Zeiss Cirrus OCT
Contents
1. z A r N Ai A A Figure 7 Fundus View Port Capture 5 5 Location of the scan pattern 5 5 1 Within the live image that is overlaid with a box indicating the location of the scan pattern there will be a small green cross indicating the location of the fixation target see Figure 7 5 5 2 Click Auto Focus for automatic focusing 5 5 3 Use small arrows below Auto Focus to focus manually 5 5 4 Click Optimize DRCR net Zeiss Cirrus OCT Procedures June 2009 5 5 5 Tell the patient to blink right before starting image capture 5 5 6 Tell patient to not blink once you start the image capture 5 5 7 Click Capture to capture the images 5 6 The OCT will begin scanning 5 6 1 Upon completion of scanning the Review Screen will be displayed automatically with the captured images see Figure 8 5 6 2 The purpose of the review screen is to evaluate scan quality and save or delete or retry the image capture Patient Test 15674 Female 2 26 1968 ALLSCANS ona OSiLet Records Edit Tools Help Operator Cirrus Logout ALL SCANS OD Macular Cube 512x128 Signal Strength 10 10 O EREe Overlay OCT ww Transparency zi gt ie Snap To Center Try Again Save Finish f Network Archive volume has not pet alate been created ID Patient 5 7 Review captured data to ensure it is of acceptable quality see Figure 8 5 7 1 Signal strength should be at least 6 or higher2. E Network Unavailable Figure 3 Cirrus Window Find Existing Patient 4 2 Fill in all bolded fields these are required Figure 4 4 2 1 You may enter whatever your site desires in these required fields as they are not utilized in file data checking but entry of some data is required 4 3 Enter the subject s DRCR net Study ID into the Patient ID field Becade Edi Tecla Fela Danaior Cire heel Find Existing Patent d zw Fme es Todas Patients Enbar paliant rociar a Las Hama Firat Hana biddi ema Date of Birth Qunda crhs r Paiainio Cjn SS AAA ER 22S0 ss nl Figure 4 Cirrus Window Add New Patient 4 3 1 Example values include JO39 0246RU for Protocol J or O039 0246RU for Protocol O DRCR net Zeiss Cirrus OCT Procedures June 2009 4 3 1 1 NOTE that this field may need to be modified for a single patient at different times depending upon the study for which the patient data is being used 4 3 2 Click Save Figure 4 5 Patient Exam 5 1 Patient Exam Instructions 5 1 1 Click Acquire at bottom of the Patient ID Screen see Figure 3 and Figure 4 5 2 Acquire Screen will be displayed Figure 5 Test Patient 0110 Male 3 4 1945 ALMSCANS OS OSILeft Records dit Tools Help Cirrus Operator Logout Macular Cube 512x128 Macular Cube 512x128 Macular Cube 200x200 Macular Cube 200x200 5 Line Raster 5 Line Raster Optic Disc Cube 200x200 Optic Disc C
3. Higher values are preferred where possible Signal Strength 10 10 a AO A er H Y BI e a Oe aa DRCR net Zeiss Cirrus OCT Procedures June 2009 5 7 2 Ifthe captured scan is of good quality then click Save 5 7 2 1 This will return you to the Acquire screen to obtain another scan such as for the other eye if needed see Section 5 2 5 7 2 2 Ifthe scan is not of good quality e g signal strength is lower than 5 then click Try Again Del 2 ls This will return you to the Acquire screen to obtain repeat scan see Section 5 2 5 7 2 3 When repeat scan is of good quality click Save 5 7 2 3 1 This will return you to the Acquire screen see Section 5 2 5 7 2 4 Once all scans are obtained click Finish 6 Export Data 6 1 Target Export File System 6 1 1 Your target export file system may be fixed media C drive network drive etc or removable media CDs DVDs USB devices If you are exporting to removable media insert the media into its drive 6 1 2 Create a new folder on the export file system to contain all the exported data for a single patient visit including data for both eyes if required by protocol and rescan data if required by protocol 6 1 3 Name the new folder using the patient s Study ID code and visit name for example 6 1 3 1 JO39 0246RU 10 week for a 10 week follow up visit in protocol J Figure 9 6 1 3 2 0039 0246RU Zeiss Cirrus or O039 0246RU Heidelberg Spec
