DRCR.NET Image Acquisition Protocol Optical Coherence
Contents
1. Display Progression Scan Planning Tool IR amp OCT Exchange OD OS Change Patient Delete as Picture Ena as XML Add to lightbox Lightbox Figure 22 Right clicking on a scan and selecting Export gt gt as E2E 6 1 8 2 When the export dialog box appears perform the following steps see Figure 23 6 1 8 2 1 Click the Browse button and browse to the empty folder you created earlier as your destination for export 6 1 8 2 2 Instead of the default filename that appears in the File name box enter the following filename instead 6 1 8 2 3 DRCR NET Spectralis Procedure FINAL 10 10 10 doc OD1 E2E for the right eye volume scan ODR E2E for the right eye raster scan If the protocol requires a repeat scan OD2 E2E for the right eye repeat volume scan OS1 E2E for the left eye volume scan OSR E2E for the left eye raster scan If the protocol requires a repeat scan OS2 E2E for the left eye repeat volume scan Click the Save button 24 Export Options Destination Export file C TEMP DRCR net Data Use file name prefix 2 Heidelberg Eye Explo Export File Name OCT 04 23 2008 Save in J039 0246RU 10 week 00 Save as type Eye Explorer Exchange Files 2 9 Cancel Location Institute Jaeb Center for Health Research O2. 01 01 1962 Create new patient file Start continue examination Load patient file Unload patient file Patient database Active Patient Records Figure 7 Main database screen in Eye Explorer software On the left side all patients in the database are listed The right window serves to select patients for new examinations and review or for batch processing e g export Note depending on the software version some of the titles corresponding to the icons may be slightly different Double click ona patient name to move the file to the right window Please note that closing the window will shut down the program 4 Entering Study Patient Data If this is the baseline scan for a new patient follow the directions in section 4 1 to create a new patient record Then skip to section 5 for the directions on acquiring patient images If this is a follow up scan then go to section 4 2 to learn how to set a reference scan and then to section 5 for directions on acquiring patient images 4 1 Creating New Patient Record 4 1 1 If this is the baseline scan for a new patient you will need to create a new patient record To do so click on the New Patient button Figure 8 wal Heidelberg Eye Explorer File Database Record Setup Window Help New patient Update Display Figure 8 Creating a new patient record DRCR NET Spectralis Procedure FINAL 10 10 10 doc 10 4 1 2 Inthe Patient Dat
3. 25427 4 2 MANAGING EXISTING PATIENTS SETTING REFERENCE SCAN 5 PATIENT EXAM e 13 5 1 EXAMINATION DATA DIALO Gis 5 eo chat E ora ir Hr dr ER 13 5 2 DEVICE TYPE SELECTION EE 13 5 3 EYE DATA WINDOW FIGURE 13 13 5 4 CONTROL PANET OVERVIEW der n e desee eed Ye n a cp E dar pa c te 14 5 5 OCT IMAGE ACQUISITION eeu baee uec V Yea svar bees oe ata Pads ec Ord p vw edat e on eda 14 5 6 OCT ACOUISITION PARAMETERS 9211 a dr dT ert e i t v Eres aas aper ded E E 19 6 I hic2d2 2er aduosdzilie S 20 6 1 VISIT EXPORT STEPS ee c 20 7 UPLOAD DATA iiceccsscccascsiccsacccacisaccctecsancoacssaacadcecacsdsctcaucsasacasvascduasesdecdaevcedsasccasscbactaccsacaddencaucsacdcaevancsuavccactdbenedoasascebeddbecoavetace 29 DRCR NET Spectralis Procedure FINAL 10 10 10 doc 1 1 Procedure Summary for Experienced Users 1 1 Ensure that your Heidelberg system m
