FotoFinder

Database engine
The data base to manage your patients

FotoFinder dermoscope dynamic

The standard of excellence
in digital dermoscopy

Manual

Please read this manual carefully before use and keep it easily
accessible!

Copyright © 2010 by FotoFinder Systems GmbH

Software version 119 etc.
25/06/2010 LK/SM
FotoFinder Systems GmbH
Aichner-Schmied-Str. 3
D-84364 Bad Birnbach
Germany

[Link]
support@[Link]
Tel.: +49 8563 97720-45
Fax: +49 8563 97720-10
 dermoscope dynamic manual

Content

1 FotoFinder dermoscope dynamic...........................................1

1.1 Special software features ................................................... 1
2 Safety Instructions ...................................................................3
2.1 Basic Notes.........................................................................3
2.2 Safety Controls ...................................................................4
2.3 Cleaning and Disinfection...................................................4
2.4 Handling the medicam........................................................5
2.5 Handling the Digital Camera...............................................6
2.6 Technical indications ..........................................................6
3 Installing FotoFinder 2007 .......................................................8
3.1 Minimum System Requirements.........................................8
3.2 Recommended System Configuration................................ 8
3.3 Software Installation ...........................................................9
4 Getting started ..........................................................................9
4.1 Starting the system.............................................................9
4.2 Starting the program...........................................................9
4.2.1 BackupGuard............................................................10
4.3 Use of the video camera and the digital camera .............. 11
4.4 Using the medicam...........................................................11
4.4.1 Floodlight illumination ...............................................13
4.4.2 The distance holder ..................................................14
4.4.3 The dermoscopy lens ...............................................15
4.4.4 Functions on the backside of the camera.................16
4.5 The digital camera Canon PowerShot..............................17
4.5.1 The digital camera Canon PowerShot......................17
4.5.2 How to attach the CamControl box to the camera ... 18
4.5.3 How to connect the digital camera ...........................20
4.5.4 How to install the driver ............................................20
4.5.5 Attach the dermoscopy lens to the digital camera.... 21
5 Patient Management...............................................................23
5.1 Add Patient .......................................................................23
5.2 Edit Patient Data...............................................................26
5.3 Delete Patient ...................................................................26
FotoFinder dermoscope dynamic manual

5.4 Privacy On ........................................................................27

5.5 Searching for a Patient .....................................................27
6 Mole Mapping ..........................................................................28
6.1 The Desktop......................................................................28
6.1.1 The Menu Bar ...........................................................29
6.1.2 The Patient and Image Data Field ............................31
6.1.3 The Preview Window ................................................32
6.1.4 SmartGallery .............................................................34
6.2 Overview Images ..............................................................37
6.2.1 Overview Images with the medicam .........................37
6.2.2 Overview Images with the Digital Camera................40
6.2.3 Using the schema .....................................................42
6.2.4 Bodystudio Overview Images ...................................43
6.2.5 Marking Images (Numbering Nevi) ...........................43
6.3 Micro Images ....................................................................45
6.3.1 Micro Images with the medicam ...............................46
6.3.2 Micro Images with the digital Camera.......................50
6.4 Compare ...........................................................................50
6.4.1 Comparing Micro Images..........................................50
6.4.2 Comparing Overview Images ...................................53
6.4.3 Additional Functions in the Compare Mode..............53
6.5 Measuring .........................................................................56
7 Screening.................................................................................59
7.1 How to start the Screening Mode .....................................59
7.1.1 The Desktop..............................................................59
7.1.2 The Menu Bar ...........................................................60
7.2 Screening Procedure ........................................................61
7.2.1 How to Save Images in the Screening Mode ...........61
8 Special lenses and additional tools ......................................62
8.1 Tuebinger Moleanalyzer/ Dynamole .................................62
8.2 Trichoscan ........................................................................64
8.3 Bodyscan pro ....................................................................65
8.4 FotoFinder special lenses.................................................67
8.4.1 Veinscope .................................................................67
8.4.2 Special lens for fluorescence diagnosis....................70
9 Appendix..................................................................................72
9.1 Printing Images .................................................................72
 dermoscope dynamic manual

9.1.1 Set Customer Information.........................................73

9.1.2 Print options..............................................................74
9.2 Query ................................................................................75
9.2.1 The Desktop .............................................................76
9.2.2 Conducting a Query..................................................80
9.3 Importing and Exporting Patient Records.........................83
9.3.1 Exporting Patient Records........................................83
9.3.2 Importing Patient Records ........................................84
9.4 Dermoscope Importer: Importing data from dermoscope 86
9.4.1 Export data from dermoscope ..................................86
9.4.2 Import images into FotoFinder 2007 ........................88
9.4.3 Installation of the tool................................................91
9.5 Importing and Exporting Images.......................................92
9.5.1 Importing Images ......................................................92
9.5.2 Exporting Images......................................................93
9.6 Email.................................................................................94
9.7 Options .............................................................................96
 dermoscope dynamic manual

1 FotoFinder dermoscope dynamic

FotoFinder dermoscope dynamic provides an easy-to-use interface
which is adapted to the demands of the modern dermatological
practice. It allows documenting and analyzing different skin and hair
conditions.
Main fields of application:
• Long-term observation and documentation of melanocytic nevi using
digital dermoscopy
• Quick skin cancer screening, more comfortable and efficient than
with a hand dermatoscope.
• Analysis of nevi and clinical images with expert systems Tuebinger
Moleanalyze1 and Bodyscan pro to find changes.
• Fluorescence diagnosis to delineate cutaneous precancerous stages
and tumors (such as Actinic Keratosis or Basal Cell Carcinoma) from
the healthy skin.
• Digital trichogram with Trichoscan.
For standardized full body and “before and after” photography the
FotoFinder modules bodystudio and mediscope are available.

1.1 Special software features

Marking lesions
Suspicious moles can easily be marked. These marked lesions can
then be examined through digital dermoscopy using the special
video camera medicam. All microscopic images are directly linked to
the markers and stored in the patient data base.
CamControl
FotoFinder CamControl provides a direct connection between
camera and computer and allows FotoFinder dermoscope dynamic
software to control all camera settings. Per click, all images are
directly stored within the database and entered in the patient record.
For monitoring, the same zoom etc. will be selected by the software.
1
Note: Moleanalyzer is known as Dynamole in the USA.

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SmartGallery
The intelligent picture gallery sorts overview and microscopic images
and helps you to find the right pictures for monitoring your patients.
SmartZoom
The zoom feature allows you to simultaneously zoom in or out in two
pictures. That’s how you will always see the right detail.
Xtrascale
The integrated measure module helps you to quantify lesions by
calculating lengths, angles and areas.
QueryGenerator
The flexible search engine allows queries for all combinations of
criteria which are available in the database; e.g. search for all last
year’s cases of melanoma in women older than 50 years.
Image Import/Export
Import and export patient records in the special FotoFinder exchange
format (fxf) to ensure maximum security. Single images can also be
exported in standard format to be used for papers, presentations etc.
Reports
Print images in predefined layouts directly from within the software.
You will obtain brilliant print outs of overview and microscopic
images to hand them over to your patients.
BackupGuard
Every time the program is started, the BackupGuard checks the
backup data and the backup settings for errors and notifies you if
your data is in danger.
Safety Instructionss and notifies you if your data is in danger.

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2 Safety Instructions

2.1 Basic Notes

• Before using FotoFinder it is absolutely necessary to read the
complete manual.
• The given security instructions must be followed by the user!
• Before cleaning the camera it is important to disconnect the main
power supply.
• As far as possible, the system shouldn’t be turned on if…
… the power supply line is visibly damaged.
… the camera has fallen down.
• Any changes in the system that you intend to do must be reported to
the manufacturer. Otherwise the warranty is void!
• The system may not suffer exposure to extensive humidity.
• The manufacturer will not assume liability for any damages if the
system is not used properly or the system configuration has been
changed.
• During the system set-up please make sure that there is sufficient air
supply in order to avoid an accumulation of heat.
• The system may not be placed near heat sources like radiators or on
places where it is exposed to direct solar radiation, unusually high
dust, mechanical vibrations or shocks.
• The system may not be placed near places which generate a strong
magnetic field such as power lines or converters.
• If any malfunction appears, please contact the manufacturer or your
distributor immediately.

