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RTM-Diagnosis

1. m 13 POINTS MEASUREMENT IN MANUAL MODE sese esse esse eoe 13 Measurement of basic DOIDLTS sve visco oix 00000 14 Control measurement of T1 T2 and NO 10 sexu siat ee Eta C S ei eus ed uoa ek ess 14 CARRING OUT OF SEVERAL MEASUREMENTS SERIES ceeeeeeeen eee hse e ese 15 Choice of the one series data 9 gt 2 8 7 7 77 0 92 9 0 820 nenn 15 POINTS MEASUREMENT IN AUTOMATIC MODE eeeeeeeneh eene enere esee se esese ese esesse esse ese ese ese ese e esse esse 16 TERIOR 0 0 16 WINDOW OF TEMPERATURE FIELD 1555 25 35a oaa sn RE A AF NDA a 17 Temperature defenition on the field Error Bookmark not defined
2. sese pestes enis 31 ODEON WIM SCC reSURS 0010101010100 32 OPERATION WITH EXAMINATIONG cccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccocccoscsoes 32 REPEATED EXAMINATION cccecccccceccececcsceccecsceccececcecsacecsaeecsaeecseececsnceseasecsacecsuceceaceseasaceees ERROR BOOKMARK NOT DEFINED THE FUNCTIONS OF LOOKING THROUGH EDITING AND REMOVAL veseseeeenenee en heenhe he ehe e nisu eese esse esse 32 Data coping from the protocol in MS 0 66 0000 nnne nennen sess nsns snae nnns 33 WORK WITH A DATABASE cccccccccccccccccccccccccccccccccccccccccccccccceccccccocccocccoecs ERROR BOOKMARK NOT DEFINED CREATION OF A RESERVE DATABASE COPY 1 ssa nemo ah skr Yr EE eur Pitra E ERROR BOOKMARK NOT DEFINED CONNECTION OF SAVED DATABASE ccceccececcccccecccceaceceacaccceacecencecsaceceacecencecsceacecencecencecsaceceacecsacecsceaceceaceceaceceaceeeaceeeasacenecs 35 DATA EXPORT J IMPORT ERREUR 36 010101010111 R DE Sa m Eha ERROR BOOKMARK NOT DEFINED 1 0 cosmanauesisasenasesee ERROR BOOKMARK NOT DEFINED NPMA POC http www reslitd ru JS RTM Diagnosi QV y agnosis EXAMINATIONS TEMPLATES 7 110101010 37 PE
3. Parameters Of temperatures field eiiis sees essen eene nna nnns snaa ants ssa a saine snas assess saa assess 19 Black and white field DICLUEB socie 1 1 1000007 20 Image turning of temperature valle orna npe rob aa ee torva nana yo Ye o setet Rae e t a Nae TERR EQ Ne ERE PEPPE A ear enee Er EE Ve ea P PP RbEE 20 Constraction way of temperatures field sse nennen Error Bookmark not defined Print of temperature field ssa senes nnns snaa annes ssa a assis sss aaa sss essa assesses aa assess saa aas ss 22 Coping of temperature field to a clipboard eese Error Bookmark not defined DIAGNOSTICS WINDOW eeeeeenee nennen eene sese etes esse esse esses erui ERROR BOOKMARK NOT DEFINED MEASUREMENTS OF SKIN TEMPERATURE cccccccccccccccccccccccccccccceccccccces ERROR BOOKMARK NOT DEFINED REPORT OF EXAMINATION RESULTS ccccccccccccccccccccccccccccccccccccceccccccceccces ERROR BOOKMARK NOT DEFINED PRINT AND SAVE OF EXAMINATION RESULTS cccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccceccceccosccs 27 RECORD SEARCH 0000110000 8 ERROR BOOKMARK NOT DEFINED Search by given time tange mE REN 31 Search by all Patients 0 000 9 0 000 4 770 7 9 7 31 Combination of search 4 4 909 9 3 9 00 00000 2
4. RO S Cum RTM Diagnosis Software Manual Version 1 UNK eCET High Technology Medical Devices www onkocet eu Op RTM Diagnosis w PREPARATION FOR WORK WITH RTM DIAGNOSIS SOFTWARE ccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccs 4 INSTALLATION OF RTIMI DIAGNOSIS SOFTWARE 45556225523 aga sa due Ey trek ws cuv Ee E ES na cogn e rho nl Eee repe reeke en EE tenes secede 4 FIRST STARTUP OFRTIVISDIAGNOSIS SOFTWARE Soresa eSeminar Rep Ren aS 5 CARRING OUT OF EXAMINATION eroi n eo su cavae Ve Ya SEERFS S ERERVIE VES E E VERERV EVE ERNE SE NEEERUS V FESTE EK VE EE Ve Ya Eey Sav Ey EYE SURE PEE Eas UT 8 USER SELECTION _ 3 ast ais 000007 ERROR BOOKMARK NOT DEFINED SELECTION OF EXAMINED BODY ORGAN nacuusestuaen edge Poabutumne boob uimEI SQ 9 BEGINNING OF INITIAL EXAMINATION eeeeeee eee eee ERROR BOOKMARK NOT DEFINED Panem OG CO PUL NR UU UT MTM 11 Bookmark not defined MEASUREMENT OF INTERNAL AND SKIN TEMPERATURES 8 12 HEATING INDICATOR eects ieee eerste ccna cans ec umrd mex E IE I P IP S 12 INDICATOR OF CONTACT NR
5. 0000AAD000 1A Isotherm Step 0 120 C Hight Breast Left Breast Norm 35 2 ree 33 30 33 54 33 78 34 02 34 25 34 50 34 74 34 98 35 22 35 46 35 70 32 50 lt Temperature C Min 32 5 Avg 34 4 Max 9 Mean temperature 34 5 Deviation 12 jq Computed temperature at point 1 Copy settings Close Figure 25 Field window of internal temperatures NPMA POC http www resitd ru RR RTM Diagnosis Temperature definition on the field Temperature values are marked by figures in measured points on the field In other points the approximation program counts intermediate temperature values It s possible to read these values having brought the mouse cursor to any point Thus it turns to a thermometer and at the bottom of screen it is possible to read temperature value in this point 65 Norm 33 35 33 59 33 83 34 07 34 31 34 33 30 lt Temperature C Min 33 Mean temperature 34 5 Computed temperature at point 24 865 Parameters of temperature field If you want to change parameters of temperature field press the Settings button 34 74 34 98 35 22 35 46 35 70 34 4 Hax 34 9 Deviation 12 v Figure 27 Parameters button NPMA POC 19 http www reslitd ru 5 RTM Diagnosis Temperature Field Settings Colours Ww Show temperature values S ou White temperature value background C Black and white pictu
6. 24 Business Phone Home Phone General Practitioner Patient Number Birth Date 1950 55 Examination Date Name Veselova I A 2005 Hospital Examiner Sensor noise immune Organ breast Examination Protocol N90104AA00078A RIM Diagnosis RTM Diagnosis Examination Protocol N90104AA00078A Organ breast Sensor noise immune Hospital Air temperature C 24 Name Veselova I A Birth Date 1950 55 Patient Number General Practitioner Ca Diam 24 Cycle menopause Day Complaints L Medical History Physical Mastopathy Mammography _ Ultrasound Biopsy Histology Isotherm Step 60 Right Breast 33 90 34 14 34 38 3462 34 86 35 10 35 34 35 58 35 82 36 06 36 30 31 65 31 89 32 13 32 37 32 61 32 85 33 09 33 33 33 57 33 81 34 05 Temperature C Min 34 1 Avg 35 1 Max 36 1 Temperature C Min 31 7 Avg 32 8 Max 34 3 lt 34 30 vCTL LAL AL LALLEEEELELEELELELELELELE Summary Asymmetry 9C R 2 50 L 0 60 a AF ee Se 2 ee a ee ee ee Expert system result R 0 77 L 6 01 sex 35 5 rg nn nnd 35 0 ap Se E codem Oa 2 E De Se SS SS SSS ESS 325 dp et 32 0 SSS SS ese ee ee A S S vHMOAO O HHP PH IHHq e 0o XOXOXOXOXOXOXOXOXOX 0 0 I 1 2 2 3 3 4 4 S 5 6 6 7 7 8 8 9 9 RTM