4. data for the subject At present you must export all scan data associated with a subject there is no capability to select just the scans associated with a particular visit 1 3 4 Export process should automatically produce a DATAFILES folder an Export xml file and a ZDBDIR IB file in the export folder 1 4 Upload data to Coordinating Center using DRCR net Image Upload Client software 1 4 1 This is an updated version of the same software that is used to upload DRCR net fundus photography data 1 4 1 1 You must download and install version 2 0 of this software even if you already have the older version installed for photography uploads 1 4 2 Software can be obtained from the Study Documents section of DRCR Web site www DRCR net DRCR net Zeiss Cirrus OCT Procedures June 2009 2 System Requirements 2 1 Zeiss Cirrus software requirements Dada dhe Because these procedures do not involve any custom software components they will work with any version of Zeiss Cirrus software available at the time this document was written 2 2 Windows Explorer Configuration 2 2 1 Make sure that Windows Explorer is NOT set to Hide extensions for known file types follow the steps below if you are unsure how to do this 2 2 1 1 2 2 1 2 Figure 1 2 My Computer File Edit View Favorites Help y 7 D ar Synchronize Address y My Computer Folder Options Folders Desktop E My Documents E 4 My C
5. 2 DRCR net Zeiss Cirrus OCT Procedures June 2009 2 My Computer Folder Options General View Affine Files Folder views gt You can apply the view such as Details or Tiles that fr you are using for this folder to all folders Reset All Folders Advanced settings G Files and Folders Automatically search for network folders and printers Display file size information in folder tips Display simple folder view in Explorer s Folders list C Display the contents of system folders Display the full path in the address bar Display the full path in the title bar C Do not cache thumbnails Hidden files and folders Do not show hidden files and folders Show hidden files and folders C Hide extensions for known file typ raastaffworkingFolders BHA RRR He BH BG Figure 2 Unchecking the Hide extensions checkbox 3 System Start and Login Please refer to the user manual for your Zeiss Cirrus system to turn on the hardware and launch the supporting software to reach the startup screen shown in Figure 3 4 Add a New Patient 4 1 Click the Add New Patient tab Figure 3 DRCR net Zeiss Cirrus OCT Procedures June 2009 Records Edit Tools Help Cirrus Operator Logout Find Existing Patient Add New Patient Search by y Adwanced Search Results Last Name First Name o Birth Date Patient ID Status
6. DRCR NET Image Acquisition Protocol Optical Coherence Tomography Using Zeiss Cirrus OCT 1 PROCEDURE SUMMARY FOR EXPERIENCED USERG cccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccecceccccccccccccccccceccs 2 1 1 ENSURE THAT YOUR ZEISS CIRRUS SYSTEM MEETS SYSTEM REQUIREMENTS ceccececcccccecceccacececsacecencecenceceacececsacecsaceseaceseacecsaceceeeaceeeaceneas 2 1 2 ACQUIRE SD OCT SCAN S RESCAN S FOR STUDY EYE S PER PROTOCOL SPECIFICATION sssseeeseeeeeccccecscsssseseeeeeueeeesseeeseesssseueeeseuaeeenesess 2 1 3 EXPORT SCAN DATA TO NEW EMPTY FOLDER NAMED WITH STUDY ID AND VISIT ccececcecececccececcecenceceacececcececcececencesenceceacecsaceceeeaceneas 2 1 4 UPLOAD DATA TO COORDINATING CENTER USING DRCR NET IMAGE UPLOAD CLIENT SOFTWARE cccececcecccceccccccsceccececescececceceeceuceceaceceas 2 2 SYSTEM REQUIREMENTS ona AAA ARA A 3 21 ZEISS CIRRUS SOFTWARE REQUIREMENTS un cia 3 2 2 WINDOWS EXPLORER CONFIGURATION te 3 3 SYSTEM START ANDIOG N aisssscb are ciiacs iiss sods ioccdsseceawedeutlesedanwasaatanadsnedesoceensanaslased dewalsaueadvadeceusncsencsdqunsladedan wales vaved seeder ocsaubasceuedewcnes 4 4 ADD A NEW PATENT iii AAA AAA 4 4 1 CHICK HE ADO EW PATIENT TAB o E o sige ates rn E E e a O 4 4 2 RELLENA TE BOUDE De FELD td di e dead at aa 5 4 3 ENTER THE SUBJECT S DRCR NET STUDY ID INTO THE PATIENT ID FIELD cccccecosceceecscescscsccesccescusescecs
