questions (FAQ).................................................................... 69 12.1 General Questions .......................................................................................... 69 12.2 Download Questions....................................................................................... 70 12.3 Navigation Questions..................................................................................... 70 12.4 Dissect Questions ........................................................................................... 71 12.5 Label Questions .............................................................................................. 71 12.6 Anatomy Builder Questions............................................................................. 72 12.7 Imaging Questions .......................................................................................... 72 12.8 Mentor Questions............................................................................................ 73 12.9 Search Questions ........................................................................................... 73 12.10 Netter Plate Questions ................................................................................ 73 13 Software License Agreement.............................................................................. 74 14 Registered User Agreement ............................................................................... 76 15 Terms and Conditions ........................................................................................ 78 16 Privacy Policy ..................................................................................................... 83 3 1 Getting Started 1.1 Before We Begin 1.1.1 The 3DVIA Web Player Upon accessing the software for the first time, a 3D viewer must be downloaded and installed. This viewer will facilitate the visualization of 3D models on both PC and MAC. Note that these steps will occur only once and that you may need administrative access to your computer to complete the installation. Important: You may need administrative access to your computer the first time that you access the software. Here is the experience you may see when installing 3DVIA using Internet Explorer and Windows. When you first launch Netter’s 3D Interactive Anatomy, the following message may appear depending on whether you have blocked pop-ups from your browser. In order to allow for the 3D Via player, use the Right Mouse Click on the message and allow the installation of the ActiveX Control module. The following message will prompt you to install the Player 4 3. Click on <Install> The 3D Via Player will be downloaded and the following message will appear. Note: Please do not use your computer during this installation as in some cases, the installation process may become un-responding. 5 4.Upon completing the 3D Via player installation, the system will continue to download the InteractElsevier file and the following screen will be visible. 6 5. If Player does not properly install, please visit the 3Dvia website for troubleshooting http://www.3dvia.com/software/3dvia-player/troubleshooting/ 6. Subsequent sessions will require, in some cases, the update of the interface elements and/or the 3D Via player. A screen showing download progress will appear as shown in step (4) above. 1.2 Supported Software and Systems 1.2.1 Windows • Microsoft Windows (2000, XP, Vista ) • Pentium III or equivalent • 1 GB of RAM • Internet Explorer (6.0+), Firefox (2.0+), Netscape (6.1+) • Direct3D or OpenGL compatible 3D accelerator graphics card with at least 32 MB of RAM DirectX 9.0C 1.2.2 MAC • PowerPC G5 or Core 2 Duo • 1GB of RAM • Mac OS 10.3.9 (Panther) and above. 10.3.0 Users can update to 10.3.9 for free 1.3 Using the Software For The First Time After 3DVia is installed, the software will open and offer you a choice: Novice User or Expert User. If the software does not automatically open, return to www.netter.interactelsevier.com where you will be presented with an option to Launch, log-in, or set-up a personal account. Those with IP access through their institutions will automatically be recognized and able to Launch without a personal log-in. For first-time users, the Novice setting is recommended. For the Novice, the Mentor window is automatically open to show you the major functions of any button selected. 1.4 The Mentor Window The Mentor consists of a window that appears inside the application that provides an image or short video, instructions, and definitions of each tool in the system. The mentor can be used anytime to obtain help in better understanding tool functionalities. 7 Operation: Activate the Mentor Window by selecting the Mentor button The button will appear as highlighted by red Once the Mentor window is open, a button can be selected and the window will illustrate the button’s functionality. Use the scroll bar in the Mentor window to read more text about shortcuts, hints, and comments about using the button. 