7. activity GITA separately for the right and left breast This indicator is in the Outcome of the expert system There is possibility to look throw fields for internal and skin temperature difference of temperatures in 23 this window having pressed necessary button in the top part of window 325 C Left Breast Figure 33 Window of Diagnostics Program construction process of temperatures field Press the button ESR to view temperature fields received by expert system i ok ER ok 5x SR BR ok BR e A S 1 2 3 4 5 6 7 8 D Expert system result R 0 14 L 0 97 IRT IRTA Field Isotherm Step 0 525 C Right Breast Left Breast 5 00 3 95 2 90 1 85 0 80 0 25 1 30 2 35 3 40 4 45 5 50 Temperature C Min 1 0 Avg 2 0 Max 4 0 Figure 34 Window of Diagnostics Program button ERS NPMA POC http www resitd ru KA RTM Diagnosis You will know more about Diagnostics mode after the practical training If you want to leave the Diagnostics mode press the dagger After viewing of Diagnostics results it s possible to begin measurement of skin temperature by clicking on the button Next Cycle1 Oycle2 Oycle3 Cycle1 Oycle2 Oycle3 34 3 2 3127 BB EN Auto Reset All T T2 30 1 co 5 o EE FE 3 EEE 3 Co c3 co Co 31 2 3U 30 6 30 1 CO
8. marked by one click of left mouse button and press the OK button in the search window Operation with examinations Repeated examination It s necessary to press the Repeated examination button or F6 to begin a repeated examination If the preceding measurement data were not recorded an Error Reference source not found wil be displayed RIM Diagnoss Examination Database Settings Help Hospital NEL d 5 iui RES 11 16 12 2010 RIM U1 RES Microwave Imaging First Examination F5 View Examination Fa Edit Examination F4 Help Exit Press F1 for Help Figure 45 The beginning of repeated examination The window of recording search is appeared see Recording search The functions of looking through editing and removal Choose Examination in the RTM DIAGNOSTICS program menu to call the work functions with protocols and then press the required line POC 32 0 http www resltd ru 60 RTM Diagnosis RIM Diagnoss Examination Database Settings Help First Examination F5 Hospital Repeated Examination FG Edit Delete Export Import RESETS IU EE RTM DT RES Microwave Imaging System Alt F4 View Examination F3 Edit Examination F4 70 View an examination Exit Figure 46 Call of work functions with these examinations View function allows viewing the examinations data in the database Ch
9. 0 0 330 32 5 e 30 5 D a e x o Close 0 0 1 1 A 7 eee M nen Figure 23 Internal temperature thermogram Only active temperature values which are shown in the window on white background are saved in the database after examination This data is used at construction of temperature fields and expert system Switching between the active fields is made by mouse click By default the last measured values are active Window of temperature fields Temperature Field shows position of temperature anomalies in each breast Cold areas of breast are colored in dark blue hot areas in red color To open window of temperatures field it is necessary to press Temperature Field in the main program window opening accordingly both the internal and skin temperature fields Figure 24 NPMA POC http www resitd ru 1 7 18 RR RTM Diagnosis Internal Temperature Measurements Patien Radio Temperature 346 1 344 345 617 co cal ts co aT ts ts ral E Ix Ts I Ln Temperature Field cof olco Poo su Col cal col co Ta tn ca T I c I OF BE Asymmetry A ts ts ta A J Figure 24 Opening of Temperature Field Internal Temperature Field Patient Veselova I A 21
10. 18122010 Frotacal number 029 4 00001 Ambient temperature C3 Examiner Manager Sensor Copy Help Cancel Figure 47 Data copying from the protocol Work with a database The database of program represents file XX_db rtm First two letters define which body organ relates to this data Example AA breasts AB kidneys AC liver etc Files are in the DB folder in the RTM DIAGNOSTICS program installation folder In most cases the database files are located in C Program Files RTM Diagnosis DB Creation of a database backup It s necessary to complete the following actions to create a reserve database copy 1 Choose the body organs whose examination data you intend to back up see The Choice of examined body organs 2 Choose Database and then Creation of a reserve database copy in menu Choose folder in opened window where you want to save the database file 4 Press the Save button E PNPMA POC http www resitd ru 34 RIM Diagnosis A backup of database is created AL MITT DIETE Database Settings Help Register Changes Copy to EXCEL Create Backup Username Send database by E Mail Set E Mail Address Organ Diagnostics Date ns 16 12 2010 View Examination F3 Edit Examination 4 Help Exit Figure 48 Menu of database Connection of a saved database It s neces
11. 3 http www resltd ru KA RTM Diagnosis Measurement of basic points Measurement of basic point s RO R9 right breast and LO L9 left breast is carried out after auxiliary points measurement Figure 17 The measurement is also pointed out on the examination scheme The following measured point is showed in dark blue color Internal Temperature Measurements Patient Veselova IA 21 0000AA0000 1A Radio Temperature Skin Temperature Cycle 1 Cycle 2 Cycle 3 Cycle 1 Cycle 2 Cycle 3 344 EE 310 WE vobis 2 TEN 34 4 Thermogram HE Thermogram Temperature p Temperature Field Field Asymmetry Ji Asymmetry JF zu L L fat Undo Reset All T Field Asymmetry 1 Figure 17 The measurement sequence of basic points Control measurement of T1 T2 and RO LO points It s necessary to repeat a second series of measurement of auxiliary points T1 and T2 and points RO LO after the first series of measurements Fig 18c aternal Temperature Measurements Patient Veselova I A 21 O0004A0000 1A Radio TEREE Temperate 34 2 FEE 306 R 47 dud 7 Thermagram b en Thermagram Temperature Temperature Field Field Asymmetry pod etry oe 1 D SEES BET Ta Eos m ET a co c Po Figure 18 a Auxiliary points T1 T2 b Basic points c Repeated me