4. DRCR NET Spectralis Procedure FINAL 10 10 10 doc 2 System Requirements 2 1 Heidelberg Spectralis software configuration 2 1 1 Ensure that your Heidelberg Eye Explorer s HRA Spectralis Viewing Module is version 5 1 or higher 2 1 1 1 You can check your current software version by launching Eye Explorer and selecting Help gt gt About from the menu Figure 1 About Heidelberg Eye Explorer HEIDELBE G amp Heidelberg Eye Explorer Version 1 6 2 0 nstalled Module HRA Spectralis Spectralis Viewing Module Print Edit Send to support Serial 2 7344 001 001 Workstation ID 1 fixed license 2009 Heidelberg Engineering GmbH http www HeidelbergEngineering com OK Figure 1 Software version information 2 1 2 XML Export module configuration 2 1 2 1 If not already done install the DRCR net Image Upload Client software on the Heidelberg SD OCT machine this installer includes a piece of software that supports the data export process from Heidelberg Eye Explorer 2 1 2 2 Launch the Heidelberg Eye Explorer software 2 1 2 3 Choose Setup gt gt Options from the menu 2 1 2 4 Click the Plug Ins tab in the Options dialog box see Figure 2 DRCR NET Spectralis Procedure FINAL 10 10 10 doc 2 1 2 5 Click the hraviewer entry in the plugin listing listbox so that it is highlighted then click the Setup button to open a Prefe
5. 111 lt gt Map Network Drive Disconnect Network Drive Ss Local Disk C Drive D S sys on File Server anapos F apps on appsrv1 G ilum on anaposlsysluserlAAStaffWorkingFolders SX ilum on betaweb2 betaweb2 jsite on betabast N 59 jsite on BetaPubWeb betapubweb P Bisite on betaweb betaweb 5 jsite on betaweb2 betaweb2 T jsite on betaesus U Local Disk W lt Local Disk X Local Disk Y lt Figure 5 Accessing the Tools gt gt Folder Options dialog box from a Windows Explorer window 2 2 1 3 2 2 1 4 known file types 2 2 1 5 Then click the OK button DRCR NET Spectralis Procedure FINAL 10 10 10 doc In the Folder Options dialog box click the View tab see Figure 6 Under the Advanced settings tree uncheck the checkbox next to Hide extensions for My Computer Folder Options Folder views 2 You can apply the view such as Details or Tiles that you are using for this folder to all folders Apply to All Folders Reset All Folders bos F 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
6. ERM 02 25 13 DEMO SPECTRALIS 05 29 1975 IRRF AF FA DEMO SPECTRALIS 04 26 1922 Vol DEMO SPECTRALIS 08 06 1931 DEMO SPECTRALIS CNY PED 02 04 1934 IR RF DEMO SPECTRALIS CSCR 03 28 1948 OCT Figure 10 Performing a new examination on an existing patient DEMO SPECTRALIS ARMD 4 2 2 In the right hand list box double click on the subject entry 4 2 1 b and new screen will open that shows pictorial representations of the various scan sets available for the subject These representations will appear on 1 or more date tabs depending on the number of dates that that prior studies were obtained 4 2 3 Select the tab that has the date the baseline scans were obtained and Right click on the baseline scan to set it as the reference scan note in a study with repeat scans on the same date the initial scan will be set as the reference image for the 2 9 or repeat scan 4 2 3 1 Set the baseline volume scan as the reference if you are about to acquire a follow up volume scan or set the baseline raster scan as the reference if you are about to acquire a follow up raster scan 4 2 4 Select Progression 4 2 5 Select Set Reference 4 2 6 Scan has now been selected as the reference scan This setting is confirmed when a red Ref icon appears on the bottom left corner of baseline scan Figure 11 Z IR am
7. OD IR amp OCT 07 29 2010 OS IR amp OCT Canco Figure 17 Selecting Reference Scan DRCR NET Spectralis Procedure FINAL 10 10 10 doc 18 5 6 OCT Acquisition Parameters 5 6 1 The following parameters represent the configuration for the preset DENSE volume scan pattern 5 6 1 1 Scan Extent Volume Scan 20 x 20 as indicated above the Sections information 5 6 1 2 Scan Sections B scans 49 sections 120 microns spacing 5 6 1 3 OCT ART Mean 16 Frames 5 6 1 4 Quality Bar indicates the minimum allowable image quality Range is O 40 the higher number the higher the quality A reasonable range for minimum quality is 25 decibels or more 5 6 1 5 Eye Length M medium If you cannot focus at this setting then adjust by changing the Eye Length from its default of M medium to L long or XL extra long or S short until you can focus that retina 5 6 2 The following parameters represent the configuration for the preset 7Line raster scan 5 6 2 1 5 6 2 2 5 6 2 3 5 6 2 4 5 6 2 5 Scan Extent Volume Scan 30 x 5 as indicated above the Sections information Scan Sections B scans 7 sections 240 microns spacing OCT ART Mean 25 Frames Quality Bar indicates the minimum allowable image quality Range is 0 40 the higher number the higher the quality A reasonable range for minimum quality is 25 decibels or more Eye Length M medium If you cannot focus at this settin
