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TOPCON Medical Systems, Inc.

1. ID code ff Select Patient Chart No PO Last Name Entry Date jo 1 28 1998 First Name BT Entry Class Birth Date Male Female Occupation 0 Physicians Diagnosis Image Notes ni n 2 mr 7 TME z 4 a o l a o Show Custom Flebds Comment Custom Data 1 Custom Datta 7 Custom Data 3 Figure 3 1 Patient Registration Dialog Box To capture images for a new patient whose information is not registered anywhere fill the patient information fields in the dialog box At least the patient ID code and the patient name must be entered Other information fields may be left blank They can be entered or changed later To capture images for a patient whose information is already registered in the database click the Select Patient button The select patient dialog box will be displayed to select a patient from the patient list See 4 2 Selecting a patient for detail After entering the necessary information fields click OK to start capturing 3 3 Start Capturing The capture window looks like any another image window with the addition of a control dialog bar at the bottom The control dialog bar allows the changing of device parameters such as the viewing angle and the left or right eye To capture an image use the trigger button of the capturing device a retinal camera or a slit lamp To capture images using a non flash device use the space bar as the trigger butto
2. from the File menu or click the save icon on the tool bar The edited proofsheets are immediately saved to the original location Working with the Edit Window To cancel the editing choose Close from the File menu or use the system menu of the capture window Access the system menu of the window by clicking the square at the upper left corner the left end of the title of the window All deleted images are recovered and all the tools applied to individual images are canceled Since the edit window is quite similar to the normal image window it may be treated as a normal image window in most cases Most tools in the Tool menu printing or even displaying an image from a proofsheet displayed in the edit window can be done just like in a normal image window Results of applied tools are directly reflected to the proofsheet 8 2 Copying Deleting Images To copy images from one database to another or to copy images on the system hard disk to an archive disk or to delete images in a database choose Copy Delete Images from the Utilities menu This will show the following dialog box Page 37 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Source Destination IMAGEnet 2000 Database IMAG Enet 2000 Database Hard Disk Archive Disk c Hard Disk Archive Disk Search Images on Select All Records Total records 83 170 29 MB ID Date Type File z 000 00 0000 06 16 1994 color
3. to view the attached image or click Import to directly import the attached image to IMAGEnet If the mail is opened the following dialog box will be displayed Click View to view the attached image or click Import to directly import the attached image to IMAGEnet Received Forward Subject Emergency Delete Attachment IMG0004 jpg View Import IMAGEnet Image Exchange Mail Figure 10 5 Image Exchange Mail Dialog Box Page 56 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Chapter 11 Setting Options To change IMAGEnet options choose Options from the Utilities menu The Options property sheet that contains 4 tabs will be displayed to set various options Options are categorized into 4 tabs To change these tabs simply click the tab at the top of the property sheet 11 1 General Options Setting Options General Patient Display Tools Capture Window Title W ID Code lf Name w Date M Procedure M Label File JPEG Quality C Low C Medium High C Maximum Image Window Title W Date l Procedure M Label i File Print W Apply smoothing on print I Precise proofsheet printing l Convert color graphics into BAY i Print individual images in proofsheet Others Create composite with the original size coe te Figure 11 1 General Options Tab Image Window Title Choose items to be shown on the ima
4. Ma Ow TOPCON IM AGEmet Ee DIGITAL IMAGING SYSTEMS Ma V TOPCON TOPCON Medical Systems Inc Topcon Medical Systems Inc Chapter 1 Chapter 2 Chapter 3 Chapter 4 Chapter 5 Chapter 6 Chapter 7 IMAGEnet User Manual Table of Contents Introduction SE MeeeCeNENeRaeeMmCetareMNCeNecewEnececenmoecaceeweas 5 1 1 Overview STE E TEEPE eT eT eT rere Cree ee 5 1 2 IMAGEnet Capture DLL eee rer ee eee er er ee 6 1 3 IMAGEnet Database EENE Simin ia T A 6 USING IMAGEN nna 8 21 Starting IMAGEnet a a E 8 2 2 IMAGEnet Components srt 9 2 3 Operating IMAGEnet sett 13 24 Exiting IMAGEnet Ter re ee Eee eee ee 13 Capturing Images Bee eeeeweew cece seers a eres a ces sees 14 3 1 Selecting Capture Procedure eseese 14 3 2 Registering Patient nania ane wietw ein cin wie ain iae teat 14 3 3 Start Capturing n aie E nies aaja e cures eiere sis 15 3 4 Viewing Captured Images srr 16 3 5 Deleting Captured Images crt 17 3 6 Flushing Captured Images srr 17 3 7 Saving Captured Images vseseseseeese 18 3 8 Working with the Capture Window 18 Displaying Images ii i mf ff 20 41 Selecting Database e aie wears A acetate 20 42 Selecting Patient Tee ee ee ee ee 20 43 Selecting Image TTP E rere Cee ee eer ere 292 4 4 Working on Image Window ssssssess 24 Saving Images EAEE AEAEE ee eee ee AEA 26 Using Tools AA A T 28 Printing Images AAA A A A AA AA A A 32 7 1 Print Dialog Box a E E Cee een 32 7 2 Print Preview Screen eT vT PEEL PLE EL
5. Page 29 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Smooth Image This tool applies an averaging filter to the image Three different levels of strength are provided to cover a variety of needs Sharpen Image This tool applies edge enhancement to the image Three different levels of strength are provided to cover a variety of needs Mtrror Rotate Image Mirror Rotate Flip These tools change the orientation of the current image Three rotation schemes are available Mirror rotate and flip Add to 4UP 9UP and 16UP These tools add the active image into a 4UP a 9UP or a 16UP composite image window If there is a composite image window that is not filled with the same type the active image will be added there If there 1s no composite image window or all composite image windows are filled up with the same type a new composite image window is opened for the image The 4UP the 9UP and the 16UP composite image windows are maintained separately To add more than one image in a proofsheet to a composite first click all the images then choose Add to 4UP Add to 9UP or Add 16UP from the Tools menu or click the 4UP icon the 9UP icon or the 16UP icon on the tool bar Adding a proofsheet or a composite image to a composite image is prohibited Annotate Image This tool puts the patient ID the patient name the captured date and the image label on the active image as a part of the image This inform
6. Automatic image scaling Performs automatic display scaling Page 59 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Minimum Width Threshold image width Minimum Height Threshold image height Scaling Ratio Scaling ratio If the scaling ratio is less than 100 only the images bigger than the threshold width and height will be scaled reduced automatically If the scaling ratio is greater than 100 only the images smaller than the threshold width and height will be scaled enlarged automatically Proofsheet Set the following proofsheet display options Scaling mode Displays a proofsheet in the scaling mode Show image label Displays the image label of each image in the proofsheet on the screen Aspect Conversion Choose the aspect ratio conversion mode for 512x512 images saved by IMAGEnet X None Do not perform the aspect ratio conversion NTSC Convert aspect ratio assuming the original image is NTSC PAL Convert aspect ratio assuming the original image is PAL Thumbnail Image Display Show thumbnail images for selection Switch between thumbnail display and record list Columns Image Size Format and size measured in pixels of displayed thumbnails of xi IS IMAGEnet 2000 Test Database Al File Patient Utilities View Help BS 22 Eul eamm maaa Gl BeBe 3 10 21 1994 86 5 50 86 5 50 Mikel 06 23 1994 06 23 1994 01 06 1993 OO T 000 00 000C 349MB 11 32ar 7 Page 60 of 105
7. Data File Data Name Assigned by installer ex Office 1 Database Data File Path to main OIS data file dbase dat Image Files Location Path to image files Base Name First three letters of the image filename ex PHA Page 89 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Database Information Data File Data Name Data File Image Files Location Base Name Cancel H 2 Using OIS in Capture Mode In IMAGEnet Configuration ADD procedure called OIS Direct type this into Procedure Name and use OISVIEW DLL which is in the Program Files Topcon Ois Viewer folder The Input channel etc is irrelevant Open a capture window hit the spacebar and the same application interface used with OIS Viewer under the Utilities Menu runs Images to be captured are clicked which puts a red box around each When the Transfer button is clicked the images are read into memory The program is exited fully and the images begin appearing sequentially as captured images Page 90 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Appendix I Endothelial Cell Analysis Optional Module I 1 Introduction The IMAGEnet Endothelial Cell Analysis System is an advanced image analysis software run as a part of IMAGEnet It automatically determines density and hexagonality of endothelial cell images and reports statistical information regarding cell area The analysis procedure usually follows the s
8. FlexMail Agent sends and receives proofsheet images as a proofsheet It 1s a good idea to prepare a cheap E mail server machine in the IMAGEnet network and run FlexMail Agent on that machine This avoids consuming resources of the other IMAGEnet client machines Outbound DATAFILE Inbound DATAFILE Page 78 of 105 Topcon Medical Systems Inc IMAGEnet User Manual E 2 Configuring Transmission Since FlexMail Agent is a control program which is put into the task bar it is natural to include the command to start FlexMail Agent in the Startup group Of course FlexMail Agent will send and receive E mails whenever requested however running FlexMail Agent in the automatic mode is the best way The following are the variety of configurations in the automatic mode FlexMail Agent should only send images only receive images or should do the both FlexMail Agent should send and receive images on startup Transmission period Begin and end transmission Transmission cycle may be set independently for Send and Receive Daily Transmission at fixed times Any combinations of the above settings are possible For example it is possible to set the transmission schedule like Send and receive images once on startup then send images every 15 minutes and receive images every 30 minutes from 7 00am to 8 00pm E 3 Setting Destination As the default configuration FlexMail Agent sends images to just one particular destination Howe