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2.2 Safety Controls

Every time before using the system please check if there are any
damages. It is especially important to check if the power supply lines
or the lenses are damaged.
Please check the system regularly according to the generally
accepted technical rules, at least every 12 months.

2.3 Cleaning and Disinfection

Please clean the cases, control panels and control elements with a soft
cloth moistened slightly with a mild detergent. Do not use abrasives,
scrubbing brushes or dissolvers like alcohol or benzenes.
Clean the display with a soft cloth. If you use a glass detergent, please
make sure that it doesn’t contain antistatic fluids or similar additives
because they might cause scratches on the screen’s coating.
Dust on the lenses can be wiped off with a brush or a blower.
If you use the optional lenses, please pay attention to the following
instructions:
• The glass tube of the microscope lens must be disinfected before
every use. If you’re using Kodan immersion liquid, the glass tube will
be disinfected automatically during use. However, this is not the
case if dermoscopy oil is being used. For that reason we
recommend utilizing Kodan.
• If you use the optional polarization kit and work without immersion
liquid, make sure to disinfect the top piece regularly.
• For cleaning take off the glass tube. Use a high-quality glass cleaner
and a non-fuzzing cloth to clean the tube from inside and outside.
Then polish the tube with a dry cloth. To clean both sides of the
microscopy lens moisten the cloth with only some glass cleaner.
From time to time lubricate the rubber ring that holds the glass tube
with some petroleum jelly, but avoid bringing it on the lens. When
sticking the tube into the microscope lens again please make sure
that you stick it in completely! Otherwise the camera’s integrated
auto focus won’t work correctly when taking micro images.

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2.4 Handling the medicam

FotoFinder medicam is an electronic software-controlled video-
dermoscope, developed to take microscopic and macroscopic
pictures of the patient’s intact skin surface, especially of moles, in
less than 60 minutes.
Some general instructions before using the medicam:
• Do not deconstruct the camera.
• Do not twist the camera cable or step on it.
• Do not spill any liquids on the camera.
• Do not touch the lens of the camera.
• Be careful when taking off the microscope lens and putting it
on a glass table or similar surfaces because it may easily be
scratched.
• Before cleaning the camera, please disconnect the complete
system.
• If the camera makes any unusual noise, emits smoke or un-
usual odor, please disconnect the whole system immediately
and contact your distributor or FotoFinder Systems GmbH.
• When fixing the glass tube on the microscope lens, make
sure to stick it in correctly. Wrong handling may prevent the
integrated automatic focus of the camera from working
correctly.
• We strongly recommend using alcohol spray (e.g. Kodan).
When using immersion oil the inside of the tube might get
dirty. Make sure to remove any oil residues so that the
camera may focus correctly.

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2.5 Handling the Digital Camera

Some general instructions you should pay attention to before using the
camera:
• Please do not deconstruct the camera.
• Don’t twist or step on the CamControl line.
• Don’t spill any liquids inside the camera.
• Do not touch the lens of the camera.
• Before cleaning the camera, please disconnect the complete
system.
• If the camera makes any noise, emits smoke or unusual odor,
please disconnect the whole system immediately and contact your
distributor or FotoFinder Systems GmbH.
• Be careful when taking off the optional microscope lens and putting it
on a glass table or similar surfaces because it may easily be
scratched.

2.6 Technical indications

Technical specifications of the system
Manufacturer: FotoFinder Systems GmbH
Address: Aichner- Schmied- Str. 3, 84364
Bad Birnbach, Germany
Model: FotoFinderdermoscope
imaging system
Supply voltage/frequency: AC 200-240 V / 47-63 Hz / I
max. 10.2 A
Power consumption: Normal 190 watt, max. 600 watt
Environmental temperature: 0°C - + 40°C
Relative humidity: 20-90%, non condensing
Transport and storage: The system must be well
packed and protected against
shocks. It may not be thrown or
toppled.

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Technical specifications of the video camera:

Model: FotoFinder medicam 500
Image pickup device: ¼" CCD (total 470,000 pixels)
Number of effective pixels: 752H x 582V (440,000 pixels)
Signal system: PAL color system
Scanning system: 625 lines, 2:1 interlace
Scanning frequency: 15,625 kHz (H), 50 Hz (V)
S/N ratio: More than 50 dB
Minimum illumination: Min. 1 lux / F1.4 (at GAIN-MAX)
Electronic shutter: 1/50 - 1/10,000 (16 steps)
Closest distance without micro lens: wide 1 cm, tele 80 cm
Current consumption: DC 12 V
Illumination: LED
Weight with micro lens: ca. 870g

Model: FotoFinder medicam 800HD

Image pickup device: 1/3 Type CMOS
Number of effective pixels: approx. 2,000,000 pixels
S/N ratio: More than 50 dB
Minimum illumination: Min. 12 lux / F1.8, 50 IRE
Electronic shutter: ½ to 1/10,000 sec (21 steps)
Closest distance without micro lens: wide 1 cm, tele 80 cm
Zoom: 10x optical
Current consumption: DC 5V / 12 V
Illumination: LED
Weight with micro lens: ca. 870g
Accessories: Distance holder
Polarization Kit
Micro lens
Overhaul and maintenance: The medicam 800HD has to be
checked annually by the
manufacturer.

Technical specifications of the digital camera

Please contact FotoFinder Systems GmbH for information on the digital
camera.

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3 Installing FotoFinder 2007

3.1 Minimum System Requirements

• Processor Intel® Pentium® IV or equivalent with min. 2.40 GHz
• 1024 MB (1 GB) RAM
• Graphic board with 64 MB RAM, minimum resolution 1280 x
1024 Pixel
• 100 GB free disc space
• DVD-ROM
• Windows® XP Pro SP3 (32-bit) / Windows® Vista Home
Premium (32-bit) / Windows® 7 Home Premium (32-bit)
• 2 available USB 2.0 ports

3.2 Recommended System Configuration

• Intel® Core™ 2 Duo processor with 2.20 GHz
• 2048 MB (2 GB) RAM
• Graphic board with 256 MB RAM, resolution 1920 x 1080 Pixel
• 100 GB free disc space on hard disc (on second partition!)
• External hard disc for backup (160 GB)
• DVD±RW (+R Double Layer) / DVD-RAM
• Windows® 7 Professional (32-bit)
• Internet connection (for remote support)
• 2 available USB 2.0 ports
For information about the requirements for installing a multi-
user system or the medicam 800HD, please contact the
FotoFinder support team: support@[Link]

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3.3 Software Installation

Have a look at the “Installation Guidelines”.

4 Getting started
The following chapter describes the main functions of FotoFinder
dermoscope dynamic for the daily use in your practice.

4.1 Starting the system

To start the system, switch on the computer, monitor and printer. To do
so, press the ON/OFF switches of the corresponding units which are
located on the components’ front side.
Please note: If you use a Converter Kit, the video camera needs
to be switched on separately. The On/Off switch is on the
backside of the Converter Kit. The digital camera also needs to
be turned on manually and is then ready for use.

4.2 Starting the program

You can start FotoFinder dermoscope dynamic from the
Windows user interface. To start, double-click on the program
icon on your desktop.
When the program is being started for the first time, a window will appear
displaying the End User Licence Agreement. Please read this agreement
carefully. Scroll down all the text to be able to accept the agreement.
Check the box on the left to prevent this window from appearing in the
future.
If working with the Converter Kit, please, switch it on before
starting the program. Otherwise the following software error will
occur:

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In this case, please close the program and restart after switching on the
Converter Kit.

4.2.1 BackupGuard
Every time the program is started, the FotoFinder 2007
BackupGuard checks the backup data and the backup settings for
errors. If an error or a setting endangering the security of your data is
found, a window appears in which you are alerted to the possible
danger to your data.

In that case, please contact the Fotofinder Support Team immediately:

support@[Link].
Note: If you launch the program after a new installation, a
warning because of an inadequate number of log files or
backups may appear. After a few days, the program will have
created enough backups and log files, so that this error will
disappear. In this case choose I accept an incomplete backup!
and close the BackupGuard.