12. Dignosis Th4 Dext Examination was carried out by Examination Date 2005 6 RTM 01 RES version 1 79 RES Ltd Russia Moscow t f 7 495 261 3147 E mail res resitd ru http Awww resitd ru dec 16 2010 Figure 42 Protocol Form 2 PNPMA POC http www resltd ru 29 5 RTM Diagnosis Record search Record search window is opened when calling functions of scan editing and delete see Functions of scan editing and delete Examination retrieval Last Last Number Enter examination Protocol umber 029444 Use the last examination af the selected patient iv Include previous examination data as the first readings cycle OK Help Cancel Figure 43 Window of record search Button Last chooses patient with whom the last action in the program has been carried out primary or repeated examination scan editing or print Button Last number opens examination with the last number the newest primary examination Button search opens window of protocol search Tick is in the Search last recording for selected patient window by default If last examination was carried out by non typical form e g small circle you should take account of it remove tick from window choose the protocol and comprise present examination with it Its necessary to bring the patient data in search window and press the Search button to search protocol Search by surname You can write whole patient surname or its first lett
13. OO Go co o c2 ue Undo Extended Thermogram Asymmetry T Field n Expert System Diagnosis Right 082 Left 2 20 Cancel Thermogram ie Asymmetry A Internal Temperature Measurements Patient Veselova IA 21 0294AA0000 1A Radio Temperature Skin Temperature E 34 0 0 BEY BS 1 343 341 2 345 33 9 Thermogram 5 3 345 3 347 4 346 34 0 5 33 9 33 9 ARRE ue 5 Bas 42 341 34 1 8 341 34 8 EN 3 346 348 Touch EL Figure 35 Transition to the window of skin temperature measurement Reset Dynamic Graph Thermogram Temperature Field Asymmetry Expert System Paint N Breast 1C Current Temperature Temperature at Point Measurement of the skin temperature Skin Temperature Measurements atient Veseloval A 21 0294AA0000 1A Cycle 1 Cycle 2 Cycle 3 Dispersion Basic Points Expert System Diagnosis Right breast Left breast Figure 36 Window of skin temperature measurement 24 NPMA POC http www resitd ru 5 RTM Diagnosis The window for carrying out of temperature measurements by skin sensor is almost the same as the window of internal temperature sensor but doesn t include the field of averaged temperature When you carried out complete measurements cycle similarly as with internal temperature sensor see Measurement of points begin to analyze the thermogram
14. Press button Thermogram If you want to see not only the outcomes of skin sensor but also of the internal temperature sensor press the Show internal temperature button then print thermogram as well as any other pictures In the same way it s possible to create the field of skin temperature After that press the Next button Then the window Report of examination results is opened Skin Temperature Measurements Patient Veselova I 21 02944A0000 1A Cycle 1 Cycle 2 Cycle 3 Dispersion Point N Breast 0 000 Basic Points T1 31 30 5 30 8 T2 30 9 30 8 30 5 Main Points Current Temperature R R L L Dynamic Graph Magoo 305 305 EA UT 30 5 31 6 30 3 30 8 i Thermogram 31 5 31 3 30 3 30 6 30 5 30 7 Temperature at Point Temperature Field 0 3 0 6 31 0 31 2 299 35 30 4 31 2 Asymmetry 304 BIZ 306 31 4 313 306 309 311 Expert System 310 302 306 31 0 304 316 301 30 6 Expert System Diagnosis Io e es Ea 4 in in mf in co e C Co CO uy L 30 7 31 0 311 31 0 31 5 30 8 31 4 31 0 31 6 30 8 oS P2 Right breast Left breast Figure 37 Transition to a window report of examination results Report of examination results Examinations are finished and we go on to the next window Report Doctor can brin
15. TES De ee 1 000 38 PROGRAM 1 000101010101011 ERROR BOOKMARK NOT DEFINED THE APPENDIX 1 ADJUSTMENT OF RTM 01 RES DEVICE ERROR BOOKMARK NOT DEFINED TYPE SELECTION OF THE INTERNAL TEMPERATURE SENSOR eese ERROR BOOKMARK NOT DEFINED SELECTION OF DEVICE INTERFACE 2301011 9 7 0311 40 RANGE OF ADMISSIBLE TEMPERATURE 3 ERROR BOOKMARK NOT DEFINED RANGE OF TEMPERATURE VALUES ON THERMOGRAMS cccecececececeacececececcceacacscecsaeacscececeaeaces ERROR BOOKMARK NOT DEFINED SAFETY SIGNS Read this Software manual and the Operating manual to the RTM 01 RES device before using 29 Refer to user manual booklet S General prohibitory sign A General warning sign the Microwave Radiometer Breast and Multiorgan Scan System RTM 01 RES without express written permission from RES Company or ONKOCET Ltd Q All rights reserved No part of this document may be copied reproduced or distributed in any form c HPMA POC http www reslitd ru RTM Diagnosis Preparation for work with the RTM Diagnosis software Installation of RTM Diagnosis software 1 Put RTM Diagnosis disk into the computer Start the autorun exe file if it doesn t work automatically py 3 Choose section Installation of pr
16. actly on points and to correctly carry out the examinations of temperature fields of some body organs breasts kidneys liver spleen stomach lungs etc pasne nerkoe Neeoe nerkoe Breasts Nespas nouka 5589 nouka 0 0 Kidneys Stomach Table 1 Some examination templates of RTM diagnostics program 00 POC http www resitd ru 37 KA RTM Diagnosis Adding a new examination template i RIM Diagnosts Database Settings Help First Examination Fa Haspital Repeated Examination F6 View F3 Edit F4 Delete Export Import d mij i Nm M Print RES ILLVD Microwave Imaging System Templates Alt F4 Figure 50 Addition of examination template It s necessary to complete the following actions to connect a new template 1 Insert the RTM DIAGNOSTICS disc 2 Press Examination and then Examination Templates and Add a new Examination Template in the menu of main program window Figure 50 Standard Open file window appears 3 Navigate to SOFTWARE RTM Diagnosis Templets rus folder which is on the RTM DIAGNOSTICS disc 4 Choose a necessary template and press Open The program automatically connects a template in the list of examined body organs Deleting of templates If any of examination templates is not required anymore it can be deleted Press Examination and then Examination Templates and Delete template in the menu of the main program windo