9. If one image is B W and the other image is color only the green plane of the color image will be used for the calculation then the result image will become B W Page 49 of 105 Topcon Medical Systems Inc IMAGEnet User Manual The contrast of the result image may be enhanced using the arrow buttons at the upper right of the dialog box Click the Keep button to create a new image window for the result image Click Cancel to go back to the Image Subtraction dialog box Page 50 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Chapter 9 Managing Patients 9 1 Accessing Patient Information To access the patient information choose Select Patient from the Patient menu or click the patient icon on the tool bar The Patient dialog box shown in Figure 4 2 will be displayed to select a patient Select a patient from the patient list then click the Information button in the dialog box The following dialog box will be displayed Basic Information Register Information ID code 000000000 Chart LastName PO EntyDate FirstName Patento Entyclass tsi Birth Date D Male Female Occupation Physicians Diagnosis Image Notes si lf el se ef al ssf l o a J SMW Custom Fields Comment Custom Data F y PO Custom Data 2 x Custom Data 3 e Store e J e Figure 9 1 Patient Information Dialog Box To update the information in this dialog box type new data to any data field to upda
10. Inc IMAGEnet User Manual fe 399 034 9009 10 84 1994 Ie ee ck ew se Mar ina Oi o j Wi Start ay Esplecing O bese Race TRIR a CET Figure 8 10 Compare Function If any of the images contain graphics a warning box will appear at which time all graphics can be deleted If graphics are not deleted the user should be warned that measurement labels 1 8 for lines and A H for areas may not match among the images For instance if image 2 already contains 3 lines the labeling will begin with 4 for the next line while the corresponding line will be labeled with 1 on the other images If it is desired to have all corresponding measurements have the same label use the Line s button to reset each of the other image labels Line s only applies to the currently active window To change more than one starting label activate each of the images individually clicking Line s for each one The Compare function uses the same dialog box as the Measure function see 8 9 1 Measure for explanation of buttons Any image can be measured The corresponding measurement is simultaneously drawn on all comparison images The Undo button will undo the last measurement in all of the comparison images The image windows to be mapped may be scrolled simultaneously by holding down the Ctrl key while scrolling If an image is displayed that is not one of the comparison images i e by using the Right mouse button the
11. Start capturing using a capture device for the procedure Save captured images to a database or a storage drive The above operations are done through the menu bar of the IMAGEnet window 3 1 Selecting a Capture Procedure To select a capture procedure choose the desired capture procedure from the Capture menu The capture procedures are defined using the Configuration Program and the definition contains all necessary settings for the capture device and the capture DLL To store captured images temporarily on the hard disk rather than in system memory choose Buffering on Hard disk the last item in the Capture menu A check mark will be placed at the head of Buffering on Hard disk in the pull down menu If a very high frame rate is not your concern choosing this setting will eliminate the risk of loosing images before they have been saved to disk Compared with storing captured images in system memory storing them on the hard disk requires far less Windows resources In addition since captured images are always backed up securely on the hard disk you will be able to recover them completely even if an accidental power failure or unexpected system crash occurs 3 2 Registering Patient Once a capture procedure has been selected the patient registration dialog box will be automatically displayed Page 14 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Basic Information Register Information
12. fi Pages fram ta a 3 T I Collat Selectia Cener Figure 6 Print dialog box The print created by the Endothelial Cell Analysis System is not a copy of the image window If such a print is needed exit this system then use the Print command in the File menu of IMAGEnet Sending to a File If the Print to a file check box is checked in the Print dialog box the Print to File dialog box will be displayed Specify the output file then click OK The analysis result will be saved to the file as text See Appendix for details of the file format Print To File 21 x Save in a Work j ee fee ee Save as type Textt td Cancel Figure 7 Print to File dialog box Page 100 of 105 Topcon Medical Systems Inc IMAGEnet User Manual I 6 Exiting the System Exiting the System To exit the Endothelial Cell Analysis System click the OK button The original image in the IMAGEnet window will be replaced by the analyzed image To discard the analysis result click the Cancel button The original image in the IMAGEnet window will not be replaced If the cell boundaries have been modified but the analysis is not performed yet using the modified boundaries the system will ask if the analysis should be performed before exiting the system Saving Analyzed Image The Endothelial Cell Analysis System does not save the analyzed image either to the hard disk or to an archi
13. Color 1024x1024 B W Matrox Meteor RGB 640x480 or 768x576 B W Color Universal TWAIN interface These DLLs may be used on a same system together except for a Meteor and TCi together as long as the capture hardware is installed Two or more TWAIN compliant devices can be connected to the system though images from only one device at a time can be captured New capture DLLs for new hardware will be added as they become available and have sufficient benefit over currently supported devices 1 3 IMAGEnet Database An image captured by IMAGEnet consists of information of many kinds They include patient information such as the patient ID code and the patient name image information such as captured date and the procedure name and specific image data IMAGEnet maintains this information using the most efficient way Since one patient has two or more images in most cases the patient information and the image information are stored and maintained separately The actual image data is stored in a separate file called the image file because the image data is never accessed until the image is displayed A group of the data files that contain the patient information and the image information 1s called the database The database is a group of structured data files that makes retrieving particular data an image in the data files quickly IMAGEnet uses 2 types of databases one is called the system database and the other is called a storage dr
14. Compare dialog box will be hidden until a comparison image is again displayed When done mapping press Done As the last option of the Compare function IMAGEnet asks if the image subtraction should be performed If No is chosen the Compare function will end here Page 48 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Ea White dl Black kial Beset Display Blas _ Positive Subtract Done Figure 8 11 Image Subtraction Dialog Box The images to be subtracted are displayed in an Image Subtraction dialog box with 2x2 layout Subtraction is performed between 2 selected images at a time First choose the base image from which the other image will be subtracted by clicking the image directly At this point adjust the white level and the black level using the arrow buttons at the upper right of the dialog box The adjustment will only apply to the base image Then choose the other image and adjust the white level and the black level in the same manner To obtain the subtracted result between the 2 images click the Subtract button The second image will be subtracted from the first image Subiraded Image 1 IMGO0GS 2 IMGIISS Figure 8 12 Subtracted Image Dialog Box The result of subtraction will be displayed in a Subtracted Image dialog box as an image If both images are B W the result image will be B W If both images are color the result image will be color
15. Features Ee ee Ce ee ee ee ee ee eT 62 12 1 Adjusting Window to Image strstr 62 12 2 Changing Display Image Size vrees 62 12 3 Duplicating an Image Window seses 62 12 4 Hiding Tool Bar and Status Bar 1 63 12 5 Cascade Tile and Arrange Icons 7 63 12 6 Getting Help UT TIVULT ELT ete eee eee er 63 Page 2 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Appendix A Print Template Seer ere ee te ee ee ee eee 65 A 1 Overview TERT EEREETEP TERE a TREE CEE EP a er 65 A 2 Creating Print Template Se ee er ee eee ee 66 Appendix B Jukebox Support ii a a a a a a a a a a a A 68 B 1 Displaying an Image from a Jukebox 68 B 2 Copying Images from a Jukebox srr 69 Appendix C CD Archiving Late cGwawaeeceweWeirasGuawere cewek eneeualeeane 70 C 1 Overview OPC Creere rer Teer errs ere rere erie eee eee eer 70 C 2 Using CD recording utility strstr 70 C 3 Verifying the CD safest iter EEA A 72 C 4 Miscellaneous iMate ans E a E R Se E 72 Appendix D Taskpad A A A A AAA 73 D 1 Overview eer TEE Ce CT Cee eee eer eee tee err ee 73 D 2 Installation of Taskpad Ser AEE AA 14 D 3 Taskpad Configuration TEC PEC CeCe EET Eee ee 75 D 4 Taskpad CFG E E E sa cue eeu 76 Appendix E Flexmail OLE CEE EEE ECOL OE LOLOL EEO eee TCT Re CRT Tee Tre 78 E 1 Overview ee a ee eC ee ee eee ee ee er ee 78 E 2 Configuring Transmission street 79 E3 Setting the Destination Tee Cer ere er ee 79 Optional Modules Appendix F MPS Disk area PDT Circles vererererereeeen 81 Appendix
16. Right cat ome To configure IMAGEnet TaskPad simply double click commands to be assigned to the TaskPad buttons in the command list at the left of the above dialog box The commands registered to TaskPad will be shown in the registered command list at the right The command double clicked first will be assigned to the first button the command double clicked second will be assigned to the second button If a standard command is not assigned to an icon choose the command in the registered command list then click the Edit button to change the menu command number originally assigned to the icon Auto Select C Small C Large A special caution is required when registering capture procedures The capture procedure registered first launches the first capture procedure in the Capture menu The capture procedure registered second launches the second capture procedure in the Capture menu Therefore the command number for these capture procedures has to be changed for the case where a capture procedure in the Capture menu is skipped in IMAGEnet TaskPad Page 75 of 105 Topcon Medical Systems Inc IMAGEnet User Manual D 4 TASKPAD CFG The following information is stored in the configuration file TASKPAD CFG Section TaskPad InterfaceMode 0I1 0 IMAGEnet R 2 03 Interface IMAGEnet R 2 10 Interface TaskPadLayout 0I1 0 Layout buttons in line horizontally Layout buttons in line vertically TaskPadPositio