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4.3 Use of the video camera and the

digital camera
The video camera medicam: Fast, robust, reliable:
The video camera provides constant assistance with the daily routine in a
busy medical practice. Only medicam enables the dermatologist to do a
quick skin cancer screening and to use the expert system Moleanalyzer
as an instant diagnostic aid and a second opinion. Even in a non-stop
operation mode medicam ensures maximum stability and reliability.
We recommend working usually with the video camera.
The digital camera Canon PowerShot: Brilliant, high-resolution,
software-controlled:
The digital camera is an addition to the video camera whenever high-
resolution clinical and microscopic images are needed.
The digital camera is completely controlled by the FotoFinder software
and connected to the system via the CamControl box. The CamControl
box is firmly attached to the camera and also includes the power supply
for the optional dermoscopy lens.
For high-resolution dermatoscopy images with the digital camera the
microscopic lense D-Scope II basic is needed. Images taken with the
digital camera and this lens have a resolution of various million pixels, so
that you can zoom in on the slightest details.

4.4 Using the medicam

FotoFinder offers two medicam models: medicam 500 and medicam
800HD, which can be easily distinguished by the silver or golden camera
case.
Medicam 500’s silver standard enables captures with 720 x 576 pixels,
ratio 4:3. This camera is available with all hardware configurations and
the special lenses Veinscope and FD-Lens.
The gold standard of medicam 800HD enables captures in ratio 4:3 or
16:9 with a resolution of up to 1920x1080 pixels. This camera is only
available in combination with the Silent Medical Server.

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medicam 500 and medicam 800HD

FotoFinder medicam is completely controlled by the software
dermoscope dynamic. This allows you to generate identical images
without adjusting the camera settings. This makes work with FotoFinder
dermoscope dynamic extremely easy, fast and efficient. The medicam
is best equipped for a stable everyday and non-stop use.
The release button is integrated in the camera handle. Press this button
to take an image.
Caution: Please be careful with the camera control line! Do not
twist it or stand on it.

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Release button

medicam with microscopic lens

4.4.1 Floodlight illumination

Your camera is equipped as standard with an integrated floodlight
illumination.

Integrated flood
light illumination

FotoFinder medicam with floodlight

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The integrated floodlight illumination allows you to take excellent

overview images with a distance of up to 70 cm. To guarantee perfect
light conditions please choose a fair background. Please use the
distance holder for standardized images without camera shake. On the
backside of the camera you can switch the illumination on and off.

4.4.2 The distance holder

FotoFinder medicam is equipped with a distance holder for clinical
images.
The distance holder is preset by FotoFinder Systems GmbH. Thanks to
the detent button it is possible to choose between two fixed distances.
Keep the small detent button pressed down and pull the distance holder
into the right position until it locks.
The two fixed distances allow a standardization of close-up images and
facilitate to measure images.
Note: Use the distance holder together with the integrated
floodlight illumination for images with a distance from 2-5cm.

Distance holder

Detent button

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4.4.3 The dermoscopy lens

The lens for microscopic images can be attached to the camera via a
bayonet fixing. Simply put the camera on the contact area of the lens.
Then turn it clockwise until it locks.
The lens can easily be removed by turning it anticlockwise.

Glass tube

Ring light
D-Scope II plus: Micro lens for medicam 500

A micro illumination that works with light-emitting LEDs is integrated into

the lens. These LEDs are durable for a life time and do not need to be
changed.
The micro illumination is switched on by pushing the button at the back of
the camera. If the microscopic lens is put on, the floodlight is
automatically disconnected.
The glass tube is held by a rubber ring and can be removed for cleaning
by twisting it clockwise and pulling gently.
Note: For micro image captures with the digital camera use the
special D-Scope II basic.

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4.4.4 Functions on the backside of the camera

Green light
diode Zoom
buttons

Ring light Floodlight

button
button

Back of FotoFinder medicam

The green light diode shows that the camera is turned on and ready for
use.
Please use the ring light button for microscopic images, images with
Veinscope and for fluorescence diagnosis (only available for medicam
500).
The floodlight button is used for overview and clinical images. It turns off
automatically after two minutes.

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4.5 The digital camera Canon PowerShot

4.5.1 The digital camera Canon PowerShot

In addition to medicam we recommend using the digital camera
whenever high-resolution digital images are needed, e.g. for
presentations. For high-resolution microscopic images you can
attach the dermoscopy lens D-Scope II basic on the digital camera.
With the digital camera Canon PowerShot you can take high-
resolution images in brilliant quality. Camera and computer are
constantly connected via the CamControl box with integrated control
line. Therefore the entire image capturing process is completely
software-controlled.
You can choose a corresponding profile for each kind of image, e.g.
“Portrait”. In the overview image mode the corresponding profile
needs to be chosen manually; e.g. when using the special lens
Veinscope you can choose between the profiles “Veinscope cross
polarization” and “Veinscope parallel polarization”.
For micro images only the profile “Microscopy” is used. Please select
it, when you want to use the dermoscopy lens attached to the digital
camera.
By clicking on the profile all camera settings are adjusted
automatically. Simply press the release button and you will have
brilliant, standardized images!

Note: The digital camera cannot be used in the screening mode.

Also, microscopic images with the digital camera cannot be
evaluated with Moleanalyzer. Please use the video camera
instead.

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4.5.2 How to attach the CamControl box to the

camera
The CamControl box ensures the connection between camera and
computer. Via the USB cable the software controls all camera settings
automatically. All pictures are stored directly in the database. No need for
batteries or memory cards.

USB port

flap for power

supply

.
Please read the following instructions carefully and make sure that
the CamControl box is properly attached to the digital camera:

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1 2

1. Open the flap for the power supply.

2. Insert the power supply of the CamControl box into the open
camera flap.
3. Insert the cable into the cable shaft. Then close the flap.

4 5

4. Open the flap for the USB connection.

5. Connect the USB cable to the camera.

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Note that the flap has to stay open when attaching the USB
cable of the CamControl box to the camera.

6. Insert the camera with the open USB connection into the
CamControl box.
7. Screw camera and CamControl box together.

4.5.3 How to connect the digital camera

1. Simply attach the USB cable of the digital camera to an
available USB port on your computer.
2. Plug the power supply into the separating transformer or a
power socket.
Switch on the camera by pressing its ON/OFF button.

4.5.4 How to install the driver

The driver installation starts automatically when the dermoscope
dynamic software is installed on the computer.

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4.5.5 Attach the dermoscopy lens to the digital

camera
If you wish to take microscopic images with the digital camera, attach
the dermoscopy lens D-Scope II basic to the camera first. To do so,
please follow the instructions below.

Take off the camera ring around the Canon Zoom Lens by keeping
the button next to the camera lens opening pressed down (A). Now
you can twist the ring anti-clockwise to open it (B).
Store the ring in a save place; you will not need it any more when
using FotoFinder dermoscope dynamic.
Now please attach the dermoscopy lens onto the digital camera by
twisting it clockwise until it is locked. Then connect the lens’s power
supply to the plug on the CamControl box.

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The digital camera is now ready for use.

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5 Patient Management
After having started the FotoFinder software and having connected to the
database engine a comparable screen will appear:

Before you are able to use all the features provided by this system you
will have to add a patient to the database.

5.1 Add Patient

To do this, click on the Add patient button in the Patient Management
window in the upper left hand corner.

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The following context menu will appear:

Please fill in the requested patient information.

Fields marked with an asterisk are required fields!

The Patient Record No. can be defined by the user and can consist of
letters and numbers, or a combination of both. If you want the Patient
Record No. to be set automatically, choose this option in the settings
(see chapter 9.7).

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To enter the contact information select the second tab Contact.

The Contact tab is optional. Here you can add extra information
concerning the patient. Data entry is not required and data will not be
used by the software.
Click on OK when you have finished. The data will be saved and a
new patient has been added to the database.
The database shows all patients arranged by Patient No., Last
Name, First Name and Date of Birth.
By clicking on the respective category the list will be sorted
alphabetically or chronologically.
The Patient Management window contains three more options.

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5.2 Edit Patient Data

Before clicking on this button, select the patient whose data you want to
edit.

This button will bring you back to the patient and contact form. Here
changes can be made, e.g. when a patient moved and has a new
address.

5.3 Delete Patient

Select the patient whom you want to delete prior to clicking on this
button.

You will be asked if you are sure you want to delete the patient as a
security measure.

After confirming, the data record will be lost irrevocably!

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5.4 Privacy On
After choosing this option the patients’ full names will be substituted
by their initials in the patient list. This will secure privacy.