1.5 Text Hovering Over Buttons Immediate identification of functionality can be obtained by hovering over the button in question. A text box will appear providing brief information regarding tool functionality. In some cases where multiple functionalities exist, they will be separated by commas. For example, hovering over will show Delete Mark [D], Alt: Delete All Marks The hover text in this example means that a click of the button will then allow you to click on a Mark to delete it. The [D] refers to a keyboard shortcut for activating this button. “Alt: Delete All Marks” means that holding down the Alt keyboard button (on a 8 PC) while clicking will delete all visible Marks. Please note that on a Mac, the Command key functions like Alt. 1.6 Moving Menus and Tool Palettes The menus and tool palettes are flexible objects that can be manipulated, positioned elsewhere, and called when needed. For example, click and expand the lower right corner of the Anatomy Builder window to expand revealing the entire selector buttons for the body. Once expanded, click on the upper bar and drag the menu to your preferred location. Similarly, the Navigate Tool Palette can be moved to a preferred location. Double click the upper bar to dock the Palette to its original location. 9 2 A Simple Example This example will demonstrate some of the inherent capabilities of the software. We begin with the objective of building and visualizing the left upper limb muscles, identifying the muscles, peeling a muscle, and marking labels. (1) Building the left upper limb muscles. Click on the Left Upper Limb dot in the Anatomy Builder window Select the Skeleton and Muscle systems -> buttons will turn green and anatomy will be visible in the simulation window 10 (2) Navigating the models in 3D Select the Orbit tool from the Navigate Tool Palette -> Button will turn active red Left click on the mouse and drag (move left, right, up, or down) to rotate the models -> models will rotate in real-time 11 Select the Zoom tool from the Navigate Tool Palette. Click and drag the mouse pointer on models and drag the mouse toward you -> Models will magnify. Going the other direction will zoom out. 12 (3) Use the Peel tool to peel muscles Select the Peel tool from the Dissect Tool Palette Click and hold on the Deltoid muscle and peel away from the body -> muscle will move away from the body 13 (4) Label and Mark the muscles Select the Label tool from the Label Tool Palette. Move your mouse over the model. As you hover over a structure, the structures name will appear as hover text. Select the Mark tool from the Label Tool Palette. Click and drag on the Deltoid muscle -> The name of the muscle will appear connected to a leader pointing to the muscle. Select the Pin tool from the Label Tool Palette Click on the Deltoid muscle -> Several blue pins will appear on the muscle Select the Mark tool from the Label Tool Palette -> Click on each blue pin and drag the mouse -> A leader showing the name of the landmark will appear. 14 Click on Orbit Click and drag the mouse on the model -> models will orbit about the new point of rotation on the hand 15 16 3 User Interface The application interface consists of Tool Palettes and Windows. 3.1 Overview This diagram illustrates the major areas of the interface. 3.2 Anatomy Builder Window The Anatomy Builder window provides the user with the ability to load anatomical structures and build the virtual body in the Simulation Window. This window is versatile in functionality and readily provides both systemic and regional approaches to loading the anatomy. 3.2.1 Manipulating the Anatomy Builder Window a. Resizing: Click and drag the corner of the Anatomy Builder to expand the window gradually, leading to an expanded view with anatomy selector radio buttons. 17 Moving: By clicking on the Anatomy Builder upper bar and dragging, the window position can be changed. 18 Docking: By double clicking on the Anatomy Builder bar, the window will dock to its default position and default size. NOTE: Alt + click (Command on Mac) on the bar also docks and expands the window. Panning the menu: Clicking and dragging inside the menu (when in small size) will pan the selections among the various regions. Quick Selections: The Anatomy Builder window can also directly expand itself to the appropriate region. For example, clicking on the Back and Spine (purple circle) will immediately expand to the system selection for that region. 19 Hint: Double clicking on the Anatomy Builder Window bar (Command + click on Mac) will launch the large view of the window. Double clicking again will dock the window in its home position. Building the anatomy: Once a selection menu has appeared in the Anatomy Builder window, a user can select the appropriate anatomical system for visualization and interactivity in the Simulation window. Clicking on any radio selector button will immediately download the corresponding anatomy. 3.2.2 Systemic, Regional, Group approaches The Anatomy Builder window provides for both systemic and regional approaches to building the anatomy in the Simulation window. Systemic: Selecting the skeleton button in each region will build the entire skeleton system Regional: Selecting the set of buttons for an entire region will build that region 20 Group: Sliding button at bottom of Anatomy Builder window from Region to Group allows you the option to load preselected major organs and joints individually. 3.2.3 Male and Female Models Sliding button at top of Anatomy Builder window from Male to Female will allow you to load structures for each of the different models. Note that the Male and Female models cannot be viewed simultaneously. 