8. Panel Overview IR ICGA Laser Select Volume Scan Imaging vole 4 Modes Start Stop RF OCT Acquisitio aver ACQUIRE 4 on off Figure 14 Control panel 5 5 OCT Image Acquisition DRCR NET Spectralis Procedure FINAL 10 10 10 doc 14 5 5 1 Wait for the Laser On Off button on the Control Panel to turn from Red to Yellow 5 5 2 the Control Panel Inactive unselected buttons Red Active Selected buttons are Blue 5 5 3 Press the Yellow Laser On Off button on the Control Panel to activate the Laser OCT It will turn green once activated Figure 14 5 5 4 Make sure that the following items in figure 14 are selected blue 5 5 4 1 OCT button 5 5 4 2 Volume button 5 5 4 3 Field button should be at 30 degrees 5 5 4 4 IR Intensity button will default to 10096 but should be adjusted for patient media typically 5096 7596 5 5 5 Finally select the IR OCT button blue Figure 14 then the OCT Acquisition Window will appear on the computer screen Figure 15 5 5 6 To Acquire Baseline Images 5 5 6 1 First select the DENSE button under Preset in the OCT Acquisition Window Figure 15 5 5 6 2 Confirm the default parameters are set for the selected scan configuration Figure 15 see section 5 6 for scan configuration 5 5 6 3 Align center the camera head with the patient s eye using the black and white IR fundus image on the upper left side of the monitor Figure 15 5 5 6 4 Focus the black an
9. main screen with selected patient displaying in right hand pane In the right hand list box double click on the subject entry and a new screen will open see Figure 6 1 6 Figure 20 that shows pictorial representations of the various scan sets available for the subject 6 1 6 1 This example shows a e Baseline right eye OD scan with the volume scan and raster scan where the volume scan is set as the reference image red box e Left eye OS scans from a protocol with repeat images at the same visit Includes the first volume scan set as the reference image red box a raster scan and the second volume scan not set as reference but rather as the follow up scan that is being compared to the reference scan grey hatched sandwiched box DRCR NET Spectralis Procedure FINAL 10 10 10 doc 21 wa Heidelberg Eye Explorer Record Image Setup Lightbox Window Help SE a es nsn Patient DRCR O 0039 0007 01 01 900 0039 0007FP v Patient amination Eye Data ocT 09 02 2010 OCT 08 02 2110 Volume Scan Not reference rather a follow up scan replicate performed on the same day that is being compared to the reference scan the original scan obtained on this date Reference Scan Figure 20 Patient scan data window displaying scan listings 6 1 7 Click the Patient button at the top of the screen see Figure 20 6 1 7 1 In the resulting form see
10. 09 02 2010 Progression Scan Planning Tool IR amp OCT Exchange OD OS Change Patient Delete sez TE as Picture E as XML Add to lightbox Lightbox Figure 25 Right clicking on a scan and selecting Export gt gt as XML 6 1 8 6 1 If necessary wait for the Exporting Data to XML Please wait dialog box to disappear 6 1 8 6 2 A window entitled DRCR net XLM window export custom DRCR net window should appear and prompt you to select an exported E2E file that matches the XML being exported see Figure 26 6 1 8 6 3 Navigate to the E2E file that you just exported for this scan select that file click the Open button and an XML data file will be created alongside the E2E file that you previously exported DRCR NET Spectralis Procedure FINAL 10 10 10 doc 27 DRCR net XML Export specify associated E2E file Look in J039 0246RU 10 week ESQ My Recent Documents Desktop My Documents My Computer File name OS E2E My Network Files of type E2E Files Figure 26 Dialog box in XML export asking you to choose the E2E file associated with the XML export 6 1 8 6 4 Following the XML export you should be able to see a matched pair of files with the same basename in your export folder see Figure 28 6 1 8 6 4 1 If the error message in Figure 27 Error exporting XML file below appears please check your cu