17. al Username Ivanova 3 ex Date 0 Repeated Examination Fb View Examination Fa Edit Examination 4 Help Exit Press F1 for Help Figure 10 Main window Beginning of First Examination 00 POC http www resltd ru RR RTM Diagnosis Patient data input You should fill in the patient form Common data Figure 11 It s very important to write the Name Surname Middle name Date of birth After that press Next the next window Special Information appears Figure 12 fill them in and press Next again C Figure 11 Common data window Patient data input C Figure 12 Special data window Patient data input NPMA POC 11 http www reslitd ru 60 RTM Diagnosis Measurement of internal and skin temperatures Internal Temperature Measurements Patient 1 1 1 110 0001AA00434A Radio Temperature Skin Temperature am m n NE NN TT NE Thermogram Temperature Field Asymmetry N Extended Thermogram j T Field Asymmetry Expert System Diagnosis Right Left Figure 13 Window of measurement processs Auto input button It s possible to carry out measurements by combined sensor both in manual and automatic modes In manual mode the operator should watch indicators in the program to fix measurements and order to put measurements result in the computer in corresponding time In automatic mode the operator should watch only the
18. asure this point This option allows delimiting admissible temperatures by user request For example it is required to measure temperatures much lower than 25 C when you examine frostbites It s possible to return to factory options 25 42 C pressing the Tolerant Temperature Range button Tolerant Temperature Range Tolerant Temperature Min temperature C Maxtemperature C 42 set Defaults Cancel Figure 54 Range installation of admissible value Range of temperature values on thermograms Fixed scale of temperatures is applied when constructing the thermogram as against temperatures fields Such approach allows the doctor to estimate a situation at one sight The temperature scale is selected proceeding on the assumption of breast temperatures When you examine other body organs of patient it s possible that the measured temperatures for most patients occupy a small part from the temperature scale or the temperature oversteps the limits of displayed area for some patients This option helps correcting a similar situation It is possible to establish a temperature range separately for skin and internal temperature sensor individually for each body organ see EXAMINED BODY ORGAN of the main program menu NPMA POC http www resitd ru 41 i RTM Diagnosis Thermogram Temperature Range Internal Temperature Min temperature C 305 Max temperature C 37 5 skin Temperature Min temperatu
19. asurement of points T1 T2 and basic points RO LO POC 14 http www resltd ru KA RTM Diagnosis Carrying out of several measurement series It s possible to carry out several measurements series for more exact results of examination After first series of control measurement see Control measurement of Points T1 T2 and RO LO a second series of measurements automatically begins Third final series is carried out after that Internal Temperature Measurements Patient Veselova IA 21 0000AA0000 1A Sco Radio Temperature r Skin Temperature Cycle 2 Cycle 3 Cycle 1 Cycle 2 Cycle 3 346 EET 31 3 TELE T2 310 309 H B 31 3 31 0 312 30 3 30 4 8 308 310 30 5 312 312 313 2 Thermogram 4 T eni qram 519 310 309 312 306 305 308 310 30 4 5 30 8 305 30a 75 Temperature Temperature Eis 6 Up 08 30 7 31 4 30 8 Boa 301 59 316 309 B15 Boz 3 508 313 1305 8 3 312 OTN Cum yv b ce Figure 19 Carrying out of several measurement series Selection of one series of data It s necessary to make series active by pressing the corresponding button over a column with the data to select the data of one series In this moment all data of this series becomes active Internal Temperature Measurements Patient Veselova IA 21 Q000AA0000 1A 9 Radio Temperature r Skin Tempe
20. ature received by TS1 sensor RTM report examination date and signature place of expert who carried out the examination If necessary you can return back and add the missed sections Examination results will be saved in a database only after pressing the Ready button in the last window If during the examination process you press the Cancel button or the button for window closing examination results can be lost The program therefore requests confirmation of this action If you press Yes the examination data will be lost to prevent it press Not or Cancel Press the Ready button to save the data and program gives the message that the examination data have been successfully saved in the database PNPMA POC http www resitd ru 27 28 http www resltd ru PHPMA POC pau 41 m 07 LLL 000 E 0100 0 0 0 ON 00 7 ET OO EN 08 0 1 TOT 6 7770 LLL NLL ES TASES TET HE 88 REA 00 e DUET DEDIT TTE ii AA O Right Breast X Left Breast 9 LLN 3 0 7 456 RB LB 21g Expert system result R 0 77 L 6 01j 4 0 3 654 REN 7 5 5 Examination Scheme Summary Asymm C R 2 50 L 0 60 RTM Dignosis Th4 Dext Diagnosis Mastopathy Histology Biopsy Mammography Ultrasound Medical History Complaints L Day Cycle menopause Diam
21. cessary to fulfill following actions for Export 1 Choose that body organs whose examination data are required to be exported 2 Press Examination and then Export in the menu of main program window Figure 49 The search window appears see Recording search 3 When you find the examination data required to be exported press OK or double click by left mouse button on this data Standard window Save as appears 4 Choose folder where you request to save the data Advice It is not recommended to change the filename extension By default the file name is the number of the exported protocol and extension rtm databases of the RTM DIAGNOSTICS program This data can then be added to other RTM DIAGNOSTICS program by Import function Data Import If you only want to add examinations which were carried out by RTM DIAGNOSTICS program elsewhere without replacing a database completely you will need to use the Import function It s necessary to fulfill following actions for Import 1 Press Examination and then Import in the main program menu Figure 49 Standard Open window appears 2 Point out file location and open it by pressing Open Note It s not possible to import the protocol with the same number as already exists in a database POC 36 http www resltd ru i RTM Diagnosis Examination templates The program is usually delivered with a small set of predefined templates They allow placing the sensor ex