7. birth Ornits entire date of birth for patients over 80 yrs old Search for Patient Exams to Export Exam Date Dal eek 90 emus BO em 30 eon O interval Froml an Through Days Days Days Days Adwanced Search Results Last Name First Mame Birth Date Browse For Folder 5 temp 9 Clt Inst A 5 DRCR net Data O J039 0246RU 10 week 5 ExportTests ly HeyexExport 5 Installers 5 Jaeb Release 2009 04 27 5 Jaeb Release 2009 06 18 en e e e lt M Make New Folder Figure 12 Navigating to empty folder and selecting it 6 2 4 Enter Subject ID into the Patient ID text box and click the Search button to display the patient record for your subject in the Results panel see Figure 13 6 2 5 Click the subject record listed in the Results panel to highlight it for export see Figure 13 DRCR net Zeiss Cirrus OCT Procedures June 2009 11 6 2 5 1 IMPORTANT Make sure the Omit Patient Identifiers checkbox is unchecked Failing to uncheck this field will cause an error during DRCR net Image Upload process 6 2 6 Click the Export button to export the subject data to your empty folder see Figure 13 Export Options Export T port 10 omit Patient Identifiers Label 855949 70835 E 20090619114425 Omit Patient M Hare Fath C ttempi DRCR net Data J039 0246RU 10 week Omit Patient Marne and day of birth Ornit Patient Marne dgve nd month of birth fOmits entire da
8. omputer q 314 Floppy A Sw Local Disk C QB CD Drive D dl S sys on File Server anapos F E se apps on appsrv1 G 3 jlum on anapos sys user AastaffworkingF 2 jlum on betaweb2 betaweb2 K E e jsite on betabast N 4 A jsite on BetaPubWeb betapubweb P 4 S jsite on betaweb betaweb 5 E S jsite on betaweb2 betaweb2 T E SP izte an hebaees ee fll gt Map Network Drive Disconnect Network Drive Double click the My Computer icon to open the Windows Explorer window In your Windows Explorer window choose Tools gt gt Folder Options from the menu S Local Disk C CD Drive D S sys on File Server anapos F apps on appsrw1 G S jlum on anapos sysuser AAStaffWorkingFolders S jlum on betaweb2 betaweb2 K HP jsite on betabast N SP jsite on BetaPubwWeb betapubweb P SP jsite on betaweb betaweb S S site on betaweb2 betaweb2 T S jsite on betaesus U S Local Disk W e Local Disk X Y se Local Disk Y Figure 1 Accessing the Tools gt gt Folder Options dialog box from a Windows Explorer window 2 2 1 3 In the Folder Options dialog box click the View tab Figure 2 2 2 1 4 Under the Advanced settings tree uncheck the checkbox next to Hide extensions for known file types and click the OK button Figure
9. saecuseecscaecscesescesessascususcesaes 5 5 PATIENT EXAM oriras ataa aaa a a a a E in 6 5 1 PATIENT EXAIVEINSTRUCTIONS EE A E T E E E AE E T E E A AEE E E A E E E EEA 6 5 2 ACQUIRE SEREEN EE AEE E E E A E S AAE IES AE A E EAEE A A OSE A A AE E N 6 5 3 Aa kon A a a e aaa e 6 5 4 PUINDUS VIEW PORT A EEE E SE A E EN EEN E A EE EA AE EEN EEEE EEI RTA E N UU 7 es LOCATION OFTHE SCAN PATTER N arra eden arado 7 5 6 THE OCT WILL BEGIN SCANNING istinama TTE AE A E EE TE 8 6 EXPORT DAIA Cid a e A a a a a a A a a a e E A a AAA A 9 6 1 TARGET EXPORT FILE SS TEM eaaa a laicas 9 6 2 EXPO Se RS N E dl DE 10 7 UPLOAD EXAM DATA 2 ica 13 DRCR net Zeiss Cirrus OCT Procedures June 2009 1 1 Procedure Summary for Experienced Users 1 1 Ensure that your Zeiss Cirrus system meets system requirements 1 1 1 See System Requirements Section 2 for details on system configuration and minimum software version 1 2 Acquire SD OCT scan s rescan s for study eye s per protocol specification 1 2 1 Scan type Macular Cube 512x128 1 2 2 Scan Signal Strength gt 6 10 1 3 Export scan data to new empty folder named with Study ID and Visit 1 3 1 Example folder names include JO39 0246RU 10 week and O039 0246RU Zeiss Cirrus for protocol J and O respectively 1 3 2 Subject s Study ID e g JO39 0246RU or 0039 0246RU must be saved in the Patient ID field of the patient record prior to export 1 3 3 Export the scan