11. 7Line image 5 5 7 13 Click the X on the upper right hand side of the active window to exit the OCT Acquisition Window and to save the acquired images DRCR NET Spectralis Procedure FINAL 10 10 10 doc 16 od 98 lt iss MA oc SHEIDELBErGS 3 Cid one of the controls to operate the camera Scan Details Live Image Figure 15 OCT Acquisition window Volume Scan DRCR NET Spectralis Procedure FINAL 10 10 10 doc Sen Quality Bar n y Ties 16 frames m OCT ART Fours 0590 4 120m Sections Mode OCT Voume Rew 11 Res Speed 17 Spectralis HRA OCT Cavicchi Robert 5 Setup Exit Follow Up OCT Control Stan s x IR Reflection Image O TII Settings Timers ART 25 frames 00 Eye OD OS ICGA nl Angle 30 FA Focus 3 250 a Sens 59 Nm 4 30x5 D 7 ey Power IR 10096 240 Y Images 0 Mode OCT Volume 1536 A scans Rate 4 7 sec ME SEELS Res High Res 822 fo HrA OcT BHEIDELBErG SPECTFALIS Move camera to OD or OS position Figure 16 OCT Acquisition window Raster Scan Select Baseline Examination x os 07 29 2010
12. DRCR NET Image Acquisition Protocol Optical Coherence Tomography Using Heidelberg Spectralis OCT 1 PROCEDURE SUMMARY FOR EXPERIENCED USERG sssccccsssecccsssscccnssccccecsecccncscccccsecccucsecccucsecccuesececuusecccuccecccucsesecceseesueses 2 1 1 ENSURE THAT YOUR HEIDELBERG SYSTEM MEETS SYSTEM REQUIREMENTS 1 2 1 2 ACQUIRE SD OCT SCAN RESCAN S FOR STUDY EYE S PER PROTOCOL 2 1 3 EXPORT SCAN DATA TO NEW EMPTY FOLDER NAMED WITH STUDY ID AND VISIT cese eene nennen nennen nennen nennen nenne 1 4 UPLOAD DATA TO COORDINATING CENTER USING DRCR NET IMAGE UPLOAD CLIENT SOFTWARE 2 SYSTEM Merida mem 4 2 1 HEIDELBERG SPECTRALIS SOFTWARE CONFIGURATION nente eee eene nean 4 2 2 WINDOWS EXPLORER CONFIGU RATION 5 odie ras d senda rode da pe Sees eb au etate Ra dodo ee ua 7 3 SYSTEM START AND LOGIN 5 9 4 ENTERING STUDY PATIENT DATA ores aerea 10 4 1
13. Figure21 make sure that the appropriate Pt ID value is entered into the Patient ID field If the correct value is already there click Cancel otherwise enter the correct Pt ID value and click OK DRCR NET Spectralis Procedure FINAL 10 10 10 doc 22 Patient Data Patient Data Mu data Patient DB ID 18 Last DEMO SPECTRALIS First Rescan Functionality Title Date of bith 07 11 1979 Sex Female Male Patient ID 033 0246RU Figure 21 Patient Data dialog box allowing user to input a Patient ID value 6 1 8 For each IR OCT scan to be exported perform the steps listed below Note that a patient with only one study eye in a protocol with no rescan requirement would involve two scan exports volume and raster while a patient with two study eyes in a protocol that includes a rescan would involve six iterations of this scan export procedure 2 volume and 1 raster for each eye 6 1 8 1 Right click the icon representing the scan you want to export and select Export gt gt as E2E from the pop up menu Figure 22 DRCR NET Spectralis Procedure FINAL 10 10 10 doc 23 uai Heidelberg Eye Explorer File View Record Image Setup Lightbox Window Help d 2 22 m 586 Bol Patient DRCR O 0039 0007 01 01 900 0039 0007FP 7 Patient Examination Eye Data OCT 09 02 2010 OCT 09 02 2010 oD IR amp OCT IR amp OCT