17. System Page 104 of 105 Topcon Medical Systems Inc IMAGEnet User Manual EXCEPT AS SET FORTH IN THE ABOVE PARAGRAPH TMS MAKES NO WARRANTIES EXPRESSED OR IMPLIED REGARDING THE IMAGENET SYSTEM INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTY OF MERCHANTABILITY AND OR FITNESS FOR A PARTICULAR PURPOSE TMS WILL NOT BE OBLIGATED TO HONOR ANY WARRANTY UNLESS IT HAS BEEN PAID IN FULL FOR THE IMAGENET SYSTEM TMS DOES NOT ACCEPT LIABILITY BEYOND THE REMEDIES SET FORTH HEREIN INCLUDING ANY LIABILITY FOR IMAGENET SYSTEM NOT BEING AVAILABLE FOR USE FOR LOST OR CORRUPTED DATA OR SOFTWARE OR FOR PROVIDING SERVICES AND SUPPORT TMS WILL NOT BE LIABLE FOR LOST PROFITS LOSS OF BUSINESS LOSS OF DATA COST OF COVER OR ANY OTHER CONSEQUENTIAL INCIDENTAL SPECIAL INDIRECT OR PUNITIVE DAMAGES EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGES OR FOR ANY CLAIM BY ANY THIRD PARTY INCLUDING PATIENTS AND MEDICAL CAREGIVERS THIS LIMITATION OF LIABILITY APPLIES TO ANY IMAGENET SYSTEM SERVICES AND OR SUPPORT THAT CUSTOMER PURCHASES FROM TMS CUSTOMER AGREES THAT FOR ANY LIABILITY WHATSOEVER WHETHER IN TORT NEGLIGENCE AND OR STRICT LIABILITY TMS IS NOT LIABLE OR RESPONSIBLE FOR ANY AMOUNT ABOVE THE AGGREGATE DOLLAR AMOUNT PAID BY CUSTOMER TO TMS FOR THE PURCHASE OF IMAGENET SYSTEM THERE ARE IMPORTANT WARRANTY AND DISCLOSURE ITEMS IN THE MANUALS AND REFERENCE GUIDES ACCOMPANYING THE THIRD PARTY COMPONENT PRODUCTS E G THE MONITOR THE HARD DRIV
18. Window Viewing Images At the time when the edit window is opened the proofsheet display mode is active To display any other proofsheets using the left arrow button and the right arrow button on the control dialog bar These buttons change the displayed proofsheet to the one before previous and the one after next Page 36 of 105 Topcon Medical Systems Inc IMAGEnet User Manual To view an individual image click the Proofsheet icon on the control dialog bar This will change the display mode of the edit window to the normal display mode While in the normal display mode the left arrow button and the right arrow button work for changing the image to be displayed To go back to the proofsheet display mode just click the proofsheet icon again Directly double click the image in the proofsheet to display it Deleting Images Delete an image that is being displayed in the edit window anytime by clicking the Delete button on the control dialog bar If in the proofsheet display mode click the images to delete first using the mouse The clicked images are framed by a yellow line to show them as marked It is possible to change the proofsheet while marking images to be deleted Then click the Delete button on the control dialog bar All the images marked will be deleted After deleting an image proofsheets will be reconstructed to reflect the change Saving Edited Proofsheets To save edited proofsheets choose Save
19. better view of the image underneath But the graphics Page 43 of 105 Topcon Medical Systems Inc IMAGEnet User Manual on the original image can not be hidden The drawing will return when the icon is released Example Image The following image is an example of a drawn image window Quick Draw R 2 01 Image Size 640 X 480 G eeereree Figure 8 6 Final Drawn Image Exiting the Quick Draw Utility To exit the Quick Draw Utility click the Close button The original image in the IMAGEnet window will be replaced by the drawn image Printing Drawn Image The Quick Draw Utility does not print the drawn image Return to IMAGEnet then use the Print command in the File menu of IMAGEnet Saving Drawn Image The Quick Draw Utility does not save the drawn image either to the hard disk or to an archive disk Returning to IMAGEnet then use the Save command in the File menu to save the drawn image to any disk The drawn image saved to a disk may be displayed at a later time Page 44 of 105 Topcon Medical Systems Inc IMAGEnet User Manual 8 9 Transferring Image to Clipboard As a way to share the image data among Windows applications IMAGEnet provides a feature to transfer image data to the Clipboard To do this first set the image window active you want to copy then choose Transfer to Clipboard from the Utilities menu or click the clipboard icon on the tool bar Image data will be copied
20. finite area In this system the area of these boundary lines are distributed to the cells that are divided by the Page 96 of 105 Topcon Medical Systems Inc IMAGEnet User Manual line If a pixel which belongs to the boundary lines is adjacent to 2 cells 0 5 pixels is added to the area of each of the 2 cells Definition of Hexagonality Definition of polygonal shape of cells is based on the number of intersections of boundary lines surrounding the cell If there are 6 intersections around the cell the cell is recognized as a hexagon Cells that are positioned along the edge of the analysis region are not included in the hexagonality percentage Only the interior cells are used for measurement Icons to be used for viewing results E To find the area and number of sides for an individual cell choose this icon and then move the mouse cursor over the cell and press down the left button The area and number of sides will be shown in a small box while the button is pressed To change the settings for the histogram click this icon The Setup Parameters dialog box will be displayed Change the settings then click OK The analysis results in the image window will be updated to the settings immediately To perform analysis without taking into account certain cells choose this icon and then move the mouse cursor over the cell to be excluded and press the left button once The cell will turn blue To include this cell again repeat t
21. following dialog box will be displayed to select a patient Page 20 of 105 Topcon Medical Systems Inc IMAGEnet User Manual ID Code 00 00 0000 Clear Last Name To PCON Cancel FirstName Patient01 Information Q i Total patients 5 _ Information sald TOPCON Patient01 TOPCON Patient02 TOPCON Patient03 TOPCON Patient04 TOPCON Patient05 Figure 4 2 Select Patient Dialog Box To select a patient type either the patient ID code or the patient name in the corresponding edit box Click a patient in the patient list to select the patient Click OK to start searching for images for that patient Double click a patient in the patient list box to do these operations at once Patients in the patient list are usually sorted by the patient ID code unless Sort by Name in the Patient menu has been checked If the patient ID code entered does not exactly match any patient in the patient list or if only a patient name is entered IMAGEnet displays a candidate list For example typing 100 as the patient ID code in Figure 4 3 10002 Patient A Test 1001 Patient B Test 10016 1 Patient C Test will list this candidate list because all the above ID codes are partially matched to the ID code entered If only a patient name is entered the candidate list is always displayed even when the name specified was matched exactly to the name of an existing patient Selecting from Candidate List Patient Matched
22. items with a View Window Help IMAGEnet User Manual Transfer Image to Clipboard Measure Image Compare Images Toolbar Top Bottom Left Right Hide Status Bar Display Scale 50 200 Maximum Resize Adjust to Image Duplicate Cascade Tile Arrange Icons Help Topics About IMAGEnet 9 image is not displayed Tool Bar EE ie Ce E Me ia Ry Ee are not available either hidden or grayed when an The tool bar provides quick access to items in pull down menus of the menu bar By clicking an icon on the tool bar the function assigned to the icon is directly called Some of these icons will be disabled if no image is displayed on the screen The following is the relation between the tool bar icons and the menu bar items Database Icon Select Database Patient Patient Icon Select Patient Patient Image Icon Open File Note Icon Note File Save Icon Save File Clipboard Icon Transfer to Clipboard Utilities Print Icon Print File Adjust Icon Adjust to Image Window Duplicate Icon Duplicate Window Window Negative Icon Negative Image Tools Contrast Icon Contrast Stretch Tools Enhance Icon Box Enhancement Tools Page 11 of 105 Topcon Medical Systems Inc Status Bar Image Window IMAGE net User Manual Z E E Ean G Annotate Icon Annotate Image Tools Undo Icon Undo Tools Proofsheet Icon None None 4UP Icon Add to 4UP T
23. order to measure a pathology move the cursor to somewhere along its edge then trace around the edge while holding down the left mouse button After tracing around the pathology so that the cursor is near its starting point release the mouse button The traced area will be calculated and displayed MPS DA This function allows a MPS Macular Photocoagulation Study grader to put the graphic equivalent of a disc area circle from the MPS Disc Circles Template on the displayed image All 9 sizes from 1 DA to 16 DA are supported as long as the magnification of the displayed image is small enough to fit the entire circle 1 DA 2 545mm PDT This function allows a PDT Photo Dynamic Treatment planner to put the desired laser treatment size on the digital image The pathology to be treated must first be traced in the Same manner as the AREA function In addition to the area results a line will be drawn within the area along its greatest linear distance Finally a circle will be drawn encompassing and centered on the area with the additional radius specified in the Additional PDT Area box This circle can be used to provide the necessary over treatment as described by the treatment protocol Icons to be used for deleting the drawing To delete the graphics use the following icons located at the right of the image window To delete the last operation use this function To delete all graphics in the window use this function Graphics on the
24. scale factor which represents the actual pixel size in the image If the device used for capturing the image is a TOPCON product such as SL 7E Specular attachment or a SP 2000 the correct scale factor is automatically stored with the image Otherwise the scale factor must be determined using the Measure function of IMAGEnet prior to analyzing images If such a device is used for capturing images contact TOPCON for the further instructions Starting the System In IMAGEnet display an endothelial cell image then select the Endothelial Cell Analysis command from the Utilities menu to start the Endothelial Cell Analysis System The image window must be active when the command is selected Fie Tate TTE E E View Window Help Imag lnfa aj a iml He galla m mje w um Hi E ooo pinat 01 13 1347 Mikel IMG aag a Apag montai MMB pm Figure 1 Starting Endothelial Cell Analysis Specifying Analysis Region When the system is started the following dialog box will be displayed with the original image displayed in the dialog box This dialog box is the primary window of the system and it consists of the image window and several icons Page 92 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Endothelial Cell Analysis R 2 00 x Analyze Cancel Figure 2 Specifying Analysis Region To specify the region to be analyzed move the mouse cursor to the upper left corner of the area t
25. similar to the normal image window and can be treated as a normal image window in most situations Title Bar The title bar is used to show the database currently loaded When an image window is maximized image information is also displayed Menu Bar The menu bar consists of several items By clicking these items the pull down menu related to the item will be opened By choosing an item in a pull down menu you can call the function assigned to the item Page 9 of 105 Topcon Medical Systems Inc File Patient Capture Tools Utilities IMAGEnet User Manual Open Close Save Close All Print Print Preview Print Setup Print Template Retrieve Mail Send Image Note Exit IMAGEnet Select Patient Sort by Name Register Patient Delete Patient Select Database Drive Capture Procedure 1 Capture Procedure 2 Buffering on Hard disk Undo Negative Image Expand Contrast Hi Med Lo Equalize Adjust Contrast Color Box Enhancement Smooth Image Hi Med Lo Sharpen Image Hi Med Lo Mirror Rotate Image Mirror Rotate Flip Add to 4UP Add to 9UP Add to 16UP Annotate Image Permanent Graphics Delete Graphics Edit Proofsheets Copy Delete Images Check Database Files Archive Disk Information Initialize Archive Disk Import Image Export Image Page 10 of 105 Topcon Medical Systems Inc In the above menu