10. te or patients over 80 vrs old Search for Patient Exams to Export Exam Date Days Days Days Search deanced Searc Results ANA Last Name First Mame Birth Cate Sali Joe 6 15 1970 Deselect Al Figure 13 Completing the Export process 6 2 7 When the export process is complete the data exported into your target folder should look exactly like Figure 14 below DRCR net Zeiss Cirrus OCT Procedures June 2009 12 C Memp WRC net Data1J039 0246RU 10 week File Edit View Favorites Tools Help sack Qj a pe Search E roer Address Cu tempDRCR net Data11039 0246R LI 10 week Folders A Mame Size Type OEMDRVRS E2 DATAFILES File Folder Program Files J E Export xml i KE ML Document I SampleCiCTCiata DBOTR IB 952 KE IB File temp y Clt Inst DRCR net Data O J039 0246RU gt 5 ExportTests HeyexExpaort 5 Installers 5 Jaeb Release 201 5 Jaeb Release_201 JaebStratusOCTE A a ria nn PR M lt Lill O El El 3 objects Disk Free space 20 0 GB A My Computer Figure 14 Filesystem contents following data export of scans 7 Upload Exam Data You will use the DRCR net Image Upload application to upload your exported SD OCT study data This is an updated version of the same software that your site may have previously used to upload large digital image files associated with Photography or Fluorescein Angiogram visits Please obtain the user manual and the installa
11. tion software for version 2 0 of this software application under the Study Documents section of the DRCR Web site www DRCR net DRCR net Zeiss Cirrus OCT Procedures June 2009 13
12. tralis for one of the machine specific visits in Protocol O S C 1TEMPIDRCR net Data File Edit View Favorites Tools Help Q Back QJ D pi Search ES Folders Hak Address C C TEMPYDRCR net Data Folders x Name Debug A 5 J039 0246RU 10 week gt deploy 5 Deployments O DigPhotoTemp 3 DirecNet_Dataset_Table O DirecNetNavigatorPilotStudy DLLs 5 DownloadTests 4 DownloadTests_ EXE O DRCR net Data gt DRCR net Image Upload Client O DRCR_Image_Download_Client_2C y gt lt Figure 9 Example export folder on local C drive DRCR net Zeiss Cirrus OCT Procedures June 2009 9 6 2 Export steps 6 2 1 Start up the Zeiss Cirrus software 6 2 2 Choose Records gt gt Export Exams from the main menu see Figure 10 Records Edit Jools Help Operator Cirrus Logout Import Exams O Urrent Patient to IMG a rent Study ro MG Advanced Search Figure 10 Navigating to the Export Exams screen 6 2 3 Click the Browse button to open a Browse for Folder window see Figure 11 6 2 3 1 Use the Browse for Folder window Figure 12 to navigate to the empty folder that you created above and click the OK button so that your folder name appears in the Path field Figure 13 DRCR net Zeiss Cirrus OCT Procedures June 2009 10 Export Options Export To omit Patient Identifiers Label Omit atient Name Amit Patient Mame day and month of
13. ube 200x200 Chinrest j a Repeat Setup E Focus Transparency Network Archive volume has not yet gt Figure 5 Acquire Screen 5 2 1 Have the patient place their chin on the chinrest at the Blue indicator line 5 2 1 1 The Blue indicator line is used for scanning the right eye 5 2 1 2 The white indicator line is used for scanning the left eye 5 2 2 Have patient place forehead against forehead rest with the Blue indicator line 5 2 2 1 The Blue indicator line is used for scanning the right eye 5 2 2 2 The white indicator line is used for scanning the left eye 5 2 3 Select Scan Macular Cube 512x128 default in upper panel Figure 5 for the eye you wish to scan 5 3 Iris View Port observe at the upper left of the screen see section enlargement in Figure 6 DRCR net Zeiss Cirrus OCT Procedures June 2009 6 k Chinrest So Figure 6 Iris View Port 5 3 1 To center the scan beam through the pupil either see Figure 6 5 3 1 1 click on the pupil center 5 3 1 2 oruse the X Y controls to the right 5 3 2 Focus the iris image by moving the chinrest back and forth with the chinrest arrows 5 3 3 Tell the patient to look for and fixate on the center of the green star within the machine 5 3 4 Realign the scan beam to a clear area of the pupil as needed 5 4 Fundus View Port observe the area located at the lower left of the screen Figure 7 A AS af 20 20
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