21 3.3 Navigate Tool Palette 3.3.1 Navigate Overview The Navigate Tool Palette provides a number of methods to rotate, pan, zoom and examine the model. Orbit Zoom Pan Reset view Walk Use this tool to rotate the model. Use this tool to change the magnification of the model Use this tool to move the model to a different part of the screen. Use this tool to reset the position of the model on the screen in its “home” position, and to clear the screen completely. Use this tool to move your camera through the scene The following text is also available through the Mentor window pop-up within the software: 3.3.2 Orbit 22 3.3.3 Zoom 23 3.3.4 Pan 24 3.3.5 Reset View 25 3.3.6 Walk 26 3.4 Dissect Tool Palette 3.4.1 Dissect Overview The Dissect Tool Palette provides tools to manipulate the anatomical models. It allows the user to explore the anatomy at various levels, by system or region, to peel, hide, and make structures transparent, to stick in position and unhide hidden objects and to explode regions. 27 Peel Use this tool to move individual structures (or pieces of structures) away from their current positions. Stick Use this tool to move a structure (or piece of a structure) back into its original position after it has been Peeled or Exploded. Hide Unhide Use this tool to remove a structure from view Use this tool to bring hidden structures back into view. Explode Use this tool to burst a group of structures away from the midpoint of their location. Implode Use this tool to bring all moved structures (exploded or peeled) back to their original positions. Use this tool to toggle an object’s appearance between see-through Transparent- and solid. Opaque toggle Select Use this tool to select several structures (or pieces of structures) upon which to perform another Dissect action, such as Peel, Explode, or Transparent. The following text is also available through the Mentor window pop-up within the software: 3.4.2 Peel 28 P 3.4.3 Stick 29 3.4.4 Hide 30 3.4.5 Unhide 31 3.4.6 Explode 32 3.4.7 Implode 33 3.4.8 Transparent-Opaque Toggle 34 3.4.9 Select 35 3.5 Label Tool Palette 3.5.1 Label Overview 36 The Label Tool Palette provides various ways of showing and marking structure and landmark names. Mark Delete Mark Label Use this tool to create a label with a leader line in 3D space that will remain visible until it is either deleted or the parent object is hidden. Use this tool to delete existing marks. Use this tool to turn on scroll-over hover text that appears as you move your mouse over structures and pins. The following text is also available in the Mentor window within the software. 3.5.2 Mark 37 3.5.3 Delete Mark 38 3.5.4 Label 39 L 3.5.5 Pins 40 3.6 Labeling Example Here is an example using the two main methods for labeling: 1) Use the Anatomy Builder to load the skeleton of the right Upper Limb and zoom into the scapula . 2) Click on the Label tool from the Label menu. Hold your mouse over the scapula to see the label hover text appear. 3) Click on the Pin tool to select, and hover over the bone. You will note that the system will show the number of anatomical landmarks associated with that bone (a total of 19 pins). 41 2) Using the Pin tool , click on the scapula. All 19 pins will be automatically loaded and positioned to indicate the landmark. 42 3) Select the Mark tool . Use the Mark tool to click on a pin and drag the mouse to an appropriate location where the name of that landmark will be shown. Note that a 43 leader from the pin to the text has been drawn. 44 4 Netter Plates 4.1 Launching the Netter Plates window The 3D models have all been texture-mapped with digitial scans of the actual Netter paintings. However, there are a number of views and schema in the Netter Atlas of Human Anatomy that are more clearly conveyed in their original 2D form. A selection of over 100 of these can be called-up and overlaid in the 3D model to show their relative anatomic location. Select the Frank Netter button to launch the Netter Plates window. 4.2 Selecting the Netter Plates Once launched, the Netter Plates window provides several options. Open a plate into the 3D model: Click on a Netter Plate to download the plate and show its anatomic position relative to the 3D model. Search: Typing a word in the Netter Plates window search box will search for all related words and will yield a list of associated plates than contain the relevant anatomy. Moving and resizing the window: Click and drag on the Netter Plates window upper bar to move the window. Click and drag the lower right corner to resize Viewing plates by Netter Atlas Sections: Default listing of Netter plates is a set of about 150 Plates. Click on the numbered buttons to filter the selection according to the Netter Atlas regional sections. Transparency: Click the Transparency button to make the anatomy in the Simulation window transparent except for the Netter plate. Hide occluding objects: Click on Hide occluding objects to show the Netter plates without any anatomy structures that may be in between the plate and the viewer. 45 Scaling the Netter Plates in the window: Drag the slider to scale the size of the plates. 4.3 Viewing a Netter Plate in the Simulation Window Selecting a Netter plate will immediately download and position the plate in the appropriate position corresponding to any 3D anatomy that has been loaded in the Simulation window. 