26. template Except for the last item Select template the dialog box of the above items are common to all Windows applications However some options in these dialog boxes may not be available or may be useless for IMAGEnet 7 1 Print Dialog Box To make a print make the image window that is to be printed active then choose Print from the File menu or click the print icon on the tool bar The following window is displayed to set print options Print re x Printer Name EPSON LP 1500S Properties Status Default printer Ready Type EPSON LP 15008 Where LETI Comment I Printto file Print range Copies All Number of copies fi Pages fam fi to fi 7 opel Selection Censi _ Figure 7 1 Print Dialog Box Click OK to start printing 7 2 Print Preview Screen To check how the image will be printed on the printing paper before making a print choose Print preview from the File menu Page 32 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Figure 7 2 Print Preview Screen 7 3 Print Setup Dialog Box The Print Setup dialog box is used for changing the printer or paper to be used If using a print template for printing the image select the proper printer and the proper printing paper that the print template expects Print Setup rz Ed Printer Name EPSON LP 15008 Properties Stat
27. the image list highlight the image record desired then click OK Or double click the image record directly The dialog box will be hidden then the image will be displayed in a new image window If the image displayed is a proofsheet click an image directly in the proofsheet to display the image The image will be displayed in a new window overlapping the proofsheet window The image list will be kept until selection of another patient or another database The above dialog box can be displayed anytime by choosing Open in the File menu or by clicking the image icon on the tool bar Page 23 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Sint 200 nin ben o Toos ilities View Window Help aialzij alalolnjala J lmi wel oox Figure 4 6 Image Window Identification information such as the patient ID code the capture date the procedure name and the image label are displayed as the title of the image window What type of information should be displayed on the title may be customized If the image window has been resized for some reason it can be restored by choosing Adjust to Image in the Window menu A proofsheet can be displayed using the scaling mode In the scaling mode the image is scaled to fit the image window so that the entire image can always be seen in the window 4 4 Working on Image Window Resizing an Image on the Screen To resize an image displayed on the screen activa
28. x Patient ID 100 f Cancel Patients matched 3 Patient A Test 1001 Patient B Test Patient C Test Figure 4 3 Candidate List Page 21 of 105 Topcon Medical Systems Inc IMAGEnet User Manual If the patient is in the candidate list just click the patient in the list then click OK Or double click the patient to do these operations simultaneously Searching Patients for specific conditions To search for patients with specific conditions such as the registration date and birth date click the Query Patient button in the patient dialog box This will show the following dialog box that allows the specification of conditions Chart No Image Keys Entry Cl ntry Class Clear Entry Date Ta Birth Date Sex amp Ignore c Male C Female Physician z Diagnosis z Comment Custom Data 1 Last Visit Custom Data 2 Next Visit Custom Data 3 Figure 4 4 Query Patient Dialog Box Type in the condition of the patients to search for then click the Query button Leave any condition fields blank to not use them as a query key All patients who satisfy the conditions are found IMAGEnet displays a query list similar to the candidate list shown in Figure 4 3 Just click the patient in the list then click OK Or double click the patient to do these operations simultaneously Unlike the candidate list the query list is kept a
29. 2 Display an Image Enhance an Image Rotate Flip an Image Measure an Image Compare Images Pl FEnlaran an Imanan Print Cancel Figure 12 1 IMAGEnet Help To access the proper reference information for a dialog box hit the Fl key while the dialog box is displayed This operation directly pulls up the help screen related to the dialog box Page 64 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Appendix A Print Template A 1 Overview IMAGEnet uses a print template to customize the page layout of images and their pertinent information A print template is a single page document made in Windows WRITE format IMAGEnet also provides an Edit Print Template Utility to support user intervention for creating a customized print template Figure A 1 shows a sample print template Topcon America Corporation 37 West Century Road Paramus NJ 07652 Tel 201 261 9450 Fax 201 634 1365 Patient 1024 FA amp ICG ID O27 167742 Procedure Fluorescein DATE 06 24 1999 Chart No Physician WALSH Notes Comments Figure A 1 Sample Print Template with customizable fields Page 65 of 105 Topcon Medical Systems Inc IMAGEnet User Manual A 2 Creating Print Template To start IMAGEnet Edit Template Utility simply choose Utilities Edit Print Template A dialog box as shown in Figure A 2 will appear IMAGEnet Print Template Editing Utility Practice Name Address Line 1 Address
30. 2 times locating the point in the middle of the window Zoom Image is not the real zoom operation It replaces the original image with the enlarged image Therefore you cannot pan and scroll the zoomed image using the scroll bars The original image is kept temporarily in the undo buffer Call back the original image by choosing Undo from the Tools menu or the undo icon on the tool bar Undo To cancel tools applied to the active image choose Undo from the Tools menu or click the undo icon on the tool bar This will undo the tool applied last to the image IMAGEnet saves the original image to the undo buffer before a tool is applied to the image Since MAGEnet has four undo buffers as the default configuration it is possible to undo the last four tools applied Undo might not work sometimes because all image windows share the undo buffers The original image may be already removed from the undo buffer The Add to 4UP Add to 9UP and Add to 16UP can not be undone Page 31 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Chapter 7 Printing Images IMAGEnet allows printing of images displayed on the screen using a Windows printer There are 4 menu items related to the print operation in the File menu Print Make a print of the active image window Print preview Preview print on the screen Print setup Set up the Windows printer Print template Select a print
31. 7 2 362 5 140 3 38 7 SAT AR Seo ok ewes ee Cancel Figure 3 Editing Cell Boundaries To edit these boundary lines use the edit icons and the display mode icons located at the right of the image window The mouse cursor will be changed according to the edit icon being chosen To get help for the edit operations and the analysis results hit the FI key anytime Icons to be used for boundary editing To add boundary lines click this icon once and then move the mouse cursor to the image Press the left button down at one end point of the line to be added drag the mouse to the other end point of the line and release the button Continue adding lines as needed This mode will stay current until another edit icon is chosen If erroneous boundaries were found they may be deleted using this function Simply choose the icon move the mouse cursor to the line to be deleted and click the left button once Continue deleting lines as needed This mode will stay current until another edit icon is chosen The above 2 icons which will be used most often for editing the boundaries and may be toggled between using the right mouse button If there are numerous errors it may be faster to erase an entire area of lines than to delete them individually After choosing this icon move the mouse cursor to the upper left corner of the region then press down the left button Drag the mouse to the lower right corner and rele
32. 84 ae Minimum Size 119 7 z ajg Ste Maximum Size 552 7 Average Size 374 8 S D of Size 88 0 C of Size 23 5 5 eS Sam a Fas car Figure 5 Final Analysis Result Page 95 of 105 Topcon Medical Systems Inc IMAGEnet User Manual The following information will be displayed in the image window Number of Cells Number of cells detected in the analysis region The maximum number of cells which will be detected in the specified region is limited to 510 Minimum Size Maximum Size Minimum and maximum cell area in the analysis region in square microns Average Size Average cell area in the analysis region in square microns S D of Size Standard Deviation of the area of the cells C V of Size Coefficient Variant This represents S D of Size Average Size 100 Cell Density The number of cells in 1 square millimeter calculated Hexagonality The approximate percentage of cells with a hexagonal shape Histogram The histogram which shows a distribution of cell area Each bar represents the percentage of cells that belong to the areal zone The range of the histogram and the scale used for the ordinate axis may be changed Area of Cell Boundaries When determining the areal measurement of the endothelial cell boundaries are assumed to have zero width Therefore at the final stage of measuring the boundary lines are thinned to 1 pixel width However the boundary lines still have
33. 88 TOOL_16UP 32786 UTIL_COPY 32812 UTIL_CLIPBOARD 32809 WINDOW_ADJUST 32820 WINDOW_DUPLICATES7648 HELP_CONTENTS 57667 LOAD_PROOFSHEET 32778 COMMAND_EXTRAI1 COMMAND_EXTRA2 COMMAND_EXTRA3 CAPTURE_FLUORESCEIN CAPTURE_COLOR CAPTURE_ICG CAPTURE_NONMYD_COLOR CAPTURE_NONMYD_MONO CAPTURE_SLIT CAPTURE_CELL PROGRAM _ENDOCELL PROGRAM_QUICKDRAW PROGRAM _ DENSITY A serial number starting at 32900 will be assigned to the capture procedures A serial number starting at 32932 will be assigned to the external programs Page 77 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Appendix E FlexMail Agent E 1 Overview As the second stage of the wide area networking in IMAGEnet FlexMail Agent is now ready for everyone who wants to exchange and share images via the Internet FlexMail Agent is an independent program that automates image exchange among IMAGEnet databases FlexMail Agent sends images stored in a specified DATAFILE drive as a series of E mails to the specified destination FlexMail Agent also receives such E mails and restores images attached to the E mails to the specified DATAFILE drive Outbound DATAFILE FlexMail Inbound DATAFILE User Site 1 User Site 2 FlexMail Compared to the Send Image function of IMAGEnet which directly sends the image on the screen FlexMail Agent requires an extra step saving images to be sent to a DATAFILE However