5.5 Searching for a Patient

To search for a patient there are the following possibilities.
To search from the entire patient list, just click on Search. A list with
all your patients will appear. By clicking on the corresponding column
the list can be sorted according to the given criteria (Patient Record
No., Last Name, First Name, Date of Birth)

Alternatively, you are able to search with the help of a filter. The list
can be filtered by the following criteria: Patient Record No., Last
Name and First Name. Just enter the search word or the letter you
want to go to. To confirm press enter or click on the Search button.
If you want to clear all fields click on Delete Filter:

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6 Mole Mapping
Mole Mapping means a patient-related storage and documentation
of macroscopic observations and the corresponding microscopic
images.
As FotoFinder dermoscope dynamic works patient-related you
have to select a patient before you can enter the actual program.
Then click on this button.

To get to know the software we will explain the main features in the
following section.

6.1 The Desktop

As you have not taken any images yet, none will be displayed on the
initial desktop. However, for better illustration of the desktop an
already documented patient will be used in the following section to
demonstrate all relevant fields.

The desktop consists of four main sections:

A: Menu Bar
B: Patient and Image Data Field
C: Preview Window
D: SmartGallery

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B C

6.1.1 The Menu Bar

The Menu Bar is located on top of the screen.

By clicking on the Back button you will return to the

previous screen.

Click on the arrow and a dropdown

menu will open. Here you can choose
between the medicam 500, the
medicam 800HD, the digital camera and
the Scheme selection.

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The Marker button allows you to draw arrows on

overview images to indicate lesions which are later
assigned to their corresponding micro images.

Here you can capture overview images with the

medicam or the digital camera.

Here you can take micro images with the medicam or

the digital camera.

The Compare function allows you to compare various

images.

The Delete function allows you to delete the current

image.

The Print button brings you to the Print Menu.

Click the Import button to import overview images from

your hard disk or other external devices such as a CD,
external hard disk, USB, etc.

The Export function allows you to save images to the

hard disk or other external devices such as an
external hard disk, USB flash drive, etc.

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Click the Measure button to start the Measuring

Function (see chapter 6.5).

The Email button allows you to send emails instantly

without having to log in to your usual provider.

6.1.2 The Patient and Image Data Field

Beneath the Menu Bar on the left hand side there is the Patient Data
Field. This field shows all relevant patient data plus additional image
information: Shooting Date, Treatment, Diagnosis, Study, Localiza-
tion and Comment.
Shooting Date, Treatment and Localization are automatically added
in the course of patient documentation. All other fields are optional.
To comment on an image, write your note in the Comment field
immediately after capturing.

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6.1.3 The Preview Window

The Preview Window displays selected overview images and micro
images enlarged. Numbered arrows indicate lesions of which corres-
ponding micro images have been or will be taken. By clicking on a
number the respective micro image will be shown in the gallery (see
“6.1.4. SmartGallery”).

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By double-clicking into the Preview Window the displayed image will

be displayed full screen.

On top of the screen you will see the following menu bar:

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By moving the slider bar the image can be enlarged by up to 400%.

If you click into the image and hold the left mouse button pressed
you can move it around freely. BestFit scales the image down to the
optimal screen resolution.

6.1.4 SmartGallery
The SmartGallery at the bottom of the screen contains overview
images and micro images.

Overview Images
In the field Overview Images all overview images you have made so
far of the respective patient will be shown. The images are sorted by
shooting date. If the gallery contains a large number of images that
cannot all be displayed, a scroll bar will appear on the right hand side
which you can use to browse the gallery. The active (currently
selected) image is displayed with an orange frame.

The selected image is displayed enlarged in the Preview Window.

The size of the icons in the gallery can be adapted by moving the
slider bar in the right upper corner of the field.

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In the orange bar all relevant data of the selected image is shown.
You will find information on shooting date and time, treatment, image
type and resolution.

Additionally, you can adapt the size of the field. Place the mouse
directly above the orange bar until the mouse pointer changes. Hold
the left mouse button pressed and change the size of the field
according to your needs.

Micro Images
At the very bottom of the screen you can see all micro images you
have captured so far.

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Click here

By clicking on a micro image it will be displayed enlarged. After high-

lighting a micro image you will again find information on shooting
date, treatment, image type and resolution in the orange bar.

marked micro image enlarged micro image

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6.2 Overview Images

Overview images are necessary to assign individual nevi to particular
body parts. This helps you locate multiple nevi on the patient’s body
when taking the corresponding microscopic images. Individual moles are
marked and numbered in the overview image to clearly define and locate
them.

Guidelines for Overview Images

• Make sure that the room where you set up the system is well
illuminated. Additional light sources may be necessary to avoid
shadows on the patient’s skin.
• For better illumination when using the video camera please
switch on the integrated ring floodlight on medicam.
• Make sure that the patient stands in an upright position and that
all lesions are visible in the overview image (check for hidden
lesions).
• Make sure not to move the camera while taking images. If an
image is not properly focused, undo it and take it again. The
integrated steel spacer on the video camera medicam or a
tripod may help.

6.2.1 Overview Images with the medicam

Take off the dermoscopy lens from the video camera medicam and
select MediCam in the menu bar.

Now click on Overview to start the application.

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The program switches to the image capturing mode. Please turn on

the ring floodlight on the backside of the video camera.

Freeze the image by pressing the release button on

the camera handle or by clicking on the Freeze button.

If the image is blurred or does not meet your expecta-

tions you can delete the frozen image by clicking the
Liveimage button.

Press the release button again or click on the Save

button if you definitely want to save the image.

The buttons on the back of the medicam can be used for

zooming. Be aware that zoom values for overview images are
not saved in the database and thus are not standardized.

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Before you can save an image, however, you need to select the
Localization. This is the body region where the lesion is located.
Simply click on the corresponding part of the virtual patient’s body.

You can turn the virtual patient by clicking on the green arrows
above.

When you move the mouse pointer over various body parts they
stand out colored. By clicking on a body section it will be marked in
red and automatically be assigned to the field Localization.

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To save the image, press the release button of the camera again or
click on Save. After the image has been saved the camera’s live
image will reappear on the screen and you can immediately take the
next overview image(s).

By clicking on Back you can leave this function and

return to the desktop.

You will notice that shooting date and time, treatment and
localization have automatically been added to the patient data
field.

6.2.2 Overview Images with the Digital Camera

Select PowerShot in the menu bar.

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We recommend connecting the digital camera to the computer

via the USB cable and turning it on before starting the program.

Choose the appropriate camera profile from the list:

Distance piece - to use with FotoFinder spacer
Distance piece close up - to use with the spacer for pictures
with higher zoom level
Microscopy - to use with FotoFinder „D-Scope II“
Portrait freehand - for overview pictures with a higher
zoom factor (e.g. for facial photos)
Snapshot - wide angle for overview pictures
Whole body - to use with tripods for Full Body
Photography, like Studio Stand or
Tower

Use this button to refresh the live image after selecting

a new profile or changing the patient’s position. Be
aware that the preview does not reflect the actual
picture quality.

The further proceeding is identical to point “6.2.1. Overview Images

with the medicam”. Please follow the instructions given there.
The digital camera shoots high resolution images. Especially if
you want to zoom into an overview image later on the excellent
image quality and sharpness of the PowerShot guarantee a
decent enlargement quality.

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6.2.3 Using the schema

Instead of taking clinical images with the camera, you can also
indicate the location of a nevus on the puppet. Choose Schema
Selection in the drop down menu “Image recording selection”.

Now you can select the body part on the puppet by clicking on it. You
can turn around the puppet with the green arrows.
Save the selected detail directly in database. In the gallery it will
appear as overview image. To mark it, proceed as indicated below
(Marking images).

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6.2.4 Bodystudio Overview Images

FotoFinder bodystudio is the module for standardized total body
photography. FotoFinder bodystudio together with dermoscope
dynamic offers you the most complete system for the early detection
of skin cancer, also for patients with multiple nevi. The bodystudio
software guides through min. 17 standardized patient poses. In less
than 10 minutes you can obtain a complete documentation of the
skin. These pictures can be used as overview pictures of the
dermatoscopic analysis. Simply mark the nevi in the bodystudio
software with marking arrows. The marked pictures will then appear
automatically in the dermoscope dynamic SmartGallery.

6.2.5 Marking Images (Numbering Nevi)

After you have made all overview images of a patient you can mark
the individual moles on the image. It is essential to mark moles if you
want to take microscopic images of them.

Important: It is not possible to capture microscopic images if

you have not marked them in the overview image before. Each
microscopic image must clearly be assigned to a position in the
overview image.