46 Note that once positioned in place, the Netter plate will become an object in the 3D Simulation window. The Navigation menu tools can be used to navigate through the 3D space. Similarly, the Dissect menu tools will work on all anatomy objects. Note, however, that the Dissect anatomy tools will not work on the Netter plate. Hint: A good exercise is to place the Netter Plate of internal anatomy structures in the scene and use the Dissect Tool Palette to arrive at the same view. 47 4.4 Transparency and Hiding Occluded Objects Because Netter plates are positioned to correspond with the anatomy, they will sometimes be positioned inside the body and hidden by the loaded 3D model structures. As a result, they will not be seen by the user. In these cases, there are two options to allow the Netter plate to become more clearly viewed. 4.4.1 Transparency Use transparency to render all but the Netter plate transparent. 48 4.4.2 Hiding Occluded Objects The Hide Occluded Objects toggle button located on the lower bar of the Netter window will remove any occlusions between the viewer and the Netter Plate. For example, consider placing the Netter plate of the eye shown in the figure below. The plate will be positioned inside the skull, invisible to the user. 49 Upon clicking the Hide Occluded Objects on, any anatomical objects between the Netter plate and the user are hidden. The button can be toggled several times to hide or unhide the objects. 50 4.5 Netter Plate Labeling and Searching Netter plates have been labeled just as they are in the printed Atlas. All Label Tool Palette tools can be used on the plates. For example, we use the Pin tool on the Netter Plate shown below. Hint: Label menu tools will work on the Netter plates and Search will include the Netter labels in its results. We use the Mark tool to identify some of the anatomical landmarks, muscles, and nerves in the Netter Plate. 51 General searching of anatomical landmarks and objects will also search for Netter Plate labels. Search results will include any labels (pins) that are associated with Netter Plates and will show up in the results as Netter Plate. Hint: Netter pins and labels can be included in the general Search text box 52 To close the Netter Plate palette, select the Frank Netter button again or use the X in the upper right corner of the palette. To clear any plates that have been uploaded, hold down the Alt key and select the Frank Netter button. 53 5 Imaging Scans Several CT and MR imaging sequences have been included in the software. Scans are positioned in the approximate anatomic location and correlated to the 3D anatomical structures. To launch the Imaging Window, select the imaging button . The following window will appear and a set of green transparent planes will appear at specific locations on the body. These green planes represent sets of scans of that particular region. Select one of the green planes by clicking the mouse on the plane. 54 The Imaging Window provides the ability to browse through scans in multiple ways: - Scroll the middle mouse wheel (while the mouse cursor is on the image) - Slide the slider bar at the bottom of the Imaging Window - Click on arrows located at the bottom of the Imaging Window 55 6 Search Searching provides an effective and powerful method for learning and for building anatomy in the Simulation Window. Searching in this context refers to finding structures that are labeled within the 3D anatomy models. A search will render a list of both anatomy structures and pinned landmarks (on the 3D model and those on the Netter plate labels). Nomenclature used in this software is based on the international standard, Anatomica Terminologia (TA). TA contains terminology for about 7500 human gross (macroscopic) anatomical structures. The terminology and classification database part of this the software is based on the FMA developed at the University of Washington by the FMATM Research Project and is provided under license from the University of Washington. 6.1.1 The Search Menu The search bar is located in the upper right corner of the screen. The Search box enables a user to type in any word or set of words. Note that the (x) at the end of the search box will clear the box of any text. The Show search history button will provide a list of searches that were conducted. The Search for related anatomy enables the user to select (click) an object in the 3D world and search for related objects. A typical search result will yield 4 types of entries: a. A structure (e.g., Left femur) b. A pin (representing a landmark or a region, e.g., Head of femur) 56 c. A Netter plate (e.g., Plate 509) d. A pin on a plate (e.g., Medial condyle of femur) 6.1.2 Transparency While in many cases a landmark that is found may be invisible to the user, The Search window provides a method for turning all anatomy objects to transparent except for the object that was found. A yellow pin will be shown on the object at the correct anatomical location. The Transparency toggle can be turned on or off at any time. 57 6.1.3 Building Anatomy Using Search Once search results are displayed, a user can click on any object or pin to automatically make visible the corresponding object in the Simulation window. For example, clicking on the Left femur will show the femur in the Simulation window. 58 7 Explore Exercises Over 30 concise guides have been written to provide objectives and key points lists as you explore various regions. Click to launch the Explore Exercises. The Explore Exercises are a guide for self exploration. Not everything in the exercise text has been modeled in 3D or labeled, however, the text outlines concepts that can enhance an understanding and appreciation of both anatomic and clinical relevance. Occassional Video Tips throughout the exercises suggest ways to use the various software functions to help visualize the concepts covered. 