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Second Opinion® Release Notes

Second Opinion 2.29.0

New Caries Model for PAs, Faster Navigation When Clicking "Next", MM/Bone Ratio Toggle, Restoring a Deleted Bone Measurement
7/28/24

New Features

  • Caries Detection Model for PAs- Global Launch
    • We’ve deployed a major upgrade to our Caries AI model to improve detection accuracy and performance on PAs. 
    • The new model enhances sensitivity for early-stage caries. 
    • Improved specificity means fewer false positives, ensuring that flagged findings are clinically meaningful and actionable.
    • Why this matters: With greater precision and reliability, clinicians can confidently detect and treat early caries on PAs, improving patient outcomes and reducing unnecessary interventions.

  • Faster Navigation Between Images (Image Preloading Optimization)- Global
    • We’ve made behind-the-scenes improvements to reduce image load times and improve navigation in Second Opinion:
      • When opening the FMX view, nearby images are now preloaded in the background.
      • Why this matters: This reduces wait time when moving between images, making navigation feel faster and more seamless.

  • MM/Bone Ratio Toggle- Global
    • Clinical users can now choose how supported bone measurements are displayed—either as millimeters (mm) or percentages (%)—for periapical radiographs where bone ratio calculations are possible.
      • A new toggle is available only on periapical images with eligible bone measurements, allowing users to switch between mm and % views.
      • Bitewing images do not support bone ratio calculations and will always display bone levels in millimeters.The toggle will not appear or be active on bitewing images
      • For Periapical images, users can also set a default preference per office (mm or %) via the Customize Interface settings page, which applies to eligible radiographs.
      • If a radiograph doesn’t support bone ratios (due to missing anatomical landmarks like the root apex or image type), the toggle will be disabled and accompanied by a tooltip explaining why ratios are unavailable.
      • The same explanation is shown in Customize Interface to guide admins when setting defaults.
      • Measurements always calculate both mm and ratio values (where available), ensuring consistent editing behavior regardless of view mode.
      • Why this matters: This flexibility lets clinicians view bone measurements in the format that best supports their diagnostic approach. 

  • Restoring Deleted Bone Measurements on BWX and PA Images- Global
    • Previously, bone measurements were permanently deleted when removed. Now, users can hide them instead. 
      • The delete (“X”) icon on bone measurements has been replaced with an eye icon.
      • Clicking the eye icon will hide the measurement, turning it grey and dotted, and it will disappear after exiting Edit Measurements mode.
      • This applies to both BWX and PA images as well as both millimeters and bone ratios.
      • Why this matters: Clinicians can temporarily hide measurements without losing data, improving flexibility and reducing accidental deletions.

Bug Fixes
  • Annotations now consistently appear above overlays like Tooth Parts and Affected Tooth improving visibility.
  • Annotation checkboxes in comparison mode now stay in sync with keyboard shortcut toggles.
  • Pressing Space or Enter in comparison mode no longer exits the view—annotations toggle as expected and the app stays in split view.

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