34. Chunky form Left IMG0289 000 00 0000 06 23 1994 Fluorescein Test IMG0116 E eel 000 00 0000 06 23 1994 fluorescein 2 IMG0042 a 00 00 0000 06 23 1994 fluorescein 24 8 IMG0115 000 00 0000 10 19 1994 fluorescein Demo 6 IMG0106 000 00 0000 10 25 1994 Fluorescein 1 P 16 IMG0272 000 00 0000 01 10 1995 Fluorescein mapping IMG0047 000 00 0000 06 21 1995 fluorescein 1 IMG0157 000 00 0000 06 21 1995 fluorescein 0 41 8 IMG0315 000 00 0000 06 21 1995 fluorescein 12 32 1 IMG0316 000 00 0000 06 21 1995 fluorescein 2 122 IMG0317 v gt 4 Copy Delete Edit View Figure 8 2 Copy Delete Images Dialog Box Viewing Images To view an image before copying or deleting select an image or a proofsheet then click the View button If the image is a proofsheet double click on an image in the proofsheet directly to view the image Copying Images Select the source database or storage drive from the Source drop down list Choose either Hard Disk or Archive Disk if necessary Mount the archive disk if choosing Archive Disk All the images in the selected disk of the database will be shown in the image list box Select the destination database or storage drive from the Destination drop down list Choose either Hard Disk or Archive Disk 1f necessary From the image list select images and proofsheets to copy to the destination Then click the Copy button to start copying the images Deleting
35. E THE PRINTER CONSTITUTING A PART OF YOUR IMAGENET SYSTEM READ THIS INFORMATION CAREFULLY IT MAY GOVERN YOUR RIGHTS RISKS AND RESPONSIBILITIES WITH RESPECT TO SUCH THIRD PARTY COMPONENT PRODUCTS Page 105 of 105 Ow TOPCON Topcon Medical Systems Inc e 37 West Century Road Paramus NJ 07652 Phone 1 800 867 2149 or 201 261 9450 e Fax 201 261 9164 www topcon com Printed in USA LD TMS 07 2005
36. G Mosaic 2000 CEPR CEE CECE CCT CLEC CCE CECE CCCI CT CECE COT 85 Appendix H OIS Image Viewer a A A AAA AAAA 89 Appendix Endothelial Cell Analysis A E E wtaieetwierers 91 TEMS Se GONGINONS ase Erinn EE ET ENE 103 Page 3 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Precautions e Please read this User s Manual with care before using this software e TOPCON has the copyright of the software e Reproduction and copying of the software and the User s Manual in whole or in part without our permission is strictly prohibited e This User s Manual does not describe details about the handling procedures of personal computer and the operation procedures Microsoft Windows 95 NT This User s Manual is made on an assumption that the user already has the knowledge about the personal computer and Microsoft Windows 95 NT e For the handling procedures of personal computer and the operation procedures of Microsoft Windows 95 NT refer to the pertaining manuals e An incorrect handling of personal computer and an incorrect operation of Microsoft Windows 95 NT may damage the personal computer Microsoft Windows 95 NT or the software e We shall not take any responsibility for the effects as a result of using the User s Manual and software e Specifications of the software and descriptions of the User s Manual are subject to change without prior notice IMAGEnet User s Manual June 15 2005 C Topcon Medical Systems Inc
37. IMAGEnet is a registered trademark and IMAGEnet IMAGEnet for Windows IMAGEnet X IMAGEnet H IMAGEnet 640 and IMAGEnet 1024 are trademarks of TOPCON Corporation Microsoft MS and Windows are registered trademarks and Windows NT is a trademark of Microsoft Corporation Btrieve is a registered trademark of Pervasive Software Inc Page 4 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Chapter 1 Introduction 1 1 Overview IMAGEnet is advanced 32 bit image filing software that runs under Windows 95 98 and Windows NT IMAGEnet has a user interface similar to IMAGEnet 640 and IMAGEnet for Windows providing ease of operation for those who are familiar with these systems In addition I MAGEnet features a new enhanced database structure that enables much more flexible data exchange with other information systems IMAGEnet is a device independent platform Unlike the DOS based IMAGEnet systems there is no distinction among the systems such as 640 and 1024 B W and color The capturing part of IMAGEnet is controlled by a DLL Dynamic Linking Library module designed for a particular capture device A capture procedure can use any of the included DLL modules Added support for TWAIN compliant devices allows the capturing and storing of images from film scanners and digital interface cameras that support the TWAIN interface IMAGEnet supports multiple database configurations over networks It is possible to have more than one data
38. Images Select the source database or storage drive from the Source drop down list Choose either Hard Disk or Archive Disk if necessary Mount the archive disk if choosing Archive Disk All the images in the selected disk of the database will be shown in the image list box Page 38 of 105 IMAGE net User Manual Topcon Medical Systems Inc From the image list select images and proofsheets to delete from the source database Then click the Delete button to start deleting the images A confirmation dialog box is displayed before the images are actually deleted Editing Image Information Select the source database or storage drive from the Source drop down list Choose either Hard Disk or Archive Disk if necessary Mount the archive disk if choosing Archive Disk All the images in the selected disk of the database will be shown in the image list box From the image list select an image or a proofsheet to edit the image information or double click the image record in the image list After selecting an individual image the following dialog box will be displayed for editing the image information Editing Image Information lt IMG0115 gt ID Code 000 00 0000 Name Patient 01 TOPCON Cancel Procedure M Eye C Right Left Date 06 23 1994 Angle 50 0 Label 24 8 Scale Factor fo 27 1 4 Remark Note Figure 8 3 Edit Image Informat
39. Line 2 V Patient Name V Patient ID V Procedure V Capture Date r Chart No l Physician s code M Note Space l Comments Template Font Arial Paper Orientation Portrait v Cancel Figure A 2 Edit Template Utility Dialog Box To customize the print template 1 Fill in the practice name address and telephone number etc 2 Choose the appropriate patient information fields Patient Name ID etc The print template will include the checked fields and omit the rest By default the fields Patient Name Patient ID Procedure and Capture Date are pre checked 3 Choose a Template Font Arial or Times New Roman 4 Choose a Print Paper Setup Portrait Landscape Quick 2 up or Custom The first three choices have fixed paper size and margins When Custom is chosen the following dialog box will appear in which the user can specify the paper size and margins Page 66 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Page Setup Figure A 3 Page Setup Dialog Box 5 Click on OK a print template will be generated automatically Page 67 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Appendix B Jukebox Support IMAGEnet now supports jukeboxes as a series of alternate archive drives These drives are scanned as alternative archive drives and the disk labels on these disks are cached to avoid annoying disk changes Dis
40. Quick Draw command from the Utilities menu to start the Quick Draw Utility A composite image must be saved and reloaded prior to starting the Quick Draw Utility The image window must be active when the command is selected When the Quick Draw Utility is started the following dialog box will be displayed with the original image displayed in the dialog box This dialog box consists of the image window 12 icons and 8 color radio buttons Page 41 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Quick Draw R 2 01 Image Size 640 X 480 eeeenvreee ih Tell Cancel Figure 8 5 Quick Draw Dialog Box Drawing Icons to be used for drawing To draw graphics use the following icons located at the right of the image window The mouse cursor will be changed according to the draw icon chosen All drawing can only be done on the image Once an icon has been chosen move the cursor to the image window To cancel the drawing of a line a rectangle and an ellipse click the right button before releasing the left button IN Select where an arrow should appear To change the direction click the right button The arrow s size depends on font s size Select where a string of text should begin holding the mouse button The text will follow the movement of the mouse until the mouse button is released KA i To move text use this function Also text can be moved by pressing and Select the starting and ending p
41. To display images choose Open from the File menu IMAGEnet will display a dialog box to get necessary information Type or select items in the dialog box then click ORK to continue To apply any tools to the displayed image choose a tool from the Tools menu The tool will be immediately applied to the image For any questions about the operation press the F1 key anytime IMAGEnet will display the necessary help needed at that point It is good idea to view the major topics in the IMAGEnet Help before starting using IMAGEnet To get contents of Help topics choose Help Topics from the Help menu 2 4 Exiting IMAGEnet To exit IMAGEnet choose Exit IMAGEnet from the File menu IMAGEnet confirms that you want to exit Upon exit IMAGEnet closes all image windows and releases resources Before exiting IMAGEnet save an images modified during the session or they will be lost IMAGEnet does not prompt to save modified images on exit To copy an image to Clipboard be aware that the image data is still in the Clipboard IMAGEnet does not prompt to discard the image data in the Clipboard upon exit Remove the image data from Clipboard using Clipboard Viewer if it is no longer needed Page 13 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Chapter 3 Capturing Images Capturing images in IMAGEnet usually requires the following steps Select a capture procedure Register or select a patient
42. Topcon Medical Systems Inc IMAGEnet User Manual e 11 4 Tools Options General Patient Display Tools Box Enhancement Annotation Block size 128 Font System Saturation 10 size 16 Select Contrast Color Adjustment _ F Bold l Italic F Opaque r Real time screen update T Automatic image annotation Undo Buffers Normal size a Size in capture a cast ey Figure 11 4 Tools Options Property Tab Box Enhancement Specify parameters for the box enhancement Block size Size of local block Saturation Saturation level of enhancement Contrast Color Adjustment Real time screen update Displays the adjusted image immediately Annotation Defines the font and character height used by Annotate Image in the Tools menu Font Select or specify the font Size Specify height of characters Automatic image annotation Performs automatic image annotation whenever an image is displayed Undo Buffers Specify parameters for the tool undo buffers Normal size Size of undo buffer for tools Size in capture Size of undo buffer when a capture window is opened Page 61 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Chapter 12 Other Features 12 1 Adjust Window to Image When an image is displayed on the screen IMAGEnet tries to set the image window size to the image size If it s not possible IMAGEnet sets the window size as large as possibl