59 8 Quizzing A quizzing module is available as a means to self-test. Anatomy must first be loaded in the Simulation window. 60 The interface will prompt the user for an object to be selected. This object launches options for quizzes of related anatomy. For the purpose of demonstrating the Quizzing module, we select the Deltoid by clicking on it in the Simulation window. Once a user selects an item from the quiz list, the simulation will first gather all concepts related to this object and related region, then will load detailed models associated with this region. For example, we will select the Left pectoral girdle to generate a number of quiz options. Once selected, the system will show as visible an anatomical object in the Left pectoral girdle (as shown in the figure below) and will make all other objects transparent. 61 If the correct answer is selected from the multiple choice list, the program continues to a second question by loading another object and making the rest of the surrounding objects transparent. If the incorrect answer is selected, the list item will turn red and will await an answer. Clicking on the arrow at the bottom of the interface will skip the question. 9 Control Shortcut Quick Reference An “Expert mode” is available to users who prefer using keyboard and mouse shortcuts (shortcut keys, hotkeys). To invoke Expert Mode, press the SPACEBAR. To deactivate Expert Mode, press SPACEBAR again. Action Orbit Pan Dolly in and out Target view Keyboard Shortcut Left click-drag (all tools must be deactivated) Middle mouse click and drag (all tools must be deactivated); or Press “X” and mouse click Mouse wheel/roll (all tools must be deactivated) Shift and Click 62 Reset view Walk Mark Label Delete mark Pins Peel Stick Unhide Hide Explode Implode Transparent Home Press “W” and mouse click Press “M” and mouse click Press “L” and mouse click Press “D” or right mouse click to delete all Press “Y” Press “P” and mouse click Press “S” and mouse click Press “U”; or Right mouse button to Unhide all Press “H” and mouse click Press “E” and mouse click Press “I” Click “T” and mouse click 63 10 Help 10.1 Website Support A copy of this full reference manual for Netter’s 3D Interactive Anatomy: Professional Edition Online, powered by Cyber-Anatomy, as well as other reference manuals for products in the Interact Elsevier series are available in printable pdf as well as html at www.InteractElsevier.com/help CONTACT US Online Support Customer Service Center Elsevier 3251 Riverport Lane Maryland Heights, MO 63043 USA Tel: 800-401-9962 (inside the US) +1-314-995-3200 (outside the US) Monday - Friday, 7:30 am - 7:00 pm CST Fax: +1-314-997-5080 Email: interactelsevier.help@elsevier.com 11 Appendix: Conventions 11.1 Mouse Control Conventions The mouse is an intuitive way of interacting with the application. The buttons can be used singularly, in conjunction with each other, and in conjunction with other keys on your keyboard to perform a variety of functions via shortcuts. Typical mouse operations used in this software system are: - Click left mouse button: Referred to simply as the 'mouse’, 'left-click', or ‘click’. It is used for a number of selection functions including selecting objects, menu commands, buttons, sliders, and check boxes. 64 - Click and hold left mouse button: Referred to simply as “click and hold” or “long click.” It is used with some selection buttons to invoke additional menus. - Double click left mouse button: Referred to simply as “double click.” - Middle/wheel button (scroll): Pressing and holding the middle or wheel button is used to perform certain zoom functions. Scrolling the middle mouse button is used for zooming and for scrolling some of the detailed menus. 11.2 Tool Palette Conventions The Tool Palettes are the main means of interacting with the application. Each palette contains buttons used to perform various functions that relate to the application. Floating the mouse over a button will explain the function of this button. In some cases, the button may have two functions. For example, the Reset button function will reset the view such that the model is re-centered on the screen. Double Click of the button will reset the scene so that all anatomy is in proper relative position. Manipulating the palettes is also possible in Cyber-Anatomy. To move the palette: Click and drag the right side bar to re-position the palette To dock the palette: Double click the right side bar to move the palette to its original location. Hint: Hovering your mouse over a button will display a tool tip showing its function. Some buttons may have more than one function. 65 Keyboard shortcuts: Shortcuts are typically used by an expert user to expedite interactivity with the Cyber-Anatomy system. See Control Shortcut Quick Reference for shortcuts. 