14. K Cancel Press F1 for help Figure 23 Choosing target folder and filename for E2E export 6 1 8 3 Backin the Export Options dialog box Figure 24 make sure the Anonymize data checkbox is checked 6 1 8 4 In the section below the Anonymize data checkbox make sure that the radio buttons in the Last Name and First Name are set to the default Patient ID selection DRCR NET Spectralis Procedure FINAL 10 10 10 doc 25 Export Options 4 Heidelberg Eye Explo File View Record Image Export file CNTEMPADRCR net Data J039 0246RU Use file name prefix OCT 30 ART v Anonymize data Last Name First Name C Fixed saa Patient1D PatientID C First letter only Location Institute Jaeb Center for Health Research OK Cancel Figure 24 Choosing export options for 2 export 6 1 8 5 Click the OK button and the raw data will be exported to your target folder 6 1 8 6 Back on the Eye Explorer screen that displays the various scans available for your patient right click the same scan that you just exported and select Export gt gt as XML see Figure 25 DRCR NET Spectralis Procedure FINAL 10 10 10 doc 26 uai Heidelberg Eye Explorer Fie View Record Image Setup Lightbox Window Help wo s s EB BE Patient DRCR O 0039 0007 01 01 900 039 0007 7 Patient Examination Eye Data OCT 09 02 2010 OCT
15. a window Figure 9 enter the following information Last DRCR Protocol e g DRCR J First PT Study ID JO39 0246RU Date of birth 1 1 1900 Gender sex Male Patient ID J039 0246RU Other fields do not need to be filled for DRCR net study purposes Patient Data Patient Data More data Memo Patient DB ID 18 Last DEMO SPECTRALIS First Rescan Functionality Title Date of birth 07 1 99 00 Sex Female Male Patient D 3033 02460 7 Figure 9 Patient Data Window 4 1 3 Skip section 4 2 and go directly to section 5 Patient Exam for the directions on acquiring patient images 4 2 Managing Existing Patients Setting Reference Scan 4 2 1 To open an existing patient file to complete a new examination in the patient listbox Figure 10 double click on the patient to be scanned 4 2 1 a so that the patient identifier appears in the right hand list box 4 2 1 b DRCR NET Spectralis Procedure FINAL 10 10 10 doc 11 2 Heidelberg Eye Explorer File Database Record Setup Window Help Oe 7 5 92 02 ie Update Display Demo Spectralis Rescan Functionality 07 11 1979 Demo Spectralis Scan Patterns 04 17 2008 Cir line DEM SPECTRALIS Angioid Streaks 06 18 1979 IR DEMO SPECTRALIS ARMD 04 16 1937 IR AF FA DEMO SPECTRALIS amp RMD ERM 04 11 2008 IR RI DEMO SPECTRALIS Choroidal Folds
16. d white fundus image using the black knob facing the operator on the camera head 5 5 6 5 Align center the OCT Image on the upper right side of the monitor using the camera head Figure 15 5 5 6 6 Press the Acquire button blue Figure 14 on the control panel to start acquiring OCT scans 5 5 6 6 1 Please note that the live scan images are always displayed as small image in the lower part of the screen Figure 15 Top images are not live as the eye moves the quality can be adjusted by referring to the live images on bottom 5 5 6 7 Upon completion of the scan the instrument will stop automatically 5 5 6 8 Once the DENSE Scan is complete select the 7 Lines raster scan button under Preset in the OCT Acquisition Window Figure 16 5 5 6 9 Repeat steps 5 5 6 2 5 5 6 7 above for the 7Line Raster Scan 5 5 6 10 Click the X on the upper right hand side of the active window to exit the OCT Acquisition Window and to save the acquired images 5 5 7 To Acquire Follow up Repeat Images DRCR NET Spectralis Procedure FINAL 10 10 10 doc 15 5 5 7 1 First select the DENSE button under Preset in the OCT Acquisition Window Figure 15 5 5 7 2 Confirm the default parameters are set for the selected scan configuration Figure 15 see section 5 6 for scan configuration 5 5 7 3 Select Follow up Button on the right side of the screen Figure 15 5 5 7 3 1 Note if the Follow up button is gray then a reference image has not been set P