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Follow these steps to mark moles (positions) in an image:

Click on the Marker button.

Set the mouse to the desired position in the image and drag a line
away from the mole by clicking the left mouse button. After releasing
the mouse button the line is fixed and a number appears at the end
of the line. The number is assigned automatically by the system.

Continue to mark the next relevant mole (position) in the overview

image. When all moles are marked, press the Marker button again to
switch off the function.

The system numbers all moles (positions) of a patient

consecutively; therefore each number is only assigned once
and micro images cannot be assigned wrongly.

Deleting Positions
Markers can only be deleted if they are not related to any micro
image.
To do so, click on the position in the overview image with the right
mouse button. Select Delete in the following menu.

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By selecting Line Color you can choose the color of the respective
marking in the context menu.

6.3 Micro Images

For the micro shooting you can also choose at the push of a button
whether to capture the image with the video camera medicam or the
digital camera.

Microscopic images captured with the digital camera are always

about 20X magnified. If you choose the medicam you can select
an enlargement of up to 70X by using the zoom function.

Guidelines for micro images

• Attach the dermoscopy lens to the video camera or the digital
camera and switch on the integrated ring light for micro images.
• Make sure that lens and glass tube are perfectly clean before
you start taking the image.
• Always use 70% alcohol spray (Kodan spray) when taking
micro images. The skin must be completely wet. Dry skin

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reflects light and can hide the structure of a lesion. Try to avoid
bubbles and hair when taking the image. Shave the spot if
necessary.
• You can use the optional Polarization Kit to work with a
polarization filter instead of immersion liquid.
• Make sure to photograph the lesion in the correct magnification.
If you wish to analyze the image with Moleanalyzer make sure
to take the image with the medicam and 20x magnification.

6.3.1 Micro Images with the medicam

Mount the dermoscopy lens on the medicam and select MediCam
from the menu bar.

Select a marked lesion in the overview image you want to assign a

micro image to.

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Then click on Micro Shooting.

The program now displays the micro shooting screen. In the left
window you can see the live video image. On the right hand side the
last micro image you have taken of that position is shown (baseline
image), below you can see the overview image of that lesion.

Live image Baseline image Overview image

If a baseline image does not exist yet the correspond-ding

window will be empty.

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Now switch on the micro lights on the back of the camera, moisten
the skin with alcoholic spray (e.g. Kodan) and place the glass tube of
the dermoscopy lens on the nevus.
While working with the optional polarizing filter, no immersion fluid is
needed. In everything else, follow the instructions normally.
In the menu bar you can choose the desired zoom level. Alternatively
you can adjust the zoom factor with the zoom buttons on the back of
the camera.

If there is already a previous micro image saved (baseline image),

the camera will automatically select the same settings as before.
This guarantees that images are 100% comparable. Nevertheless,
you can still change the enlargement if necessary.

The camera focuses automatically thanks to its built-in auto

focus system.
If you wish to export the nevus to Moleanalyzer later on, make
sure that you use the medicam and that the enlargement is set
to 20X.

Press the release button at the camera handle or click

on the Freeze button to freeze the micro image. The
image will be displayed in original size when it is
frozen.

If the image does not meet your expectations (e.g. if it

is blurred), you can delete the image by clicking on
Liveimage.

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Press the release button of the camera a second time

or click on the Save button to save the micro image.

After saving the image the software automatically goes on to the next
position. This allows a fast micro shooting session for all moles
(positions) of the patient.
Repeat the last steps to capture more images.

The buttons Previous and Next allow you to jump from one position
to another. When all positions of an overview image have been
called up, the system automatically goes on to the next overview
image in chronological order.

This way you can jump back to the previous image if you want to
make another micro shooting of the same lesion with a different
magnification.
Or select Next if the lesion hasn’t changed since the last examination
and another save isn’t necessary.
If you want to skip a position in further follow-ups (eg. because the
lesion was removed), you can deactivate the corresponding marker.
Simply click the marker with the right mouse button and select
“deactivated”. You can reactivate markers the same way.
You can stop the micro shooting session at any time.
Simply click on Back and you will return to the desktop.

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6.3.2 Micro Images with the digital Camera

Attach the dermoscopy lens to your digital camera and select the
digital camera PowerShot from the dropdown menu. Then click on
Micro shooting.

Now you have to choose the camera profile “Microscopy” from the
list. To refresh the live preview click

For the next image capturing steps please follow the instructions
described in the previous chapter “6.3.1. Micro Images with the
medicam”.

The digital camera has only one standard magnification for

capturing micro images of about 20X. Therefore, you cannot
select different magnifications and the pictures cannot be
analyzed with the optional Moleanalyzer.

6.4 Compare

6.4.1 Comparing Micro Images

Before you can compare micro images, please select the required
localization by clicking on a specific number in the corresponding
overview image.

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The number will be marked red.

Now click on the button Compare.

Alternatively, you can first select a micro image from the gallery to
have it displayed enlarged in the Preview Window and then click on
Compare.
The Compare screen will open:

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The screen will initially show the two images that have been taken
last.

On top of the micro images the respective marker positions will be

shown as well as the total amount of images for that position plus the
position a specific image has in the chronological order (3 from 4
total). You will also find information on shooting date and localization.

You can compare several images of one position by using the scroll
bar beneath the micro images.

The more you move the scroll bar to the left, the older the displayed
images will be until you will see the overview image you have taken
at the beginning of the patient documentation. The position of the
selected micro image is marked red.

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With the help of the buttons Previous Position and Next Position you
can easily switch to the micro image of the next marking without
having to exit the image compare function.
You can only compare micro images that have been saved
under the same number.

6.4.2 Comparing Overview Images

To compare overview images, select one of them in the gallery. Now
click Compare.
Using the scroll bar you can compare all overview images of one
patient sorted by their shooting date.

Above the images you find information about the number of overview
images, shooting date, localisation and comments.

6.4.3 Additional Functions in the Compare Mode

SmartZoom
The Zoom Lock button is always activated after
entering the image compare function. It allows you to
zoom into and move both images simultaneously to
guarantee 100% comparability. Click to deactivate
Zoom Lock. A second zoom bar will appear and you
can now zoom both images separately.
By moving the slider bar on top of the screen you can zoom into the
displayed images simultaneously.

The 1:1 function displays both images in their original resolution.

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BestFit shows both images scaled to the optimal screen resolution.

To move the zoomed images around just click into the image, keep
the left mouse button clicked and move the image around freely.
The Solo function displays the selected image in full size. Click again
to return to the compare screen. To use this function Zoom Lock has
to be disabled.

Live Image
In the compare mode you can take a follow-up picture
of a clinical image, e.g. for the analysis with Bodyscan
pro. Select on the right side the overview image you
want to compare and then click Liveimage.
On the left side the live preview will appear. Clicking Freeze and
Save you can directly store it to the database. Thanks to
CamControl all camera settings will be restored for the capture by
the software. Please be aware that you can only take follow-up
images with the same camera (always with the medicam or always
with the digital camera). For consistent photo documentation in
overview images we recommend using the Ghost function included it
FotoFinder bodystudio and mediscope.

Copy
The Copy function allows you to copy the displayed
image(s) directly to the Windows clipboard and then to
external applications, e.g. Word®, Power Point®, etc.
An exact screenshot is captured, that is, with currently
selected zoom factor, etc.
Select the desired image(s) and click on Copy. Alternatively, you can
use the keyboard shortcut Ctrl + C. Then right click into the target
document and choose Paste.

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Example of an image pasted using the Copy function.

On top of the images you will find information on treatment, image

type as well as shooting date and time.
Moleanalyzer
You can analyze micro images with the Tuebinger
Moleanalyzer. For further information on this optional
software see “8.1. Tuebinger Moleanalyzer”.

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6.5 Measuring
The Measuring module is an independent software component that
can be started directly from within the FotoFinder dermoscope
dynamic software. It allows you to measure lengths and areas in
captured images with several selections tools. Click this button to
start the measuring program:

Please, keep in mind that a picture is a two dimensional

representation of a 3D body. That’s why it is not possible to
achieve absolute measurements of distances, angles and areas
in the image on-screen. Nevertheless, you can evaluate change
and treatment success comparing measurements.
The menu bar is located on the top of the screen.

Exit the Measure module. If you have made any changes in

the image a safety question will appear before quitting this
application.

The BestFit function shows the image scaled to the optimal

screen resolution. Changes made in the image will be
cancelled by clicking on this button.