11.3 Documentation Conventions Certain conventions are used within this document: Commands, tools, and selections are displayed in bold typeface. For example, click OK. Menu and submenu commands are separated by the greater-than (>) sign. For example, Click Start>Program Files. Specific keystrokes are represented in capitals. For example, DELETE. Instructions are displayed as numbered steps. Related section headings are displayed in italic typeface if the section is within the current Help topic. Related section headings are linked (underlined), to the appropriate section if it is located in another Help topic. Where the word 'the application' is mentioned, the content relates to the CyberAnatomy software system. Where the word 'image' is mentioned, the content relates specifically to a 2D representation. Where the word 'scene', 'model', or 'object' is mentioned, the content relates specifically to a 3D representation. Where words are displayed within square brackets [ ], substitute the relevant text for the described action. Where the plus (+) and minus (-) keys are mentioned, they relate to the number pad and not the QWERTY section of the keyboard. Where modules are mentioned, the term refers to products for which modules may be purchased. 66 11.4 Active Selection Convention In general, once a tool is selected, the border of the selected button is highlighted. For example, Zoom tool is shown as , but after it is selected, it will be highlighted as A grayed-out button signifies that it is inactive and does not have a function at this time. A gray button may become active once the corresponding functionality becomes available. For example, the Unhide button is gray until at least one object has been hidden. Only then the Unhide button becomes available for selection and is colored . 67 68 12 Frequently Asked Questions (FAQ) 12.1 General Questions Q: How does the interactive 3D model work? A: The technology is based on advances in engineering, computer graphics, and gaming. 3D models of anatomical representations are developed and loaded into an interactive simulation environment. The simulation executes in real-time for direct manipulation. Q: What are the 3D models based on? A: The 3D wire frames for the models are based on accurate representations of anatomy. Larger models (e.g., bones) are based on stratified CT scans. The fine details of the geometry are developed through a collaboration between 3D artists and anatomists. The wire frames are then overlaid with digital scans of the actual Netter paintings. For areas in which a Netter painting was not available, artists created a Netter-like texuture to make the model complete. Q: Are the models accurate? A: Yes. All models are verified for accuracy by anatomists. Q: Can these models be viewed in stereoscopic 3D? A: Yes, one can interact with the anatomy using virtual reality systems and peripherals, web deployments, and standalone applications. Contact h.licensing@elsevier.com for information on Virtual Reality Systems. Q: Is this software suitable for medical student teaching levels? A: Yes, the detail of the models were developed for the highest level of medical teaching. It is suitable for students from the first course of anatomy at colleges to the attending physician who wants to review anatomy prior to surgery. Q: What display technology is the system based on? A: The display technology uses real-time engines, behavior/logic programming, and advanced interface design to provide an intuitive method for learning anatomy. 69 12.2 Download Questions Q: Does download speed depend on my Internet Service Provider (ISP)? A: Yes, the download speed of the anatomy chunks are directly associated with your ISP. Q: Why does the system download parts of the anatomy again, when it was downloaded once before? A: Anatomy chunks are stored in your internet temporary folder for a certain time, specified by the settings in your browser. If they were removed, the system will download them again. Q: My program is running slowly, especially when rotating the model, is it because I have a slow internet connection? A: No. It is most likely running slowly because the graphics card has reached its limit. Program execution time (frames rates per second) are unrelated to internet connection speed. Deselecting some of the anatomy regions/systems may help with speed. Q: It is not my first time using the software on the web, so why is the system downloading the entire file again before I start? A: From time to time updates are added to the content and/or interface, which will cause a download of the entire file again to update your system. 12.3 Navigation Questions Q: Is there an expert mode? A: Yes, see Navigation menu section. By double clicking on the background or hitting the spacebar any active tools will be deactivated. Using the mouse, navigation becomes available hands-free. Q: Is there a limit to zoom? A: Yes, one can zoom until the camera hits the object. Q: Does Walk change the camera location? A: Yes, extensive use of Walk will change the camera location. Q: How do I reset the scene? A: By double clicking on the Reset View button 70 12.4 Dissect Questions Q: Why are the Stick, Unhide, and Implode buttons sometimes grayed out and other times they are colored? A: Their default state is grayed out and inactive until their counterpart buttons have been used. If, for example, the Peel tool has been used, then the Stick tool will change from gray to colored, which means that it now can be used. Q: How do I unhide all? A: You can unhide all by double clicking on Unhide button. Q: How do I make all transparent objects turn to opaque? A: You can make all objects opaque by double clicking the Transparent button. Q: How do I select only systemic anatomy models? A: By clicking and holding (a long click) on the Select button, a sub-menu will appear where various systems can be selected. Q: Does the Select tool work on parts of an object (for example, parts of a bone)? A: No, the Select tool selects the entire object that it comes across. 