17. eets system requirements 1 1 1 See System Requirements Section 2 for details on system configuration minimum software version and required custom software 1 2 Acquire SD OCT scan rescan s for study eye s per protocol specification 1 2 1 Enter the following patient identifying information into the patient record Last Name DRCR Protocol e g DRCR O and First Name PT Study ID Patient ID 0039 0246 1 2 2 To Obtain Baseline Scans 1 2 2 1 Obtain pre set Dense Volume Scan 20 x 20 Scan configuration of 49 B scan sections 16 Frames OCT ART Mean 120 um spacing high speed 512 A scans B scan 1 2 2 2 Obtain pre set 7 Line Raster Scan Scan configuration of 30 x5 25 Frames OCT ART Mean 240 um spacing high resolution 1 2 2 3 Scan Qualify Factor gt 25 40 decibels db if possible 1 2 3 To Obtain Follow up Scans Repeat Scans 1 2 3 1 Set baseline volume scan as the reference image note in a study with replicate scans the initial scan will be set as the reference image 1 2 3 2 Obtain the Dense Volume Scan from the pre set options selecting Follow up from the OCT Acquisition Window to use the baseline scan as reference Scan configurations same as 1 2 1 1 1 2 3 3 Set baseline raster scan as the reference image 1 2 3 4 Obtain pre set 7 Line Raster Scan Scan configurations same as 1 2 1 2 1 2 3 5 Scan Qualify Factor 25 40 decibels db if possible 1 3 Export scan data to new empty
18. folder named with Study ID and Visit 1 3 1 Example folder names include JO39 0246RU 14 week and O039 0246RU Heidelberg Spectralis for protocol J and O respectively 1 3 2 Patient s Study ID e g J039 0246RU or O039 0246RU must be entered into the Patient ID field of the patient record prior to export 1 3 3 For each scan or rescan acquired for the visit per protocol instructions perform the following two export steps 1 3 3 1 Export scan as an E2E file For the right eye name the volume scan OD1 E2E and name the raster scan ODR E2E note in a study with replicates scans the replicate volume scan will be named OD2 E2E 1 3 3 2 Export scan as an XML file requires prior installation of DRCR net Image Upload Client software and related configuration steps see System Requirements Select the corresponding E2E file to complete XML export 1 3 4 Export process should produce two files per scan E2E and XML in the export folder 1 4 Upload data to Coordinating Center using DRCR net Image Upload Client software DRCR NET Spectralis Procedure FINAL 10 10 10 doc 2 1 4 1 This is 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 the DRCR Web site www DRCR net
19. g then adjust by changing the Eye Length from its default of M medium to L long or XL extra long or S short until you can focus that retina DRCR NET Spectralis Procedure FINAL 10 10 10 doc 19 6 Image Export Procedures 6 1 Visit Export Steps 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 port 6 1 2 Create a new folder on the export file system see Figure 18 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 J039 0246RU 14 week for 14 week follow up visit in protocol J Figure 18 6 1 3 2 O039 0246RU Zeiss Cirrus O039 0246RU Heidelberg Spectralis for one of the machine specific visits in Protocol O C TEMP DRCR net Data File Edit View Favorites Tools Back 27 Search Folders Address C TEMP DRCR net Data Folders x Name Debug C32039 0246RU 10 week deploy Deployments DigPhotoTemp DirecNet_Dataset_Table 9 C3 DirecNetNavigatorPilotStudy pus DownloadTests C3 DownloadTests EXE C DRCR net Data C3 DRCR net Image Upload Client Image Download Client 2C g
20. lease see section 4 2 to set a reference image 5 5 7 4 Double click on the scan to use as the reference Figure 17 5 5 7 5 At this time the small images at the bottom of the window will show the scans taken during the baseline exam 5 5 7 6 Align center the camera head with the patient s eye using the black and white IR fundus image on the upper left side of the monitor Figure 15 5 5 7 7 Agreen box appears around the IR fundus image and OCT image once the frame of the live image matches the frame of the baseline exam The OCT scan line will turn from red to blue 5 5 7 8 Focusthe black and white fundus image using the black knob facing the operator on the camera head 5 5 7 9 Align center the