These four buttons are for adjusting the image and the view.
With this button you are able to move an object around freely
by clicking on the image and keeping the left mouse button
clicked.

By using the scaling button you can roughly adjust the image
size. Left click on the image and hold the mouse button. By

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moving the mouse pointer to the upper left hand corner you can
reduce the image size and vice versa.

With this button you can rotate the image around a virtual
center.

After choosing this function, left click on the section you want
to enlarge. While keeping the button clicked the sector will be
magnified. You can move the cursor around freely and view
the magnifying glass in both images.

These four buttons are for measuring the image:

Before measuring distances and areas you have to calibrate
the image. For this you will have to indicate the length and
unit of a line in the picture. Keep the left mouse button
pressed and draw a line of which the length is known. A context
menu opens automatically when you release the mouse button.
Please insert now value (known length) and unit for the calibration
parameter and confirm with OK. You can delete a wrong calibration
by clicking with the right mouse button on the image and selecting
Delete calibration.

Microscopic images taken with the medicam 500 and standard

zoom values are calibrated automatically. A scale will be shown
bottom left of the image. In the calibrated image you can
measure any distance and area!

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With this tool you can measure the distance. To do this, click
on this button, then click on a starting point, pull the line to
the desired length – while holding down the mouse button –
and release the mouse button to finish.

With this tool you can measure the area and the outline of
irregular figures. Click on the corners of the graphic object
and set various points at the desired positions. After
double clicking onto the starting point the calculation will be
done.
With this tool you can draw an arbitrary circle and measure
the radius.

This function allows you to measure any angle between two

lines in the range from 0 – 180 degrees. Click on one point
on the side, the vertex and on one point of the second side.
This means you have to retrace the triangle with the help of three
points for orientation.

You can delete the entire history file of the image. This
means all changes will be deleted permanently.

Any graphic object which was added can be removed by right

clicking on the object and choosing Delete in the following
context menu.

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7 Screening
FotoFinder dermoscope dynamic's screening mode allows you to
carry out a time-saving screening of a patient's skin with the help of a
medicam. You can use the camera's magnification and its image
quality without having to save the image.

7.1 How to start the Screening Mode

You can start the screening mode clicking the following button.

The button is displayed in the patients’ directory. Optionally it is also

visible on the desktop of dermoscope dynamic, if you select “Show
Screening Button” in the options: Modules/Dermoscope/General.

7.1.1 The Desktop

When the camera is switched on you will see this screen.

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The desktop consists of two areas:

A: Menu bar
B: Full screen visualization of the image of the camera.

7.1.2 The Menu Bar

The Menu Bar is located on top of the screen.

By clicking on the Back button you will return to the

previous screen.

With the button Freeze or by pressing the

medicam's release button once you will freeze the
live image.

With the button Liveimage or by pressing the

medicam's release button once again you will
reactivate the live video.

With the button Copy you can save a frozen image

to the Screening tray (a special FotoFinder
clipboard that allows you to link screening images
to markers in overview images).

Choose here the zoom level

you want to take the picture
with.

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7.2 Screening Procedure

• Start the screening mode
• Switch on the illumination of the lens at the rear side of the
medicam, moisten the skin with Kodan spray and put the camera on
the skin. It is strongly recommended to use Kodan or another
alcoholic spray. Optionally, use the Polarization Kit to work with a
polarizer instead of immersion.
• When you press the release button, you will freeze the image. Now
you can take your time to observe the lesion. By pressing the
medicam's release button once again you will reactivate the live
video.

In case you have installed the optional Moleanalyzer, you can

analyze a frozen image immediately without having to save it.
Please mind that it is only possible to analyze micro images
with 20X enlargement.

7.2.1 How to Save Images in the Screening Mode

Saving images directly is not possible in the screening mode. In case you
discover conspicuous nevi you can copy the image you have taken in the
screening mode to the Screening tray and assign it to a marker in
dermoscope dynamic.
• To do this, first copy the frozen image by pressing the button Copy to
the clipboard.
• Quit the screening mode and open the overview image in
dermoscope dynamic to which you want to assign the micro image.
• Click the corresponding marker in the overview image with the right
button of your mouse and choose Paste Screening.
Only one image at a time can be saved on the clipboard. Assign
the first image to a marker before you copy a second image to
the clipboard, otherwise the first image will be lost.

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8 Special lenses and additional tools

8.1 Tuebinger Moleanalyzer

with medicam
The Tuebinger Moleanalyzer1 allows an exact measurement of
pigmented lesions in order to help the doctor judge if the lesion in
question is benign or malignant. There are two main purposes of this
image analysis program:
• The image analyzer was programmed to detect changes in
pigmented lesions during the follow-up examination of patients. With
this program, it is possible to detect minimal changes in the size of
the lesion, its pigmentation, its structure and border. This makes the
indications for excision of moles more secure.
• Specific scores for each individual parameter give indications of
malignancy. The scores vary between one and eight. Higher scores
than 6 may indicate an increased probability of malignancy.
However, there is not yet a clear cutoff-point for determining
malignancy. The knowledge of an experienced physician is needed
to finally interpret these images.
•
Moleanalyzer is not an automatic diagnosis system!

After the analysis, a combined score will indicate the risk of malignancy
based on the calculated parameters. For better patient communication
you might want to show this result in form of a bar with a continuous color
spectrum between red, yellow and white. This function helps you classify
the nevus, by indicating white = without pathological findings, yellow =
needs to be controlled, red = dangerous.
In order to improve comparability, Tuebinger Moleanalyzer makes it
possible to analyze two images at the same time on the same screen.

1
Note: Moleanalyzer is known as Dynamole in the USA.

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Starting Moleanalyzer
1. Select the micro image you want to analyze in the SmartGallery.
2. Start Moleanalyzer directly by clicking on the corresponding button:

3. If you wish to analyze two images at the same time, start the image
compare function for microscopic images and select the required
images by using the scroll bar. Then click on the button
Moleanalyzer. Both images will now be analyzed on the same
screen. If an overview image is shown aside of the microscopic
image only the microscopic image will be analyzed.
4. The analyzer starts automatically and will indicate you parameters
and score when finished.
You will then see the following screen:

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The border of the lesion is indicated with a blue line. The black lines mark
structures within the lesion. Afterwards, the program determines size,
geometric values and color values.

Important: The score can only be calculated, if:

1. the nevus in question is melanocytic and
2. the image has been taken in 20X enlargement.
3. the image has been taken with the video camera medicam
500.
Make sure to have chosen the right enlargement already when
taking the micro image, so that a later analysis of the lesion is
possible. Please note that not every lesion is suitable for an
analysis with Moleanalyzer! Make sure to use the video camera
if you wish to analyze the lesion with Moleanalyzer later on.

Additional functions of Moleanalyzer

Change border
If lesions are very bright or irregular the border may not be found. In this
case, you can enlarge or reduce the border by using the function
“Change border “.

Print results
The results of the analysis can be printed directly in A4 format by clicking
the button “Print”.

8.2 Trichoscan
The expert system Trichoscan is used for measuring parameters of hair
growth and loss. The module automatically determines the number of
hair in a certain area and its anagen-telogen rate.
Please read the Trichoscan manual for the preparation of the analysis.

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After having executed all preliminary steps (shorten and dye the hairs),
please take a microscopic image of the scalp in 20X enlargement. To do
so, proceed as described in the chapter “Capturing micro images”. After
you have taken the micro image, go back to the desktop and select this
image in the SmartGallery.
You can now start the Trichoscan software by clicking on the
corresponding button.

The meaning of the individual measurement parameters is described in

the Trichoscan manual.

8.3 Bodyscan pro

The expert system Bodyscan pro helps you to detect new and changed
lesions automatically. Complete skin cancer prevention must include the
control if new moles have appeared since the last examination.
Bodyscan pro compares the clinical photos of the last examination with
the recent ones. Every new lesion is marked explicitly and magnified in

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the window below! Bodyscan pro is the perfect supplement to

microscopic mole observation and makes mole mapping complete!
Simple select two overview images in the compare mode and click
the Bodyscan pro icon. The program will start automatically. Refer
to the Bodyscan pro manual for more details.