22. cheme will change into dark blue color e Moving the sensor on the corresponding point at the same time the contact indicator should change the color from green to red Thermogram When you carried out all the measurements and selected the data it is possible to analyze the results For this press the Thermogram button for internal and skin temperature in the main program window Figure 22 Internal Temperature Measurements Patien SS Radio Temperature ekin Temperature 6 8 81 _ Cycle1 3 1 3 ap EEEN _ Cycle1 34 ie B i na ma m c to ca C I Oo Mm co dk Gol c ety r h clr f Figure 22 Thermogram opening c cn ca co 001 POC http www resltd ru 1 6 5 RTM Diagnosis The measured temperature is indicated on the appeared diagram Figure 23 clearly shows all temperature drops in the same points and in a breast as a whole The continuous line displays average temperature for healthy women at this age Figure 23 Ti irtera hermogiam Verelova LE 21100005 0002 1 amp LEM Legend tC Right Breast a7 0 x Left Breast 36 5 Basic Point te Basic Point T2 33 5 Cycle 1 350 Cycle 2 245 M Cycle z3 T int age 34 0 33 6 617 72 006 0 0 0 7 6 0 70
23. ed to green wait for the green signal on the traffic lights picture and press the ENTER button on the internal temperature sensor or the Measure button in the main window of the program Figure 15 FE 1 1 I 1 1 Linda Reset All Fame i Extended Thermagram Pa T Field Asymmetry i Exper System 5 j Right Lett Expert System Figure15 Touch Heating indicators and Measure button At this moment the cursor passes from one table cell to the next cell Figure 16 simultaneously the following measured point on the scheme of breast examination is shown painted in dark blue color Internal Temperature Measurements Patient Veselova IA 21 0000AA00001A 26 Radio Temperature Skin Temperature Cycle 1 Cycle 2 Cycle 3 Cycle 1 Cycle 2 Cycle 3 Ti BE E mH npa at EH vr L L R P EE 7 8 L R 8 34 0 o o T _ 281553 11 i Ean 7 7 0 2 a Thermogram 3 o 9 Thermogram 3 SN et 77 Temperature 3 Temperature 2 2 Field ef T 1181 Field __ _ 7 7 3513 7 27 7 i hm Asymmetry i En hm En nh Asymmetry EN e Undo Reset All Extended Thermogram 7 T Field Asymmetry lt Back Next gt Help Cancel Figure 16 The measurement points sequence Transition from T1 to T2 points POC 1
24. ers in that case all patients with the same first letters of surname will be found After that press button Search For example If you write Iv in the surname field you will see patients with surname Ivanov Ivanova Ivashkina etc Search by number of medical card You can also use the whole number of medical card or its first figures After that press the Search button For example If you write the number 14 in this field in that case you will see patients who have medical cards with first figures from 14 to 1413 1444 etc POC 30 http www resltd ru 5 RTM Diagnosis Data Search Criteria curname Fatient number Diagnosis Veselova Examiner General practitioner View all Database Help Cancel r days C View data received for last Search Results ie eis Scoala cece Examiner Vasin asin Vasin kasal kasal kasal Dobri kasal kasal kasal kasal Liabri asin Dobri kasal asin Wasin Dobri kasal Fibroadenama Harm Harm BL BL T2 NUR DOC T ACAD 5 000144000134 0001440001 64 000144000304 0001440007 64 000144000794 00010080 0001008 7 0001 8 0001 000917 000144001004 000144001044 000144001154 000144001154 000144001404 000144001444 000144001544 000144001554 0001 600116 5034 0 8 8 A M anova A A 8 A 5 anova A E 8 0 8 A S oidare
25. g RTM Diagnosis results in this window Outcomes of expert system are placed in the top part of a window The average part of a window is for expert report of examination results For your comfort several prepared reports are placed below It is possible to choose a prepared part parts or phrase of the report from the drop down list and bring it into the report by clicking the Use template button You can also type the report using keyboard PNPMA POC http www resitd ru 25 60 RTM Diagnosis Diagnosis for Patient Veseloval A 21 07944 A000014 Es Expert system Diagnosis Internal Temperature Rise CHI 4 akin Temperature Rise C 1 52 Summary Asymmetry C R 1 40 L 1 50 Expert system result fR 0 82 2 20 r Doctor Diagnosis Diagnosis Norr Diagnosis templates Recommendation Followup examination lt Back Next Help Cancel Figure 38 Window report making of examination results Window report making of examination results You may write recommendations for further treatment and set the date for control examination in this window Figure 37 For activation of this it s necessary to tick off the window Control examination Date of present examination is pointed in drop down menu of calendar and it s also possible to choose date of next examination Diagnosis templates Insert Recommendation iw Follow up e
26. ination Edit examination text data entered by User Edit any examination text data Edit examination numeric data entered by User Edit any examination numeric data Delete examinations performed by User Delete any examination Change diagnostic database Change diagnostic expert system settings Iv Add examination templates if Delete examination templates Change temperature processing settings Change hospital name Change licensee information View history Empty history Register new users W Remowe users I Change User information w Figure 6 User registration 4 For doctor registration main doctor choose Adjustment in the menu then Doctors and press Register doctor Fill in the doctor data and press OK RIM Diagnosis Examination Database Settings Help General Practitioner Device Type Username Device Interface Organ Temperature Processing p Tolerant temperature k s rd lt 0 D Thamogam Temperature 7 7 i MI Licensee Information 1 Imaging System Figure 7 Doctor registration 006 POC 7 http www resltd ru KA RTM Diagnosis Carrying out of examination User selection It s necessary to select a user before ca