OCT Image on the upper right side of the monitor using the camera head Figure 15 5 5 7 10 Upon completion of the scan the instrument will stop automatically 5 5 7 10 1 Please note that the live scan images are always displayed as small images in the lower part of the screen Top images are not live as the eye moves the quality can be adjusted by using live scan images on bottom 5 5 7 11 Once the follow up DENSE Scan is complete follow the steps in section 4 2 to reset the reference image to the baseline raster scan Then follow the steps in section 5 to return to the OCT Acquisition window Now select the 7 Lines raster scan button under Preset in the OCT Acquisition Window Figure 16 5 5 7 12 Repeat steps 5 5 7 2 5 5 7 10 above for the
21. p OCT Figure 11 Baseline Image Set as Reference Scan 4 2 7 Click on the database button to return to the database screen DRCR NET Spectralis Procedure FINAL 10 10 10 doc 12 5 Patient Exam 5 1 Examination Data dialog The Examination Data dialog box opens before each exam upon submission of the patient data window but can also be opened at any later stage using the Examination button in the patient file The respective Device Type for the examination must be selected from the drop down menu all other data is optional 5 2 Device Type selection 5 2 1 Please select Spectralis HRA OCT from the Device Type drop down menu in the window below Examination Data Examination Data Diagnosis Patient GA EUDU 06 GA 07 11 1930 Date Time 06 25 2009 Device type Spectralis HRA OCT zur BD E Operator Study Figure 12 Examination Data dialog 5 2 2 Click OK 5 2 3 The Eye Data Window will open 5 3 Eye Data Window Figure 13 5 3 1 Please Note Do NOT change any data into this window DRCR NET Spectralis Procedure FINAL 10 10 10 doc 13 C Curve mm Refraction dpt Cylinder dpt Axis deg Pupil size IOP mmHg VFieldMean VFieldVar Corrective Lens Figure 13 Eye Data dialog 5 3 2 Click OK 5 3 3 Click on yellow button on computer screen lower right or control panel to continue 5 4 Control
22. ralis Procedure FINAL 10 10 10 doc 29
23. rences window Options General Disk Space Plug Ins Type 51 jVerion hraviewer Viewer loaded 5 1 3 0 2 11 2010 12 11 PM HRA Spectre OK Figure 2 Setup gt gt Options dialog box 2 1 2 6 In the tree shown the left hand pane of the Preferences window click on the Data Export Options gt gt XML Data Export Options to bring up a list of XML Data Export Options preferences in the right hand pane of the window see Figure 3 DRCR NET Spectralis Procedure FINAL 10 10 10 doc Preferences Analysis Center Options XML Data Export Options Spectralis 3D View Options Default Image Settings CUR Data Export Options estinstiox Folder for export files Browse Miscellaneous Options Post processing application C Program Files DRCR net Image Upload EXIIT Browse Graphics format tif I Align follow up to reference Depersonalize Figure 3 hraviewer setup preferences dialog box 2 1 2 7 In the Post processing application section of the form click the Browse button to open a dialog that allows you to specify a piece of software to launch following an XML export 2 1 2 8 Browse to the following file select it and click the Open button Figure 4 C Program Files DRCR net Image Upload Client HeidelbergXMLExportHandler exe DRCR NET Spectralis Procedure FINAL 10 10 10 doc Preferences Analysis Center Options XML Da
24. rrent directory and navigate to the correct folder where the E2E files were exported to DRCR net XML Export specify associated E2E file File C SampleOCTData Exported_Use_Cases 5 O004 1234JB Spectralis Bressler file name does not exist Verify that the correct file name was given Figure 27 Error exporting XML file DRCR NET Spectralis Procedure FINAL 10 10 10 doc 28 0039 007FP Baseline OS File Q O 2 1 C TEMP DRCR net DatalJ039 0246RU 14 Week Edit Favorites Tools Help Address OS1 E2E OS1 xml OS2 E2E 052 xml 9 OSR E2E OSR xml Figure 28 Results of exporting one scan to an 2 file then exporting again as XML as seen in Windows Explorer Example of OS Eye with Repeat Image 6 1 9 Repeat the entire export process for the raster image as well as the fellow eye if required by protocol and for rescan data for one or both eyes if required by protocol 7 Upload 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 installation software for version 2 0 of this software application under the Study Documents section of the DRCR Web site www DRCR net DRCR NET Spect