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8.4 FotoFinder special lenses

8.4.1 Veinscope
(optional for both cameras)
This lens offers excellent image quality for macro images. Thanks to an
integrated continuously adaptable filter settings, can be adjusted
between cross and parallel polarization. Fields of application:
• Brilliant documentation of acne, spider veins, couperosis and
redness without any reflections with cross polarization.
• Plastic visualisation of the skin surface with parallel
polarization. Thus unevenness and wrinkles are perfectly
shown.
• Documentation of large moles with a diameter of up to 7cm.

Veinscope for the medicam

Veinscope is an optional lens which can be attached to the video
camera via a bayonet ring. Veinscope has 30 built-in light diodes; its
metal distance holder avoids impact of room-light on the image. This lens
offers 10Xmagnifications and the lens coverage has a maximum
diameter of 72mm.

Bayonet ring

Cross polarization

Parallel polarization

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Procedure
1. Attach Veinscope to the medicam by fixing the pins on the right and
left side of the lens to the camera and turning the bayonet fixing of
the lens clockwise until it is attached firmly. By turning the lens
anticlockwise it can be taken off from the camera.

2. Start the overview image mode and select the button “MediCam”.
Do not choose the micro image capturing mode.
3. Turn on the ring light button on the backside of the camera.
4. Place the camera on the skin.
5. Choose between cross and parallel polarization by simply adjusting
the lever to the right position:
X = Cross polarization (for redness, couperosis, moles)
|| = Parallel polarization (for wrinkles, skin surface images etc. )
6. Save the image as described in chapter „Overview images with the
medicam“.

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Veinscope for the digital camera

Match marking
points

Detent button

Lever for cross and

parallel polarization.
Procedure
1. Attach Veinscope to the digital camera by fixing the lens to the
camera exactly where the two marking points are on top of each
other. Then push gently and turn the lens clockwise until it is fixed
firmly and engaged. By turning the lens anticlockwise it can be taken
off from the camera.
2. Start the overview image mode and select the button “PowerShot”.
Do not choose the micro image capturing mode.
3. Choose which Veinscope profile you wish to use: “Veinscope cross
polarization” or “Veinscope parallel polarization”.
4. Adjust the lever on the lens to the corresponding position: cross or
parallel polarization
X = Cross polarization (for redness, couperosis, moles)
|| = Parallel polarization (for wrinkles, skin surface images etc.)
5. The camera profiles are adapted for a distance of ca. 42 cm
between camera and object. The results will be best if you use the
portrait stand.
6. Save the image as described in chapter „Overview images“.
Note:
Please attach Veinscope very gently to the digital camera.

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8.4.2 Special lens for fluorescence diagnosis

(for medicam 500)
FotoFinder FD-lens for Fluorescence Diagnosis delineates actinic
keratosis and basal cell carcinomas from the surrounding tissue.
Therefore, a photo sensitizer is applied to the patient’s skin. After an
incubation time of 3 to 5 hours porphyrin is induced in tumor cells. Under
the special blue light of the FD-lens the porphyrins get excited to
fluoresce. The tumor becomes visible and can be delineated from the
healthy skin.
Thanks to the lens’s chrome spacer and the specially designed cloth the
skin is completely covered when the image is taken. You can change
between white and blue light on the camera’s backside.

FD lens for medicam 500

Procedure
1. Please wait 3 to 5 hours until the photo sensitizer is induced in tumor
cells.
2. Attach the FD lens to the video camera by fixing the pins on the right
and left side of the lens to the camera and turning the bayonet fixing
of the lens clockwise until it is fixed firmly (see 8.4.1 Veinscope for
medicam). By turning the lens anticlockwise it can be taken off from
the camera.
3. Select the button “MediCam” and start the overview image mode
and. Do not choose the micro image capturing mode.
4. Turn on the ring light button on the backside of the camera.
5. Place the camera on the skin.

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6. Take a clinical color image and then indicate the localization on the
puppet before saving it.
7. Please use the black cloth together with the lens in order to take the
image photo resist.
8. Now change to fluorescence light by pressing the left button on the
camera’s back and take the fluorescent image to scale. Then you
will need to define the localization again.

Application with video camera and dark cloth

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9 Appendix

9.1 Printing Images

If you want to print images, please select the image(s) from the
gallery by checking them ! and click on Print.

If you wish to print one or several micro images the corresponding

overview images with the arrows indicating the spots of the nevi will
automatically be printed as well.
Example: Print layout of two selected micro images

If you select one or several overview images all micro images that
are assigned to the overview images will also be printed.
Example: Print layout of a selected overview image with five
marked nevi

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The report will be generated in PDF format. A window will ask you
where you want to save the PDF. You can then give it to the patient
on a disc or USB flash drive or print it out.

9.1.1 Set Customer Information

During the installation process you were asked to provide your user
data. This information is printed in the header of each report. If you
wish to change the given name, address or email address, use the
tool SetCustomerInfo.
Start " Programs " FotoFinder 2007 " SetCustomerInfo.

A window will appear. Fill in your updated information. Click ”Apply“

to save and close the tool.

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9.1.2 Print options

If you prefer more detailed print options, you can activate them in the
patient data base. Click Options in the section Extras and then select
the software module you are using. Check “Prompt for extended
options”.

Now the following window will appear, when you click Print:

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Here you can change the printer and a few other options like e.g.
preview before printing, print as picture, print as PDF etc.

9.2 Query
FotoFinder dermoscope dynamic offers you the possibility to
search your database systematically for images by using various
search criteria. This way, you do not need to do a time-consuming
search of your patient list for suitable images, e.g. for an upcoming
presentation, but can call up the desired images quickly and directly
by using the Query function. To start a query, click on the
corresponding button in the Patient Management window.

You will see the following desktop:

C D

A: Menu Bar
B: Search Criteria Mask
C: Image Display Options
D: Preview Window

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9.2.1 The Desktop

A: The Menu Bar

This button brings you back to the Patient Manage-

ment window.

Here you can start a New Query. The previously

displayed query will be deleted.

This button adds a query to an already existing

query.

Click here to delete a query. The search criteria mask

will be set back to the default values.

The Export function allows you to save images to the

hard disk or other external devices such as an
external hard disk, USB flash drive, etc.

Click to open the Print Menu.

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The Email button allows you to send emails instantly

without having to log in to your usual provider.

B: Search Criteria Mask

Below the Menu Bar you will find the Search Criteria Mask. Here you
can search your database systematically by using various criteria.

In the upper left hand corner (box) you can select either Full Text
Search or Simple Search. If you wish to search for specific terms,
e.g. “melanoma”, select Full Text Search and enter a search term.
Simple Search offers several dropdown menus to help you specify
your search.
The dropdown menus are Study, Diagnosis, Treatment, Image Type,
Patient Study, Shooting Date, Localization, Patient Gender and
Patient Age.
# Study, Diagnosis and Patient Study will automatically be adjusted
to your own patient entries in the program.
# Shooting Date and Patient Age can be chosen individually.
# Treatment, Image Type, Localization and Patient Gender can be
selected from a preset range of possible search criteria.

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C: Image Display Options

After you have started a search you will find information on patients,
image types and treatments in the Image Display Options. Initially,
all found images will be shown in the Preview Window. By clicking
on the buttons Patient, Image Type and Treatment you can restrict
the search results further.

Click on Patient. All patients will be shown of whom there are images
in accordance with your search profile. By clicking on a patient, only
the images of that specific patient will be displayed.

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Proceed in the same way to show only images of a certain type or a

certain treatment.

By clicking on the Patients button on top, a list of all found patients

will be shown. Besides the usual patient data you will see the
Mediscope Count, TBM Count and Dermoscope Count.

Here you can see at a glance how many overview images of a

patient exist (Mediscope Count), how many body images (TBM
Count, Total Body Mapping Count) and how many images taken with
dermoscope dynamic (Dermoscope Count).
The button Images (fat, short arrow) brings you back to the Preview
Window.

D: The Preview Window

Here you can see the images found in accordance with your search
criteria.

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By clicking on an image, Shooting Date and Time, Treatment, Image

Type and Image Resolution will be shown in the orange bar above
the gallery.

By checking one or several images you can print them, export them
or send them via email.

If you double-click on an image it will be displayed enlarged. On the

following screen the button 1:1 shows the image in its original
resolution; BestFit scales the image to the optimal screen resolution.
With the Copy function in the upper right hand corner you can easily
copy the image to the Windows clipboard to process it in programs
like Word by using Copy-and-Paste.

9.2.2 Conducting a Query

Select your search criteria in the Search Criteria Mask and click on
New Query.