27. ings He Figure 30 Value setting by default POC 21 http www resitd ru KA RTM Diagnosis You can print the temperature fields clicking on the Print button selecting a printer and pressing OK Printing of the temperature fields Copying of temperatures field to the clipboard If you want to use temperature fields in other appendices for example in MS Word copy it to the clipboard For this purpose it is necessary to press the Copy button at the bottom of the temperature field window Diagnostics Window Doctor conclusions about the patient health state includes or not temperature abnormalities using thermogram temperatures field and built in expert system which estimates not qualitative but quantitative changes which occur on the thermogram and on the temperatures field Undo 2 lt Reset All Tee Asymmetry Expert System Diagnosis Right Lett I Expert System Figure 31 Diagnostics Program Press button Diagnostics to receive outcomes of expert system Veselova L A 21 D 12 0294AA00001A 8x ox 5x ox 1 2 Expert system result R 0 82 L 2 20 mE EE 0 1 1 2 2 3 3 4 4 5 5 5 6 7 T 8 8 A 9 Figure 32 Window of Diagnostics Program POC 00 http www resltd ru 22 60 RTM Diagnosis The diagnostic system calculates the Generalized indicator of thermal
28. location of the point for measurement on the pattern scheme and location of internal temperature sensor on the examined area Switching of measurement modes is provided by auto input button The Figure 13 shows button in the switched off condition Heating indicator When you switch on the device RTM 01 RES the heating indicator located in the measurement process window gives a signal that heating of antenna applicator is turned on automatically Figure 14 If indicator turns color from red on green it indicates that the internal temperature sensor is ready and 12 it s possible to initiate measurements Asymmetry a Touch Figure 14 Heating indicator 00 1 POC http www resltd ru RD RTM Diagnosis Indicator of contact It is necessary for the antenna applicator to be closely adjacent to examined area of the skin to carry out the measurements by internal temperature sensor For this purpose sensor of contact is placed into the antenna If you set up the device correctly the indicator of contact turns color from red to green Figure 15 Point measurement in manual mode Auto input button should be in the switched off condition for point measurement in the manual mode The measured points sequence in a window RTM DIAGNOSTICS is defined by the program For temperature measurement it is necessary to place the internal temperature sensor on the given point When Touch indicator has changed color from r
29. ogram in the menu and then The latest version of RTM Diagnosis 4 Carry out the installation according to the instructions on the display 5 Choose section All programs in menu Startup when installation is finished and then RTM Install Program RTM Diagnosis Latest version All versions Templets You may download the latest version of o RTM Diagnosis Soft ware in our web site Diagnosis Web site Install Program Presentation Video Browse CD Support Exit Figure 1 Installation of RTM Diagnosis software NPMA POC http www resitd ru 60 RTM Diagnosis First startup of RTM Diagnosis software The window of program registration appears after first program startup Program Registration Software registration information OE Installation identifier User identifier Serial number 1 Cancel Help DUser registration information Figure 2 The window of program registration 1 Registration program data are printed on the back side of RTM Diagnosis disk and passport of RTM 01 RES device Disk and passport are a part of the delivered set za uq I inn Fi a a a ee TEESE Installation identifier Serial number Figure 3 Label with registration data on the back side of RTM Diagn
30. oose Examination in the menu and then View or press the F3 key It is also possible to press the View button in the main window of the program The window Recording search will appear see Recording search Edit function allows editing examinations data Choose Examination in the menu and then Edit or press the F4 key It is also possible to press the Edit button in the main window of the program The Data search window will appear see Data search Function Delete allows removing examinations data from the database Choose Examination in the menu and then Delete The Recording search window will appear see Recording search NPMA POC 33 http www resitd ru RD RTM Diagnosis Data copying from the protocol in MS Excel After examination was opened in General data window it s possible to copy the examination data for their use in other programs for example MS Excel Press the Copy button then it s possible to place them in an MS Excel table by Insert command General Information Patient Information A NEN Surname First name Second name Birth date lfm Fatient number General practitioner Pe iby fo City code gt Address LL Home phone Business phone S Import RIM Examinatian Examination date dimiy 16 12 2010 Protocol number 29444000014 Ambient temperature C Examiner lt Manaqer gt Sensor joint Last RTM Examination Examination date
31. or in the menu of main program window There are four types of internal temperature sensor for choice in the program version 1 71 1 Usual 2 High frequency 3 High frequency noise immune 4 Combined Its necessary to specify the type of your internal temperature sensor by the supplier or in the description of the device set before device installation Selection of device interface RTM O1 RES device can be connected to a computer through the LPT and COM ports Press Adjustment and then Device interface in the menu of main program window to choose the connection interface Device Interface Connecton Mane LFT Part Port Number COM Part analog Port Number COR Fart digital Fart Number Simulation Figure 52 Selection of connection interface Delivered devices recently use the expanded COM interface Our specialists usually connect the device through the COM 1 port If you use the program without RTM O1 RES device the Without connection or Imitation mode should be switched on POC 40 http www resltd ru 5 RTM Diagnosis Range of admissible temperature values The program has a filtration of obviously incorrect data If the measured temperature exceeds the limits 25 C 42 C during the examination the message Illegal temperature value appears E 0 ESTE it 1 1 5 zT 5 h fi 0 4 Figure 53 Illegal temperature value The program will demand to reme
