Technical Update

David Rubinstein, M.D.
Karl Reinig, Ph.D.

 


Tips for Using the Visible Human Interactive Atlas

One of the unique features of VHJOE is the many links to the Visible Human Interactive Atlas (VHIA). This tool is a powerful resource, enabling physicians to reference actual planar anatomy that correlates to diagnostic images. A tutorial with basic instructions for using the Atlas can be found by clicking here. This column provides additional information about the Atlas, as well as, advanced tips for using the VHIA.

The VHIA will run on computers running either Windows or Macintosh operating systems. The atlas will function slight differently on the Macintosh operating system since it uses a one button mouse. Differences will be explained in the sections that follow.

The first step in using the VHIA is to install the software that is necessary to run it. The VHIA is a Java applet, a program written in the Java programming language that usually runs in a web browser and cannot read from or write to your hard drive. Java is a part of most web browsers or is included in the operating system of most personal computers and usually does not have to be installed. The use of interactive 3-dimensional models to navigate through the Visible Human data necessitates additional software, GL4Java. This software can be installed on PCs from http://visiblehumanexperience.com. You may register for free at the website. The registration requires giving your name and email address but is not used to send emails. Then mouse over the words "Oblique Maker" and choose install from the drop down menu. Macintosh and PC users can also download the software at the GL4Java website
(http://www.jausoft.com/products/gl4java/gl4java_install.html). To install the software, one must have administrator privileges on the computer. One usually has these privileges on a personally owned computer but may not on institutional computers.

Once GL4Java is installed the VHIA can be used. The basic instructions can be read by pressing the "HELP" button, which is located on the left side of the tools window. This will also provide a link to the tutorial. There are many features that are not explained in the basic instructions or tutorial.

USING THE MOUSE IN THE 3D WINDOW

Take a look at the Tools window shown in Figure 1. The combination "Drag the Mouse to…" and "Type of Motion" determines what will move and how the mouse motion with the left button depressed will effect its movement. For example, with the "Move Image Plane" selected for the "Drag the Mouse to…" and the "Move Horiz./Vert." selected for the "Type of Motion", as shown here, dragging with the left mouse button depressed will cause the image plane to pan across the screen.

Figure 1


To get the image plane to rotate with the left mouse button, you could change the "Type of Motion" to "Rotate." Then dragging using the left mouse button would cause the image plane to rotate about its center. However, you can also get the image plane to rotate by pressing the right mouse button and dragging. In addition, pressing the right and middle buttons simultaneously and dragging will cause the image plane to move in and out of the screen. It is possible to achieve any desired image plane position and orientation by using combinations of the left, middle, and right buttons. This makes positioning and orienting the image plane far faster and easier than continually altering the "Type of Motion" option and using only the left mouse.

To move the models, including the image plane, select "Move All Models" as the option for "Drag the Mouse to…." Note that with the cursor in the 3-D model window, you can toggle between the choices of "Move Image Plane" and "Move All Models" by simply double clicking the left mouse button. Then dragging with the right button will rotate the models, dragging with the middle button will pan the models, and dragging with the middle and right buttons will cause the models to move in and out of the screen. Dragging with the left button will cause the models to do whatever is selected as the "Type of Motion."

Pressing keys can also alter the function of the mouse on both PCs and Macs. Pressing the alt key (option on a Mac) and the left mouse button does the same thing as pressing the center mouse button. Pressing the shift key and left mouse button is the equivalent to pressing the center and right mouse buttons. Pressing the control key and the left mouse button is the same as pressing the right and left mouse buttons. On the Mac, the command key will mimic the right mouse button on a PC.

ORIENTATION IN THE 3D WINDOW

There are two tools to aid in orientation in the 3D window, Blockhead in the upper right corner of the window and the colored image plane (Figure 2).

Figure 2

 

Blockhead serves as a compass to indicate the directions the overall view has been rotated. The view of Blockhead corresponds to the orientation of the models. If you are viewing Blockhead from behind, you are also viewing the models from behind.

The image plane in the 3D window represents the space occupied by the generated anatomic image. It has red and blue markers that correspond to the orientation of the anatomic slice. The large blue rectangle corresponds to the top of the image as you would view it and wraps onto the top edge of the plane. The large red rectangle corresponds to the bottom of the image as viewed from behind the image and wraps onto the bottom edge of the plane. The edge of the plane that corresponds to the right side of the anatomic image has a small red marker in the center and the edge that corresponds to the left side has a blue marker.

USING THE MOUSE BUTTONS IN THE OBLIQUE WINDOW

Dragging the mouse in the oblique window will allow you to measure objects. A double click will toggle on and off the labels of structures as an overlay on the anatomic image. If the labels are off, the name will appear in the title bar of the window and measurements will appear as an overlay. If the labels are on, the measurement will appear in the title bar.

NEW FEATURES

Originally, the planar anatomic image in the oblique window was generated by clicking a button. It is now automatically retrieved when the mouse drag is completed.

Figure 3

The image plane can now be moved in steps perpendicular to the plane. Pressing the "STEP +" button in the Tools window will move the plane a small increment in the direction of the side with the large blue rectangle. (See Figure 3.) The "STEP –" button will move the plane a small increment in the opposite direction. (See Figure 3.) If "Move Plane" is selected, dragging with the left, right, and center mouse buttons simultaneously depressed while in the 3-D models window will move the plane along an axis perpendicular to the plane. Dragging with left button and the shift and alt (option) keys pressed will do the same.

To move the image plane in a direction parallel to the plane, drag the mouse with the center mouse button pressed in the "Oblique Section" window. This will also move the anatomic image in the "Oblique Section" window. The same action can be achieved by dragging with the left mouse button pressed while the alt (option) key is pressed.

To ensure the newest features are working on your computer, you should delete the temporary internet files or browser cache. On Internet Explorer, choose "Internet Options…" from the "Tools" menu. Then, choose the "General" tab and push the "Delete Files…" button in the Temporary Internet files section.

SAVING YOUR WORK

The entire state of the VHIA can be saved in two ways by clicking the "SAVE STATE" button in the Tools window. As shown in Figure 4, a new browser window will open with a page that says "SAVE THIS PAGE AS AN HTML PAGE OR BOOKMARK." By choosing "Add to Favorites …" in the "Favorites" menu on Internet Explorer, the state can be saved as a favorite or bookmark. Choosing this favorite at a later time will restart the VHIA applet with the same models in the same position and with the same anatomic image as when the state was saved.

Figure 4

 

By choosing "Save as …" from the "File" menu on Internet Explorer and then saving as a webpage, a file can be saved. Opening this file at a later time will open the VHIA applet in the saved state.

The planar anatomic image can be saved by itself as a JPEG image. This is done simply by clicking the "SAVE JPEG" button in the Tools window. A new browser will open with the single image in it. The image can be saved by right clicking on the image or choosing "Save as …" from the "File" menu.

 




Editorial Board:
Manoop S. Bhutani, M.D.
Galveston, TX
William R. Brugge, M.D.
Boston, MA
Peter R. McNally, D.O.
Denver, CO
Iqbal S. Sandhu, M.D.
Salt Lake City, UT
Thomas J. Savides, M.D.
San Diego, CA

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