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Now the system searches your database and shows all relevant
images in the Preview Window. If your query returned no results, a
corresponding window will appear.

If your search profile returns many results you will be asked if

you want to continue loading. In this case the process can take
a few seconds due to the data volume.

If you want to change a query, please select the search criteria first
and then click on New Query. Alternatively, you can delete the old
query and restart your search from the default mask.
Add to Query
If you have already conducted a search and now want to add one or
several new queries without deleting the first one, please change the
search criteria and click on Add to Query.

Example of use:
You want to search for dermoscopic micro images made with
FotoFinder dermoscope dynamic of lesions on the upper body
back of women less than fifty years old. The search criteria are:

The system returns the following results:

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Now you want to add another query to the results of the first one.
You are now searching for overview images of women between 25
and 35. Enter the search criteria and click on Add to Query.

The search returns new results which are added to the old ones.

You can now use the Image Display Options to sort the images by
patient, image type and treatment.

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9.3 Importing and Exporting Patient

Records
You can import and export patient records using FotoFinder. These
records will contain patient data and images and can be exchanged
between different FotoFinder installations. They are saved in a
special FotoFinder format (fxf) and can be stored on different storage
mediums (CD, USB flash drive, etc.)

9.3.1 Exporting Patient Records

In the Patient Management menu on the left side of the window you
find the export function. Click on FotoFinder Image Export and the
export wizard will open.

Use the export filter to select the type of image you want to include in
the export file for this patient.

Now you can choose the level of encryption. We recommend

encrypting the data with a password. This password is generated
automatically. Please do not forget it because you will need it to
import the corresponding files.

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In case you want a stronger encryption, there is also the possibility to

work with a Public/Private Key System. Please contact FotoFinder
Systems GmbH for more details how to use it.
By clicking on Export, an fxf file will be generated on the indicated
storage location. This file contains patient information and images.

9.3.2 Importing Patient Records

To import patient records, select FotoFinder Image Import in the
Patient Management window.
An opening dialog will appear and you will have to indicate where the
fxf file was saved. If you chose an encryption on exported files you
would have to enter a password now.

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The import wizard shows you a list of all images contained in the fxf
file and you can choose which ones to import. Click Import to
confirm.

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9.4 Dermoscope Importer: Importing

data from dermoscope
The tool Dermoscope Importer allows you to import images and
patient data from former dermoscope II/HD installations into
FotoFinder dermoscope dynamic.
Please import patient data, e.g. in case of a patient moving
house, before taking new pictures to avoid two entries for one
patient in your patient list.

9.4.1 Export data from dermoscope

Open dermoscope and connect to the database. You will see the
patient list and can now select the patient for export.

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Click the tab Export/ Print/ Email to activate the sorter box.
Now select the images you want to export in the gallery and drag
and drop them to the box. To export all images of the current patient
click on Choose all images on the left.

Now click Export.

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Indicate folder and file name in the following dialogue. Pictures will
be consecutively numbered by the software.

9.4.2 Import images into FotoFinder 2007

Close FotoFinder 2007 before opening the import tool.
To open the tool double click the icon Dermoscope Importer on the
desktop or select it in the start menu.

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Now connect to the database like you do when starting FotoFinder

2007. On desktop systems you would use the default settings with
Windows authentication in most cases.
On multi-user systems make sure to
indicate the correct server name
(SERVER\FotoFinder2007), select
“Server authentication” and enter
your password.

You will see these buttons.

Click Open Images for Import. Then select the images you want to
import:
Press [Ctrl] and click on the images for import. To select all images
in this folder press [ Ctrl ] & [ A ].
Be aware that missing overview images will be replaced by a
black screen.
Now click Open and wait until the import is finished.

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Leave the Dermoscope Importer with Exit.

Now start FotoFinder 2007 and connect to the database. A new
patient will be listed. His patient ID consists of Doctor-ID and Patient-
ID of the original system. You can now edit all patient data according
to your needs.

Mark the patient and click dermoscope dynamic to see all imported
overview and micro images in the SmartGallery.

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In case of missing overview images you will see a black picture with
markers. To import missing pictures, simply start the import process
once again as indicated above. Pictures will not be imported twice.

9.4.3 Installation of the tool

In case you cannot find Dermoscope Importer on your system,
please contact the FotoFinder support team. You will be provided
with the installation files.
For installation open “Dermoscope [Link]“. Wait until all files
have been extracted and follow the Installation Wizard’s dialogue.

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9.5 Importing and Exporting Images

9.5.1 Importing Images

It is possible to import both overview and microscopic images from
the hard disk or any external device.

To import an overview image click the import button in the menu bar:

The Import Images window will appear. Choose the image you want
to import and click Open. Now, select the localization of the imported
image on the virtual patient and click Save. The imported image will
now be shown in the overview image section.
If you want to import a microscopic image first click with the right
mouse button on the corresponding marker in an overview image
and select the option Import.

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The Import Images window will appear on the screen. Select the
image you want to import and click Open. The imported image will
appear now in the microimage section.

9.5.2 Exporting Images

The Export function allows you to save images to the hard disk or
other external devices such as an external hard disk, USB flash
drive, etc.

Select the desired images and click on Export. The Export Images
window will appear on the screen.

If necessary change the file name and the image type. The following
formats are supported for image export.

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Select the storage location and click on Save.

Select JPEG File Interchange Format (jpg) to save the image

with the markers. If you want to export the image without
markers select one of the other file format options.

9.6 Email
Make sure that all email settings are correct (see chapter 9.6).

Please select the image(s) you want to send from the SmartGallery
! and click on this button in the menu bar to send an email.

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The following window will open:

You can now enter one or several recipients, the subject and a
message. Furthermore you can choose if you want to send the
attached image as an fxf file or as a common image.

fxf files have the advantage that they can be integrated into other
FotoFinder systems, e.g. into the program of a colleague.

Send an image as Images Only if the recipient does not have

installed the required FotoFinder software or if you just want to give
the recipient an overview of the image without starting the data
import into the FotoFinder program. If you wish to send several
images, please check the desired images. You can then choose
between sending one email per image and attaching them all to the
same message. Finally, click on Send.

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9.7 Options
Click on Options in the Patient Management window.

In the following Options window you can adjust various settings of

the program.

General
Here you can change the settings for the Patient List and the Image
Storage Options.
Check Always show patient list to permanently display all your
patients or Generate new patient numbers automatically.
If you select Enable database backup an additional field will appear
in the Patient Management which allows you to start a manual

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backup that is independent from the automatic one and to view the
backup log file.
The Image Storage Options refer to the files stored on your hard disk
which are ungrouped as standard. You can now sort them by patient
name or patient ID. Only the files added after activating this function
will be grouped accordingly. However, by checking Reorganize
existing images you can group all images you have saved so far
either by name or ID.

Modules
By activating the function Save an fxf file with each report, every time
you print one or more images the corresponding fxf file of the image
will be saved to your computer.
Furthermore you can Prompt for fxf encryption options if you want to
encrypt the print function with a password.
In the extended options you can select whether reports are printed
directly as PDF (standard) or the print options window appears.
Enable advanced query offers additional search criteria for the query.

Image Capture Devices

Here you can change image settings of the USB Converter, the
FireWire Converter, the Falcon Card and the MediCam.
Notebooks are connected as standard to the camera via the USB
Converter or the FireWire Converter; PCs can be equipped with an
optional Falcon Card.
We recommend not changing the preset image settings.
In the MediCam menu it is possible to alter iris and white balance
options manually. To do this, select a light source according to the
lighting conditions during the capturing of overview images in your
practice. We recommend the selection of LED and the use of the
LED lights on the medicam for optimal overview [Link]
settings can also be selected to be shown in the command bar and
thus changed while using the camera.
In the HD Video menu, you can choose the settings for the medicam
800HD. Standard is NTSC and the display mode deinterlacing. The
aspect ratio of 16:9 corresponds to Full HD. For better comparability
with existing images that were taken with the medicam 500, we

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recommend not to work with the ratio 16:9. Remove the check mark
and the images will automatically be captured in the ratio 4:3.

Data Interfaces
Here you can enter your personal email configuration and activate
the GDT Data Interface. To use this interface, please contact the
FotoFinder support for details: support@[Link].
It is necessary to configure the email option correctly in order to be
able to send and receive emails.

Example of an email configuration:

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