32. osis disk and passport of RTM 01 RES device 2 Fillin the registration data and press OK 3 t s necessary to register a new user when basic program window appears For this you should a Choose Manager in the field User Figure 4 PNPMA POC 5 http www resltd ru 60 RTM Diagnosis RIM Diagnoss Examination Database Settings Help Hospital laer name Organ breast 2 Date Pe Se 11 16 12 2010 RIM UT BES Microwave Imaging System Repeated Examination Fb View Examination Fa Edit Examination F4 Help Exit Press F1 for Help Figure 4 Setup of Manager user b Choose Adjustment in the menu then Users and press Register user RTM Diagnosis Examination Database Settings Help Register change Delete General Practitioner Device Type Wer name Device Interface Temperature Processing d Tolerant temperature oO Thermogram Temperature Range rgan ML Licensee Information mem agin g System 3 Figure 5 User registration c Then put user data in and tick off the user authorizations We recommend ticking off eight upper rows for ordinary work Figure 6 Then press OK and the user will be created 0010 6 6 http www resltd ru KA RTM Diagnosis User Registration Username 8 View examinations Frint examination protocols Perform exam
33. rature a Cycle 1 Cycle 3 i Cycle 1 Cycle 3 46 mE 313 mo a 082 345 80 R SL WE B L f R L 312 30 3 0 34 4 34 4 347 34 8 342 0 30 8 31 0 1 34 0 342 34 2 345 344 1 2 312 3 2 341 345 34 5 347 34 4 2 Thermagram 3 31 0 31 0 3422 347 34 8 342 348 3 7 x 34 8 4 30 5 30 8 345 34 4 4 TEENS 5 33 9 341 34 5 TERES 5 30 8 30 5 Field 6 34 7 34 7 2 341 Field 6 30 8 30 7 j 34 0 i 30 9 30 1 341 347 30 8 06 8 34 0 34 0 34 8 34 8 34 3 8 t 1 Sy a S44 S47 941 47 343 341 symmey Ls pr mm Touch eet e 8 2 Host 2 8 Figure 20 Selection of all data from second measurement series NPMA POC 15 http www resltd ru RR RTM Diagnosis Point measurement in automatic mode You should press Auto input button to measure points in automatic mode f S Extended Thermogram EE TE Asymmetry Cancel Figure 21 Auto input button Don t press the button on the internal temperature sensor as the measured temperature values will be entered in the table automatically When you place sensor on the first measured point wait for the green signal on the traffic lights picture the measurement outcomes will be automatically entered in the table Thus measurement procedure includes following stages e Placing the sensor on the examined point e Waiting until the next point on the s
34. re C Black and white picture negative 09 Grades Number Lisplayed Temperature Options Set average temperature and deviation Average temperature Median for inner points Deviation Default m Ea C Settemperature range Restore Factory settings corel He Figure 28 Window of parameters tuning of temperature visualization Black and white field picture When you print on the black and white printer dark blue and red colors become invisible but it s possible to receive the black and white image of temperature field For this set black and white image and then hot areas of breast are colored in light color cold areas in dark color If you choose black and white negative image hot areas will correspond to dark tone and cold to light Image tuning of temperature value e Show temperature values or don t show e White temperature value background or not e Show isotherms or not Construction method of temperature fields It is possible to set a construction method of temperature fields As a rule we use the average temperature with range of temperature deviations Figure 28 It is possible to vary the range of temperature deviation and set it 1 59C or 0 82C instead of 1 29C If the patient has a large temperature differential which exceed 1 2 degrees given by program the inscription Maximum or minimum temperature above or below range borders starts to blink under the temperature field At the
35. re C 27 Max temperature C 37 5 cet Defaults cence Figure 55 Values installation of temperature range on thermograms on DISPOSAL OF PACKAGING packaging components cardboard plastics etc are all classified as solid waste and can be therefore easily disposed of with the use of recycling processes Before disposal is always advisable that you check the validity of the relevant provisions in the place of installation PLEASE MAKE proper disposal Xy PRODUCT DISPOSAL RTM O1 RES software medium is made of various materials Most of them Q8 plastic paper etc may be handed over in recycling sites and can be recycled Before disposal is always advisable that you check the validity of the relevant provisions of the disposal site PLEASE MAKE proper disposal CE 1023 Software manual version 1 7 Date of issue August 1 2015 0010 6 POC http www resltd ru 42
36. rrying out an examination Select a user name by clicking in the end of line in User section RIM Diagnoss Examination Database Settings Help Hospital name Organ breast 3 Mb AM te hs E a cm P 5 1 i pue a is 1 i x i e t 3 Date BG bis wel j 16122010 ETE FES Miereweve Imeging Sveteni Repeated Examination Fb View Examination Fa Edit Examination F4 Help Exit Press F1 for Help Figure 8 Main window User selection NPMA POC 8 http www resltd ru 60 RTM Diagnosis Selection of examined body organ It s necessary to select a pattern of examined body organ before carrying out an examination Select the examined organ by clicking on the end of line in the Examined organ section RIM Diagnoss Examination Database Settings Help Hospital Username Ivanova 3 Organ ps 80010 1 RIM U1 RES Microwave Imaging System Repeated Examination Fb View Examination Fa Edit Examination F4 Help Exit Press F1 for Help Figure 9 Main window Selection of examined body organ 00 POC http www resltd ru 10 60 RTM Diagnosis Beginning of initial examination Press First Examination in main window or F5 on keyboard to begin an examination RIM Diagnoss ET X Examination Database Settings Help Hospit