43. a doga AT Pe i jiire 1 94 a noone T lols E ae e ma o Diir uate WAGL awi PION MAAG eet ZONO Onim a Figure 8 9 Alignment Function To view the image better click on the Maximize button upper right corner of window Use the Next button on the Align Images dialog box to go to the next image Using the right mouse button will have the same effect but will go through ALL single open images not just those that are being compared Use the minimize button upper right corner or the Tile button on the Align Images dialog box to return to the tiled display format To magnify the image before entering a point double click the center point of interest in the image using the left mouse button The image will be magnified until an alignment point is entered Pressing the right mouse button before a point is entered will cancel the zoom and return the image to regular magnification If all the images to be compared are of similar size and are at similar positions in the image window scrolling all the images at once may be convenient To scroll all the image windows to be synchronized scroll horizontally or vertically any of these image windows by holding the Ctrl key down The synchronized scrolling only affects on the images to be compared When at least 3 sets of points have been entered press Done The transformation will be calculated for each image in relation to the others Page 47 of 105 Topcon Medical Systems
44. al C 3 Verifying the CD Recommended Take the CD from the tray and place it into the reading drive Once there click on Patient and from the drop down menu click Select Database Drive This will list all devices containing IMAGEnet images data Load the CD ROM Reader database and check randomly several patients to insure that the images were correctly copied When proper recording of the CD has been established be sure to properly label the CD with the sequential number given by IMAGEnet C 4 Miscellaneous 1 In very rare cases errors may occur during the CD recording process step 1 due to a defective blank CD manufactured by other parties The CD Recording Utility is capable of detecting such errors Once detected the following information dialog box will appear BURNCD h IMAGEnet patient data can not be duplicated corectly into CD i Thiz may due to incorect parameter settings andor defectrye COR media IF you choose to RE TAY please mount a new COR media to CO writer IF you choose to CANCEL the program will abort NEITHER choice will cause loss of patient data Please note that NO patient information will be damaged here Simply replace the CD with a new blank one and click Retry The CD Recording Utility will attempt to re write the Archive Disk to the CD If the problem persists please contact IMAGEnet technical support 2 Multiple copies of CD s can be made per Archive Disk though the CD Recording U
45. ase the button This mode will stay current until another edit icon is chosen Page 94 of 105 Topcon Medical Systems Inc IMAGEnet User Manual To perform analysis without taking into account certain cells choose this icon and then move the mouse cursor over the cell to be excluded and press the left button once The cell will turn blue To include this cell again repeat the procedure After any changes have been made to the boundary lines or any cells have been excluded or included click this icon to perform the analysis again The analysis results displayed in the image window will not be updated until this icon is Clicked Icons to be used for changing display mode This function toggles between a zoomed and a normal image Editing boundaries with a zoomed image may be easier than with the normal size This function swaps the left original and the right enhanced images However the boundary lines always stay overlaid on the right image This function is enabled only when the icon is pressed The boundary lines will be hidden in order to get a better view of the image underneath The lines will return when the icon is released I 4 Viewing Results Analysis Results If the icon is clicked after erroneous boundaries have been edited and corrected the system will again calculate and display the analysis results based on the corrected boundaries Endothelial Cell Analysis R 2 00 x Analyze Number of Cells
46. ate the proofsheet window first To activate the proofsheet window click anywhere on the proofsheet window Alternatively call back the proofsheet window by clicking the right mouse button anywhere on an image window After activating the proofsheet window click an image in the proofsheet to display the image just like the first image Page 25 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Chapter 5 Saving Images IMAGEnet allows saving images displayed on the screen to any disk except archive disks To save an image activate the image window first by clicking anywhere on the window or using several click actions of the right mouse button Choose Save from the File menu or click the save icon on the tool bar The following dialog box will be displayed to select a destination and to set parameters ID 000 00 0000 Name TOPCON Patient01 Procedure Patient Date 01 28 1 998 Cancel File Format Standard TIF C Compress JPG Original Format Destination Database IMAGEnet 2000 Database Media Hard Disk C Archive Disk Figure 5 1 Save Image Dialog Box Unlike other Windows applications there is no edit box for specifying the file name in the above box The image file name is decided by IMAGEnet automatically and IMAGEnet will never overwrite an existing image file Images displayed on the screen are always saved as new images Since the proofsheet is
47. ation is permanently written on the image as white text This tool 1s quite useful when exporting images to other applications or bringing images to another computer Annotating information on a proofsheet or a composite image is prohibited Permanent Graphics To print an image with color graphics to a black and white printer it may be desirable to convert the color graphics to white lines in order to see the graphics more clearly on the print Exporting an image with color graphics to an application that does not support the DIB color palette is another use for this function Page 30 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Set the image window active then choose Permanent Graphics from the Tools menu Color graphics on the image will be converted into white lines and will be permanently written to the image If the image has analysis data related to the graphics the analysis data will be deleted Delete Graphics To delete color graphics on an image set the image window active then choose Delete Graphics from the Tools menu Color graphics on the image will be permanently deleted from the image If the image has analysis data related to the graphics the analysis data will also be deleted Zoom Image Unlike other tools Zoom Image takes a different approach To zoom up the image in the active window click the center point of interest in the image using the mouse IMAGEnet zooms up the image
48. base anywhere on the network to easily switch to that database This feature gives great flexibility to configuring the total network system Images can be copied among the databases as simply as copying images from the system hard disk to an archive disk has always been IMAGEnet now supports an image data exchange function using a regular phone line or Internet This will add the ability to do so called telemedicine with the system As soon as an image is taken the image may be sent anywhere around the world with a few mouse clicks Compatibility Since IMAGEnet uses a completely new enhanced database structure IMAGEnet will not directly access an existing IMAGEnet database However a conversion program 1s provided for existing databases and IMAGEnet even provides a way to exchange image data with existing systems using an image information file compatible with the existing IMAGEnet systems Page 5 of 105 Topcon Medical Systems Inc IMAGEnet User Manual 1 2 IMAGEnet Capture DLL As mentioned above IMAGEnet uses a capture DLL to capture images from a capture device These capture DLLs are considered a part of IMAGEnet it isn t possible to capture images from a device without one of them For IMAGEnet Version 2 00 the following capture DLLs are available Coreco Oculus TCX 640x480 or 768x576 B W Color Windows 95 98 only Coreco Oculus F 64 1024x1024 B W Windows 95 98 only Coreco Oculus TCi 640x480 or 768x576 B W
49. ce An image with display ratio not equal to 100 cannot be measured or compared using the Measure function or the Compare function In such a case reset the display ratio of the image to 100 or Resize the image permanently 12 3 Duplicate Image Window To keep images enhanced by the tools without a warning about the undo buffer choose Duplicate Window from the Window menu or click the duplicate icon on the tool bar This operation creates a copy of the image in the active window The copy is completely Page 62 of 105 Topcon Medical Systems Inc IMAGEnet User Manual independent from the original image and the image window Keep applying tools to the image in the duplicated window and the original image will not be affected The image window created by this operation has the version No at the end of the window title The version No lt 1 gt lt 2 gt will be automatically incremented as it is duplicated The number of copies that can be keep depends on how much memory is available in the system 12 4 Hiding Tool Bar and Status Bar Hide the tool bar and status bar to make more space in the IMAGEnet window To hide the tool bar choose Toolbar in the View menu A check mark will be placed at the head of Toolbar in the pull down menu and the tool bar will disappear To hide the status bar choose Status Bar in the View menu A check mark will be placed at the head of Status Bar in the pu
50. composite using the precise print mode the print adjustment panel will be displayed when choosing Print from the File menu or clicking the print icon on the tool bar The print adjustment panel provides the ability to temporarily adjust brightness and contrast of each image in the proofsheet or the composite individually Adjustments made in the print adjustment panel are temporary The original proofsheet or the original composite will never be changed The graphic information is not displayed in the print adjustment panel Figure 7 5 Print Adjustment Panel Page 34 of 105 Topcon Medical Systems Inc IMAGEnet User Manual At the time the adjustment panel is displayed the adjustment mode is set to Whole which means the whole proofsheet or the whole composite will be adjusted at once The while level and the black level of the whole image can be adjusted using the arrow buttons at the upper right of the panel To adjust brightness and contrast of some particular images click those images in the panel to mark them to be adjusted Then adjust the white level and the black level using the arrow buttons at the upper right of the panel The adjustment will only apply to the images marked To cancel the adjustment and return to the original condition click the Original button To start printing click the Print button The print adjustment panel disappears and the print dialog box is shown Notice The pri