12.5 Label Questions Q: How do I mark an entire object all together? A: Select the Mark tool, then double click on the object. Q: How do I delete all marks from an object? A: Double click on the Delete Mark button Q: How do I hide all pins from an object? A: Double click on the Pin button. Q: What standard does the nomenclature follow? A: It follows the International standard called Anatomica Terminologia. Q: How is the anatomy searched? A: The search is connected to an SQL database. Q: What is the difference between a pin and an object name? 71 A: A pin is associated with an anatomical landmark or a region. An object name is a label assigned to the main object that may have many landmarks. 12.6 Anatomy Builder Questions Q: What is the fastest way of opening/closing the Anatomy Builder window? A: Double clicking on the Anatomy Builder top bar will quickly expand the menu. Similarly, double clicking again will contract the window. Q: What do the dot colors mean inside the Anatomy Loader window? A: The colors are identical to the chapters of the Netter Atlas, referring to each region. Q: What is the fastest method to access the loading menu for one specific region? A: Click on the colored dot that represents that area, the radio buttons for loading the systems of that area will be shown in the small window. Q: While the window is small, how can I show the selection buttons for the other regions? A: Click on the background of the Anatomy Loading window and pan the menu. Q: Why do some of the buttons show as green and others as orange? A: Green means that you have downloaded those anatomy parts and they are shown in the simulation window. Orange means that the models have been downloaded and are ready to be shown when requested. 12.7 Imaging Questions Q: How many scans are there? A: There are a total of 674 CT and MR scans. Q: How do I move through the scans to visualize the series? A: There are several ways to accomplish this a. Click and drag on the green transparent plane b. Scroll your mouse on the image in the scan window c. Click and slide the slider bar at the bottom of the scan window d. Click the arrow at the bottom of the scan window Q: How do I re-size the scan window? A: Click and drag the bottom right corner of the window. 72 12.8 Mentor Questions Q: Can I pause and play the video running in the Mentor window? A: No, not in this release. One can only playback the video. Q: Is the Mentor window available for all buttons in the program? A: Yes, it is. 12.9 Search Questions Q: What database is search using? A: It uses an SQL database. Q: Is the search box in the main simulation window identical to the search box in the Netter window? A: No. The search box in the simulation window searches for all objects and landmarks in both the 3D model as well as in the Netter plates. The search box in the Netter window only looks for anatomy on the Netter plates. Q: What does “Search for related anatomy” mean? A: It allows the user to pick an object or a landmark and the system will look for all related items in terms of classes, super-classes, and part-of-groups. Q: Can one build anatomy in the simulation window using search methods? A: Yes, by searching for objects and selecting these objects, the corresponding anatomical model is automatically loaded. 12.10 Netter Plate Questions Q: How many Netter plates are there in the system? A: There are 140 Netter plates Q: Are the Netter plates labeled as well? A: Yes, the Netter plates are labeled. Q: Are the Netter plates part of the search database when searching for a term? A: Yes, they are part of the database. 73 Q: How do I show the Netter plates within the anatomy while making all anatomy models transparent? A: Click the transparent button located at the bottom of the Netter Plates window. Q: How do I search for terms only on the Netter plates? A: Use the search box at the top of the Netter Plates window. Q: What are the numbers and colors at the bottom of the Netter Plates window? A: These are the same section numbers and colors used in the Netter Atlas, and can be used as filters to only show associated Netter plates. Q: How do I look at the labels on a Netter plate? A: Use the same tools from the Label menu to show the pins, labels, and marks. 13 Software License Agreement IMPORTANT – READ CAREFULLY BEFORE USING THIS SOFTWARE BY USING Netter’s 3D Interactive Anatomy: Professional Edition Online, or Elsevier’s 3D Interactive Anatomy: Professional Edition Online, powered by Cyber-Anatomy.com, (henceforth referred to as “Software”) YOU ARE AGREEING TO BECOME BOUND BY THE TERMS OF THIS AGREEMENT. You have obtained a software license granting you the right to use the Software. The publisher, Elsevier, Inc., retains copyright of the software as well as any subsequent copies on any media or in any form. 