37. same time temperature field is saturated and some areas are painted in one color In this case you can change the display parameters and set a higher value of temperature range to look at a temperature relief on these areas PNPMA POC http www resitd ru 20 RR RTM Diagnosis If the temperature relief is not clearly visible and you want to make it more contrasting it is necessary to reduce the temperatures range and set it to 0 82C instead of 1 29 Note Point instead of comma is a divisor of the whole and fractional values in the program Temperature Field Settings Colours i Show temperature values Colour picture Iv White temperature value background Black and white picture C Black and white picture negative M Show isotherms Grades Number Displayed Temperature Options Average temperature Median for inner paints E Figure 29 Determination of deviation range The button Use by default allows to remember construction options of temperature field and to use them for all patients If you made changes to parameters and it is necessary to restore the old kept values it is enough to press the button Return to saved The button Reset allows restoring the manufacturing options of temperature fields display Displayed Temperature Options Average temperature Median for inner points Deviation Manual 1 2 C Settemperature range Restore Factory Sett
38. sary to fulfill following actions to connect an earlier saved database to program 1 Place the earlier saved database file into the storage folder of databases Usually AN C Program Files RTM Diagnosis DB If the names of a current database file and copied file are identical Windows will request confirmation on replacement of this file Please beware of the fact that if you replace the current file by another file the data of current file will be lost If you save the database file under a new name it s necessary to rename the file in a standard database for example file AA_db rtm and replace current file by this file 2 Press Database and then Register database changes in program menu to connect a new file to the program correctly 3 The database is connected NPMA POC 35 http www resitd ru RD RTM Diagnosis Data Export Import RIM Diagnosis i First Examination Fa Hospital Repeated Examination F VIEW F3 Edit F4 Delete 0 Export Database m Export Record 5 Er S ID I Templates RTIM T BES Microwave Imaging System Exit Alt F4 d Figure 49 Data Export Import Print Data Export If you want to add data from your program to RTM DIAGNOSTICS you need to use the Export function In this case your data will be added to the old data of other program It s ne
39. va G lanea A M wanaya A D anova E W sidorowa M anova A F kangowa E M anova A G anova E G 8 A anova E M anova E G anova E FP cO coc A G Selected Protocol Sortdescending Records Found 101 Figure 44 Window of data search Search by diagnosis Choose necessary diagnosis for search from drop down list in Diagnosis 1Marnos field or write the diagnosis manually Search by diagnosis is the same as search by surname and number of medical card It s possible to make the search by fields of Doctor who carry out examination and Leading doctor This search is the same as search by Surname number of medical card and Diagnosis Search by given time range It s possible to search patients who were examined in a specific date For this it s necessary to dot field Look through data for last and write the required days weeks months and years Search of all patients Press the Search button to search all patients when no fields are filled You can see all patients who are recorded in the program database Combination of search fields It s possible to combine all above types of search 001 POC http www resltd ru 31 KA RTM Diagnosis Operation with results of search Its necessary to double click on the corresponding protocol by left button of mouse to open the examination or to have the protocol
40. w Then choose corresponding body organs and press Delete You can receive information about the latest examination templates from the manufacturer RES company Ltd on http www resltd ru rus rtm software php website PNPMA PC http www resltd ru 38 39 RTM Diagnosis Program exit Press the Exit button in main program window ME BEI Examination Database Settings Help Hospital 8 Username EIRENE HIE Organ breast 3 E y IT ig 4 are ee v e MA 1 i ate E 2 0 1 bs jum hs 1 Mie z 7 P TIT aur z 7 1 01 58 Microwave Imaging System Ew Repeated Examination F View Examination F3 Edit Examination F4 Help Exit Press F1 For Help Figure 51 Program exit NPMA POC http www resitd ru RR RTM Diagnosis Appendix 1 Adjustment of RTM 01 RES device Attention It is not recommended to change any options additionally if our experts already installed your device Wrong adjustment of the device can lead to data distortion and wrong display of examination results Selection of the internal temperature sensor type Different types of internal temperature sensors can be delivered with RTM 01 RES device You should necessarily specify the type of internal temperature sensor for correct work of the program For this purpose choose Adjustment and then Type of the Internal Temperature Sens
41. xamination 3001 2012 Ea 11 60 2012r Ea Cancel C r ce6 Bc 13 14 15 20 21 22 Er 2B 3 C Ceronus 30 01 2012 Figure 39 Window report making of examination results Additional functions NPMA POC http www resitd ru 26 RD RTM Diagnosis After the report text is prepared press the button Further and go on to the last window which finishes the RTM Diagnosis Printing and saving of examination results Examination Completed 000 14A004344 Examination is completed To print Examinatian please click on the Frint button To save Examination in Database click on the Finish button Print type send E mail Print Preview Print Preview type 2j Copy gt Back Finish Help Cancel Figure 40 Window of examination completion It s possible to print the examination report by clicking on the Print button previously to look through it using the Copy button Result of the examination is presented in the two protocols in this window The ordinary report Figure 41 Includes the information about the patient result of the expert system RTM report and combined thermogram of the internal and skin temperature received by TS1 sensor The report form 2 Figure 42 Includes the information about the patient result of expert system temperature fields of internal and skin temperatures combined thermogram of the internal and skin temper

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