51. contained at the TMS website or in any other advertisements or TMS literature or made by an employee or independent contractor of TMS modifies these Terms and Conditions including the warranty and limitation of liability MISCELLANEOUS The above Terms and Conditions may be amended modified superseded or canceled at any time by TMS The above Terms and Conditions will be governed by and construed in accordance with the laws of the State of New Jersey without reference to conflict of laws WARRANTY AND LIMITATION OF LIABILITY Subject to these Terms TMS warrants that for one 1 year from delivery to Customer the IMAGEnet System will be free from material defects If this warranty is breached TMS at its option will either repair or replace the defective IMAGEnet System or if not possible refund the purchase price The customer must contact TMS within the 1 year warranty period for the warranty to be effective No warranties are given in connection with services or software The warranty does not cover damage due to shipping or external causes including accident abuse misuse problems with electrical power servicing not authorized by TMS usage not in accordance with instructions failure to perform required maintenance and or problems caused by use of parts and components not supplied by TMS or any action which voids the warranty of a component manufacturer whose product and manual has been supplied as a component of the IMAGEnet
52. control dialog bar This will change the display mode of the capture window to the proofsheet display mode While you are in the proofsheet display mode the left arrow button and the right arrow button work for changing the proofsheets to be displayed if there are 2 or more proofsheets To go back to the normal display mode just click the proofsheet icon again Double click the image to display on the proofsheet to display it Page 16 of 105 Topcon Medical Systems Inc IMAGEnet User Manual 3 5 Deleting Captured Images Delete a captured image that 1s being displayed in the capture window anytime by clicking the Delete button on the control dialog bar If in the proofsheet display mode click the images to delete first using the mouse The clicked images are framed by a yellow line to show them as marked The proofsheet can be changed while marking images to be deleted Then click the Delete button on the control dialog bar All the images marked will be deleted 3 6 Flushing Captured Images In the case where many images have been captured the capture interval will become longer and the hard disk will blink it s light very often This shows Windows has started memory swapping to make more room in system memory To eliminate this flush captured images in memory to the hard disk by clicking the gas pump icon on the control dialog bar Flushing images to the hard disk also secures the captured images from accidental power fail
53. d database file but contains complete information of the images IMAGEnet still supports INFOFILE and ARCHIVE for the case that exchanging image data with an existing system Unlike the system database the storage drive does not require any preparation for use IMAGEnet automatically creates DATAFILE on the storage drive if it does not exist and automatically removes it if all images on the storage drive have been erased This is very important especially in case of an emergency such as having too many captured images to be saved to the system database or the system database is on a busy network Even in such cases it is possible to safely save the captured images to a storage drive Page 7 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Chapter 2 Getting Started 2 1 Starting IMAGEnet On the title bar of Windows 95 98 and Windows NT there will be the Start button on the left Click the Start button to open the start menu Choose Programs then choose TOPCON IMAGEnet from the submenu In the TOPCON IMAGEnet submenu choose the IMAGEnet to start IMAGEnet In the TOPCON IMAGEnet submenu there will be 3 items Figure 3 1 IMAGEnet gt Running IMAGEnet Configuration Running the Configuration Program Read Me Display the Read Me file Figure 2 1 Starting IMAGEnet IMAGEnet loads the first database registered in the system registry or found through the drive search T
54. dical Systems Inc IMAGEnet User Manual Saving Analysis Results Exit the MPS Rings Utility then use the Save command in the File menu to save the analysis results to any disk The analysis results saved to a disk may be displayed at a later time Page 84 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Appendix G Mosaic 2000 Optional Module G 1 Starting the Mosaic 2000 Utility In IMAGEnet display a proofsheet image then select the Mosaic 2000 command from the Utilities menu to start the Mosaic Utility The image window must be active when the command is selected When the Mosaic Utility is started the following window will be displayed with the original images in the proofsheet displayed in the window The images if taken with position data by a TRC NW6S SF are displayed as a mosaic image as shown in Figure automatically Mosaic 2000 004 004 Mel E Eille Miew Image Seting Help 50 x 942 114 tb Figure 1 Mosaic Window Page 85 of 105 Topcon Medical Systems Inc IMAGEnet User Manual G 2 Functions File Recent Masks 4 selected masks appear in the list Exit Exit the Mosaic software View Tool bar Show Hide the Tool bar Status bar Show Hide the Status bar Tracker Show the square surrounding the selected image Display Magnification Marked as B in Figure 1 Show all images at 25 50 or 100 their original size Default is 50 Ima
55. e However the window size may be changed by the mouse or by some commands that affect the window size such as Tile and Cascade in the Window menu To adjust the image window size to the image size again set the image window to adjust active then choose Adjust to Image in the Window menu or click the adjust icon on the tool bar This will adjust the window size immediately without affecting other image windows Window position will also be changed if necessary 12 2 Changing Display Image Size If a displayed image is too small or too big to view on the screen the display size of the image may be changed using the drop down list box on the tool bar The drop down list box contains the display ratios 50 75 100 150 and 200 As a default the display ratio for an image newly displayed is set to 100 If an image is too small to view choose 150 or 200 to make the size bigger If an image is too big to fit the entire image in the screen choose 75 or 50 to make the size smaller These changes are only for display purposes and will not affect to the original image data in memory The drop down list also contains the selections Largest and Resize Largest will set the display ratio for an image as large as possible to fit the screen Resize resizes an image permanently to the display size currently set This will change the original image data and the display ratio will be reset to 100 Noti
56. e disk IMAGEnet assigns a new disk number to the disk and creates necessary directories and files on the disk The disk number assigned to the disk will be reported when the initialization has completed 8 6 Importing an Image from a File To import an image from a disk file choose Import Image from the Utilities menu This will show the following dialog box to specify a file or to browse the disk Type or select the image file then click OK The imported image will be displayed in a new image window Import of images can be done from a TIF file a BMP file a JPEG JPG file or DICOM DCM file The image types that can be imported to IMAGEnet are TIF 8 bit gray scale and 24 bit color BMP 8 bit gray scale 24 bit color and 8 bit palette color JPEG 8 bit gray scale 24 bit color DICOM _ 8 bit gray scale or 24 bit color non compressed format The Digital Imaging and Communications in Medicine DICOM is a standard for the communication of medical images and associated information The file format saved by the import export function uses the specification for Visible Light Image for Photography DRAFT STANDARD FOR TRIAL USE Page 40 of 105 Topcon Medical Systems Inc IMAGEnet User Manual The BMP 8 bit palette color image is converted into the 24 bit color image In addition all the image files created by DOS IMAGEnet systems may be imported 8 7 Exporting an Image to a File To export an image to a d
57. eT O TET rte ere 32 7 3 Print Setup Dialog Box AnS ENE 33 7 4 Selecting Print Template srrrrrrrtsssttreee 33 7 5 Print Adjustment Panel A N 34 Page 1 of 105 Topcon Medical Systems Inc Chapter 8 Chapter 9 Chapter 10 Chapter 11 Chapter 12 IMAGEnet User Manual Using Utilities PRET EL EEE TELE LEE C EEC E EEE OLE EET EL EL EEOC eee 36 8 1 Editing Proofsheets Venu wecuwetavecuwaneuetameee 36 8 2 Copying Deleting Images ar ira aad rato ater E 37 8 3 Checking Database Files vereseeeess 40 8 4 Showing Archive Disk Information 40 8 5 Initializing Archive Disk srrrrrrtssttttststsseees 40 8 6 Importing an Image from a File seee 40 8 7 Exporting an Image to a File s 41 8 8 Using Quickdraw TERT EREE ET eC Te ee Ce ree ee 41 8 9 Transferring Image to Clipboard 15 45 8 10 Measure and Compare SE ee err er a a aa 45 Managing Patients E A ALA 51 9 1 Accessing Patient Information veses 51 9 2 Registering New Patients strstr 51 93 Deleting Patients TTI TE Tee eee eee eee 52 Exchanging Images sae eee eae a ei eee a ee oe Sik wie 54 10 1 Preparation A A a Oeeuecen Seeuaeee wee ee 54 10 2 Sending Image by Mail A wee winter ae te cea eee 54 10 3 Retrieving Image in Mails rsss 55 Setting Options a a A A T Te eee ed D7 1 1 1 General Options Terri reer ee eter eer ore cre rere 57 1 1 2 Patient Options AAPA A AA erie ee eee D8 1 1 3 Display Options Per eee ee eer ee ee ee er eee 59 1 1 4 Tools Options ee ee eT A T rt 61 Other
58. ed Choose a range of patients to be included in the patient list Sort patient names using first name field check box Sort patient names using first name field when the patient list is sort by name Page 58 of 105 Topcon Medical Systems Inc IMAGEnet User Manual 11 3 Display Options General M Apply bilinear interpolation on scaling Automatic image centering Show image ID number on window title l Use OS OD for Left eye Right eye Automatic Scaling Proofsheet V Automatic image scaling V Scaling mode Minimum jioz4 Minimum jioz4 scaling Ratio TB Thumbnail Image Display M Show image labels Aspect Conversion None NTSC PAL M Show thumbnail images for image selection Columns E Image Size fi 60x160 cot He Figure 11 3 Display Options Tab General Set the following display options Apply bilinear interpolation on scaling Performs bilinear interpolation when an image is scaled Automatic image centering Performs automatic image centering for the image window Whenever the size of the image window is changed the scroll position of the image window will be automatically adjusted so the center of the image is always visible Show image ID number on window title Displays the image ID number on the window tile Use OS OD for Left eye Right eye Displays OD OS for Left eye Right eye Automatic Image Scaling Set the following automatic scaling options
59. emplate file used for the prints Do not display Print dialog box check box Check this check box if the Print dialog box should not be displayed Advanced Background normalization Contrast saturation level P tile binalization level Result of the automatic boundary detection may be improved by adjusting the above 3 parameters These parameters should be changed only by TOPCON representatives I 5 Printing Results Printing to a Printer The analysis results may be printed to a printer The print contains the patient data ID name eye image data date procedure label etc and all of the results shown in the image window An option also exists to send the analysis results to a disk file as text If the cell boundaries have been modified but the analysis is not performed yet using the modified boundaries perform the analysis once again before start printing Page 99 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Icons to be used for printing Click this icon to print the analysis results or to send the analysis results to a disk file The Print dialog box will be displayed Set any necessary parameters and click OK to start printing This icon 1s disabled if the analysis has not been done Print g x m Printer Name EPSON LP 1500S Properties Status Default printer Ready Type EPSON LP 15005 Where el Le Comment l Print to file Print range Copies All Number of copies