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Your personal information may be used by all of our trading names and transferred to countries outside of the European Economic Area (“EEA”), including to the United States, for processing. These countries may not have similar data protection laws to the EEA. If we transfer your information outside of the EEA in this way, we will take steps to ensure that your privacy rights continue to be protected. In addition, if you access the Site while you are outside of the EEA, your information may be transferred outside of the EEA in order to provide you with such access. With your consent, we also may share your personal information with our affiliated group companies located both inside and outside of the EEA in Argentina, Australia, Brazil, Canada, China, India, Japan, Malaysia, New Zealand, Philippines, Russia, Singapore, South Korea, Switzerland, Taiwan and the United States and/or with nonaffiliated third parties located inside and outside of the EEA that wish to send you information about their products and services that may be of interest to you, and users who have consented to receive such information may receive communications from these third parties. If you wish us to pass your personal information to third parties, please tick the appropriate check box when you register for personalized services or access. We will not otherwise disclose any personal information without your consent except under the following circumstances: in response to subpoenas, court orders, or legal process, or to establish or exercise our rights to defend against legal claims; if we believe it is necessary to investigate, prevent, or take action regarding illegal activities, suspected fraud, safety of person or property, violation of our policies, or as otherwise required by law; and if Elsevier, this Site or a related asset or line of business is acquired by, transferred to or merged with another company. Access and Changes to Your Registration Information and Preferences Registered users may access their identified contact information and other Registration Information and correct any discrepancies or update information by contacting our Customer Service Center at the email address or telephone number detailed below or selecting the relevant “My Profile” link at any time. The accuracy of such information is 85 solely the responsibility of the user. No access is given to other data that may have been collected about users. If you wish to receive alerts, newsletters, new product announcements, market surveys, special offers or promotions, please tick the appropriate check box when you register for personalized services or access. If you wish to cease receiving any of this information, amend your preferences either by contacting our Customer Service Center at the email address or telephone number detailed below, selecting the relevant “My Profile” link at any time or by using the “opt-out” or unsubscribe option or other means provided within the communications you receive. We reserve the right to notify you of changes or updates to the Site whenever necessary. Retention of Personal Information We retain the personal information we collect from you for as long as the information is relevant to our business purposes or until you request that we remove the data by contacting our Customer Service Center at the email address and telephone number detailed below. Our Commitment to Data Security We recognize that your privacy is important to you, and therefore we endeavor to keep your personal information confidential. The personal and demographic information about each user is stored on our servers that are behind a firewall and physically housed within a secured data center. Furthermore, our internal practices help protect your privacy by limiting employee access to and use of such information. However, we do not represent, warrant, or guarantee that your personal information will be protected against unauthorized access, loss, misuse, or alterations, and do not accept any liability for the security of such information submitted to us nor for your or third parties' use or misuse of such information. About This Privacy Policy The foregoing is the current privacy policy of the Site. We reserve the right to change this policy at any time without notice. Any changes to this policy will be posted on this webpage. Our policy does not create a contract or any legal rights. This privacy policy applies solely to the information you provide while visiting this Site. The terms of this privacy policy do not govern personal information furnished through any means other than this Site (such as via telephone or postal mail). This Site may contain links to other websites that are beyond our control. Other websites to which you link may contain privacy policies that are different from this privacy policy. We encourage you to check the privacy policy of each website you visit before submitting any information to them. Questions, Complaints and Dispute Resolution If you have any questions or comments regarding this privacy policy, please contact our Customer Service Center at: Online Support Customer Service Center Elsevier 3251 Riverport Lane 86 Maryland Heights, MO 63043 USA Tel: 800-401-9962 (inside the US) +1-314-995-3200 (outside the US) Monday - Friday, 7:30 am - 7:00 pm CST Fax: +1-314-997-5080 Email: interactelsevier.help@elsevier.com If at any time you believe that we have not adhered to this privacy policy or you have a complaint regarding the way your personal information is being handled, please contact our Customer Service Center. Disputes under this privacy policy will be resolved by our Customer Service Center, which will use commercially reasonable efforts to promptly investigate, and if necessary, to correct any problem. 87