25. t lt Figure 18 Example export folder on local C drive 6 1 4 Launch the Heidelberg EyeExplorer software see Figure 19 6 1 5 In the patient listbox double click on the patient whose data you want to export so that the patient appears over in the right hand list box DRCR NET Spectralis Procedure FINAL 10 10 10 doc 20 2 Heidelberg Eye Explorer File Database Record Setup Window Help oo 3 OS SS Name DEMO SPECTRALIS CSCR Diffuse Edema 01 03 19 A DEMO SPECTRALIS Rescan Fung DEMO SPECTRALIS CSME 04 10 1937 IR AF F X DEMO SPECTRALIS Diabetic Retinopathy 012032195 DEMO SPECTRALIS ERM 07 01 1933 RF AF OCT DEMO SPECTRALIS Geographic Atrophy 04 03 1980 DEMO SPECTRALIS HRA Acquisition Modes 01 01 1 DEMO SPECTRALIS Image Capture Module 01 01 19 DEMO SPECTRALIS Macular Hole 02 23 1941 OCT DEMO SPECTRALIS ONH Peripapillary Atrophy 01 01 DEMO SPECTRALIS 10 05 1949 IR RF FA DEMO SPECTRALIS RAP Lesion 05 28 1917 OCT BDEMO SPECTRALIS Rescan Functionality 07 11 197 DEMO SPECTRALIS Scan Patterns 04 17 2008 Cir li DEMO SPECTRALIS Serpiginous Choroidopathy 01 12 DEMO SPECTRALIS Silicone Dil s p Mac Hole surg 12 DEMO SPECTRALIS Toxoplasmosis 10 03 1942 Vol DEMO SPECTRALIS 02 25 1933 OCT G i Figure 19 Eye Explorer
26. ta Export Options I Spectralis Default Image EE HeidelbergXMLExportHandler exe ImageUploadClient exe File name HeidelbergXMLE xportHandler exe Files of type Executable Files exe Cancel Open as read only Figure 4 Browsing to the HeidelbergX MLExportHandler exe file 2 1 2 9 Click the OK button to close the Preferences window 2 1 2 10 Click the OK button to close the Options window 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 Double click on the My Computer icon to open the Windows Explorer window 2 2 1 2 In the Windows Explorer window choose Tools gt gt Folder Options from the menu see Figure 5 DRCR NET Spectralis Procedure FINAL 10 10 10 doc 7 My Computer File Edit View Favorites Help Synchronize Address My Computer Folder Options di31 Floppy A a My Documents sg 3 Floppy 89 Local Disk C QD CD Drive D 9 3 sys on File Server anapos F apps on appsrv1 G Se jlum on anaposisysiuserlaAStaffWorkingF 5 jlum on betaweb2 betaweb2 K Se jsite on betabast N 9 5 jsite on BetaPubWeb betapubweb P e jsite on betaweb betaweb 5 Se jsite on betaweb2 betaweb2 T SP nn
27. the title bar C Do not cache thumbnails Hidden files and folders Q Do not show hidden files and folders Show hidden files and folders 0 Hide extensions for known file types 3 r aff WorkingFolders Figure 6 Unchecking the Hide extensions checkbox 3 System Start and Login Please refer to the user manual for your Heidelberg system to turn on the hardware and launch the supporting software to reach the database screen shown in Figure 7 DRCR NET Spectralis Procedure FINAL 10 10 10 doc Maximize Minimize Close Shortcut buttons Menu bar zie Shortcut Cere uses ers man m S Database window S W Y V oo 3838 Name buttons je gt gt 3 Quick Image viewing window search 8 Abe Daniels 01 01 1565 Beta Emin 01 01 1950 Gemma Gabsele 01 01 1944 D Hans 01 01 1945 D O Bernd 01 07 1965 Anna 01 01 1964 Long Martins 01 01 1972 Nui Peter 01 01 1923 Mustemare sandra 01 01 1968 89 Ohech Damas 01011542 Mara 01 01 1963 01 01 1962 Robert Luwiisch 01 01 1951 D Q Scwwide Hare 01 01 1977 D O Tausch 01011961 Bete Ewin 01 01 1950 Hohben Mans 01 01 1945 Anma 01011264 Long Marina 01 01 1972 Damas 01 07 1942 Mare 01 01 1959 Dendus
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