The Canaray Manifesto

This is how to approach oral radiology The Canaray Way

No Jargon

  • The simplest way to explain something is the best way

Be useful

  • Is everything that you're putting into your Canaray case useful for treatment planning this case? If not, delete it.
  • If what we're doing is not useful to the referring dentist, then it should not be done.
  • We're not writing reports for lawyers. We're writing reports that will assist in treatment planning by dentists.
  • Don't fill the report with useless legal boilerplate that you think will save you from being sued. That's not going to save you from anything, and makes the reports awfully tedious and wordy.
  • What you should do instead is a great reporting job, so that you don't need any of that wimpy legal crap in your reports.

Be straightforward

  • If you don't know, say you don't know
  • Use the least number of words to say what needs to be said

Back up your words with visual proof

  • If you cannot show it in an image, you cannot say it in a report

Make sure it shows up in orthogonal views

  • If you cannot see it from multiple directions, it does not exist

Never settle for crappy image quality

  • If an image is blurry due to patient motion or other similar artifacts, request a better image, or give people the option of insisting that you report the bad image. Always ask first before reporting a bad image

Don't use bad image quality as an excuse for a bad interpretation

  • If it cannot be reported, don't report it.

Treat everyone honestly and fairly

  • We have no salespeople or anyone going around making sure you're meeting quotas or upselling. There is a reason for that.
  • Nobody at Canaray has ever gotten into trouble by doing the right thing, which is to give everyone exactly what they need. Nothing more, nothing less. If someone doesn't need to be at Canaray, let's figure out what they need instead and make sure they are properly taken care of.
  • For this reason, everyone from new staff to senior office management has the exact same level of control over patient fees and pricing, which is no control.
  • If someone's case is assessed by any staff person at any Canaray location, we should all independently come up with the exact same fee for that patient.
  • Do whatever you need to do to make sure that our reputation as an unbiased, fair and honest healthcare provider is reinforced.

Own your mistakes

  • People make mistakes. As soon as you recognize one of your own, do something about it immediately. Do not try to hide it.

Good enough is not good enough

  • If you're not going to do it well, don't do it. Leave the job for someone that will do it properly.

Look and act like a professional

  • Dress sharply and conservatively. If your outfit only looks good with dress shoes, that's the right outfit.
  • Make sure you and your workspace are tidy
  • Conduct yourself in a way that gives people confidence in your words and actions

Be consistent

  • The more consistent we are, the more useful our results are in the context of our previous results.
  • We don't want people to relearn the order and flow of our reports every single time. They should be predictable and consistent.

Be systematic

  • Do it in the same order and arrange your screen windows the same every time. Being systematic reduces your error rate

Don't cut corners

  • Don't rush. Doing things well takes a certain amount of time. Yes, everyone's angry that's taking so long, but they'll be angrier if you submit a product rife with errors or omissions.

Every report is our best report

  • If we get audited by anyone, we should be able to confidently say that any report from any time frame will pass muster. Every Canaray report should be the best we are capable of.

Effort is not what is important. Results are what are important

  • Nobody cares how hard you tried and failed. They only care about whether the result was obtained or not. Focus on results, not excuses.

Allow people to work in peace

  • Don't disturb anyone that is working with idle chatter. This job requires concentration.

Yes it is your job

  • If anyone phones or asks us to do something, don't say it's not your or our job. It is definitely our job.
  • If they phone to order a pizza, take the pizza order.

Don't defend bad decisions or mistakes

  • When anyone identifies an error or bad decision and lets us know about it, own it.
  • Don't be defensive. Listen, don't talk.
  • After listening, the only appropriate response is an apology, and then get to work fixing the error and let's see what we can do so that we don't have this type of error happen again.

Take responsibility for technical issues

  • No matter what it is, if there is some technical issue that is between the referring dental staff and their oral radiology, we need to fix it, even if it does not directly affect us.
  • We can fix pretty much any technical problem that affects dental radiology. It is part of our job to help people when this comes up.
  • Never leave anyone hanging. Yes, it sometimes takes half an hour to deal with what seems like a trivial problem from a stranger on the phone that hardly uses our services. Fix it for them.

Yes we are open

  • We will make that deadline
  • Our goal is to be 24/7/365. We're not quite there yet, but it's pretty close.

Make it happen

  • Rush delivery? Let's hand deliver it
  • Patient in pain? Rush it for him/her
  • Any other rush situation? Let's make it happen!

Be nice to everyone

  • People are going to be angry when deadlines are approaching, or when we've made an error. Be patient and nice to them when they're yelling at us on the phone. Remember, they are not upset with you personally. They are upset with Canaray.
  • We can fix pretty much any technical error, but we cannot fix the damage to our reputation if you have not been courteous and understanding when someone is in distress an is contacting us to make things right.


  • It means continuous improvement
  • If what we're doing now doesn't make what we did in the past look quaint, we're in trouble. Always aim for continuous improvement.

These are the things that define #TheCanarayWay and guide us in our daily decisions. Equipment and products will come and go. It's how we do what we do that makes us Canaray.

Here are some examples of what we're doing in the browser

View a 3D model on your Phone/tablet/PC

Requires a browser that supports WebGL

View a DICOM online with some CSS tricks

Requires a browser with CSS transforms enabled (Google Chrome, Mozilla Firefox)

Impacted maxillary canines

View a DICOM volume rendering online with some WebGL tricks

Requires a browser with WebGL

Real time volume rendering from DICOM of impacted 13/23

Do a ceph analysis online for free

Firefox or Google Chrome recommended

Upload your ceph and do Steiner's or COGS analysis

Implant planning in 3D instead of 2D

Compare the cross sectional images to the 3D plan