60. ent Image Quality gt C Low Medium C High C Maximum Add Delete C Asis Message Template Do not use Print Template Add comment before send r Compatible image file mode Cancel ee Figure 10 2 Send Image Dialog Box Type the subject of the image or the mail choose a recipient and image quality then click OK If the Add comment before send check box is checked in the Send Image dialog box the following dialog box will be displayed to add or edit the mail File Edit View Insert Format Tools Compose Help asend AS SBI OR re t TQ arial 10 B z u 2 EE Message Options fo foot 8 ible Subject Emergency IMG0004 jpg Figure 10 3 Message Dialog Box 10 3 Retrieving Images in E mail To retrieve images in received E mail choose Retrieve Mail from the File menu The following dialog box will be displayed to select the E mail received at that moment Page 55 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Retrieve Mail x Received r Show unread mail only Sender Received Subject Emergency Doctor 1 Emergency Microsoft 1997 09 25 03 01 Welcome to Microsoft Outlook System Administrator 1998 01 29 14 18 Undeliverable Emergency E 4 Open Delete Attachment Import Figure 10 4 Retrieve Mail Dialog Box Choose one from the list then click Open to open the mail Click Attachment
61. ents who do not have images in the database choose Delete Patient from the Patient menu IMAGEnet checks the database then displays the following dialog box Delete Patient x Database IMAGEnet 2000 Database Patients who don t have any images 2 00 TOPCON Patient02 Select All 000 00 0003 TOPCON Patient03 Cancel Figure 9 3 Delete Patient Dialog Box Select patients to delete from the patient list in the dialog box To select all of them click the Select All button Then click the Delete button to start deleting the selected Page 52 of 105 Topcon Medical Systems Inc IMAGEnet User Manual patients IMAGEnet asks for confirmation before deleting the patients from the database permanently Cancel the operation by clicking Cancel in any step It isn t possible to delete patients who have images in the database Page 53 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Chapter 10 Exchanging Images 10 1 Preparation IMAGEnet supports exchanging images using E mail This E mail is called the image exchange mail IMAGEnet creates mail with an image attachment and automatically pass the mail to Microsoft Exchange IMAGEnet also retrieves such E mail and directly imports the attached image with the patient and image information To use these functions in IMAGEnet at lease one information service for Microsoft Exchange such as Microsoft FAX and Intern
62. er upper right corner lower left corner or the lower right corner and may be chosen either in the horizontally in line layout or in the vertically in line layout IMAGEnet TaskPad has a series of bitmaps in 2 different sizes for covering all varieties of desktop settings IMAGEnet TaskPad uses the IMAGEnet extended function DLL interface and may be used with both IMAGEnet R 2 03 and R 2 10 Won t work with R 2 02 and earlier Page 73 of 105 Topcon Medical Systems Inc IMAGEnet User Manual D 2 Installing IMAGEnet TaskPad IMAGEnet TaskPad is easily installed from the IMAGEnet TaskPad Installation Diskette Only the destination folder will be asked for during the installation C Program Files Topcon IMAGEnet TaskPad is set as the default Upon completion the following definitions are added to the system registry IMAGEnet R 2 03 Location HKEY CURRENT USER Software TOPCON IIMAGEnet Patient Definition PatientDialog Path to TaskPad DLL IMAGEnet TaskPad is loaded through the Patient Dialog DLL interface In the case that both the TaskPad DLL and the Patient Dialog DLL are needed upgrade the system to R 2 10 IMAG Enet R 2 10 Location HKEY LOCAL _MACHINE oftware TOPCON IMAGEnet 2 00 Library Definition InstanceProcessor Path to TaskPad DLL A new item TaskPad Setup is also added to the IMAGEnet start menu IMAGEnet TaskPad consists of the following 3 files e TASKPAD DLLIMAGEnet TaskPad Dynamic Linkin
63. et Mail must be setup properly To setup these information services for Microsoft Exchange please refer to the corresponding user s manuals In addition recipients must be entered to the address book of Microsoft Exchange prior to sending an image IMAGEnet does not have a function for that Using Microsoft FAX and a modem is the easiest and the cheapest way to do this Simply install Microsoft FAX from Windows 95 CD Only restriction in this case is that recipient must also use Microsoft FAX to receive the attached image correctly If a profile for Microsoft Exchange is not defined by the IMAGEnet configuration program the following dialog box will be displayed to choose a profile Choose Profile x Profile Name IAEAs EEE Cancel Help Options gt Figure 10 1 Choose Profile Dialog Box If recipient is not an IMAGEnet user any mail software can be used to read the mail and to get the attachment because the image exchange mail is just a regular E mail 10 2 Sending Image by Mail To send an image by E mail activate the image window first by clicking anywhere on the window or using several click actions of the right mouse button Then choose Send Image from the File menu The following dialog box will be displayed to choose the recipient and image quality of the attached image Page 54 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Send Image x Subject Emergency m Recipi
64. fter all the images are saved the capture window will be closed and the capture procedure will conclude To keep the capture window after a save check the Keep images in memory after save check box This might be done if the images are to be saved to more than one place 3 8 Working with the Capture Window It is possible to open a new capture window even while capturing images Just start another capture procedure by choosing a capture procedure from the Capture menu No restriction is applied to the second capture procedure The same capture procedure may be started for the same patient For selecting the capture procedure among the capture windows being opened simply click the desired capture window to capture images That capture window becomes active and the image captured next will be sent to that capture window To quit a capture procedure choose Close from the File menu or use the system menu of the capture window Access the system menu of the window by clicking the square at the upper left corner the left end of the title of the window Quitting a capture procedure will loose all the images captured including images flushed to the hard disk Page 18 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Since the capture window is quite similar to the normal image window it may be treated as a normal image window in most cases Most tools in the Tool menu printing any images or even a proofsheet displa
65. g Library e TASKPAD CFGIMAGEnet TaskPad Configuration File TASKSET EXE IMAGEnet TaskPad Configuration program TASKPAD CFG is the configuration file for TASKPAD DLL and will be created and maintained by the configuration program TASKSET EXE TASKPAD CFG is a simple text file which can be edited by using a text editor such as NOTEPAD These files must be located in the same folder because both TASKSET EXE and TASKPAD DLL assume TASKPAD CFG is in the same folder If IMAGEnet TaskPad is used with IMAGEnet Network Viewers install IMAGEnet TaskPad from one of client machines to the IMAGEnet folder on the server once Then add the above registry key with the path to TASKPAD DLL on the server at all the rest of the client machines Page 74 of 105 Topcon Medical Systems Inc IMAGEnet User Manual D 3 Configuring IMAGEnet TaskPad IMAGEnet TaskPad is configured by TASKSET EXE which is also installed by the IMAGEnet TaskPad Installation Diskette TASKSET EXE can be run from the IMAGEnet start menu 2 IMAGEnet 2000 TaskPad Setup Fa Command Icons Registered Commands 7 PR Select Patient p Open Select Database Drive an Select Patient P Open wl FAG Note id Color Save m Save Print Print P Close Be Exit IMAGEnet Be Exit IMAGEnet Register Edit Delete Interface Layout C R 2 03 R 2 10 Horizontal Vertical Bitmap Size Position C UpperLeft Upper Right C LowerLeft Lower
66. ge This menu is the same as the right button of the mouse Bring to Front Bring the image to the front if some images are overlapping it Send to Back Send the image to back if some images are overlapping it Bring Forward Move the image one image forward if some images are overlapping it Bring Backward Move the image one image backward if some images are overlapping it Overlap Images Marked as A in Figure 1 Align an image to the selected point on another image in order to overlap the two images Delete Images Delete the selected images Setting Background Color Select the background color as either White or Black Option Setting As shown in Figure 2 Page 86 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Option Setting Ea hd askFile D Program Files TOPCONMMAGEnet Mosaic Mask Mask File Folder D Program Files TUPLONSIMAGEnet Browse Mask File n_50ex bmp MaskPosition a Cancel Figure 2 Option Setting Mask File Show current image mask file Mask File Folder Select the set image mask file folder using the Browse button Mask Position X Y Set the offset position of mask image overlay the retinal images Help Show the software version Marked as C in Figure 1 Page 87 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Example Image The following image is an example of a result image window IMAL TY stem file Pate Copu
67. ge window title Capture Window Title Choose items to be shown on the capture window title JPEG Quality Choose the JPEG encode level for JPEG image files Page 57 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Print Set the following print options Apply smoothing on print Performs the smooth scaling on printing images Precise proofsheet printing Performs the precise printing on proofsheet image printing Convert color graphics into B W Convert color graphics to B W graphics on printing Print Individual Images in Proofsheet Make individual prints of selected images Others Create Composite with the original size When selected composite is made with actual image size 11 2 Patient Options Setting Options x General Patient Display Tools Display Patient List Patients Listed C Patients registered today C Patients with images captured today C Patients with images on hard disk C Patients with images on newest archive disk gotevececessesscesvecsosssecscessecseesseseosseecscessacssessicssssseceseseecsosssecseessseeey Seaseasscesseteoesseceossvesece ceases svecsessseceos secseessseeccssscuccsssecscecsceceecsesced C Registered date fe months C Last visit date fe months r Sort patient names using first name field cme p Figure 11 2 Patient Options Tab Display patient list check box Displays the patient list on the patient selection Patients List
68. he database name will be shown on the title bar at the top of the IMAGEnet window Page 8 of 105 Topcon Medical Systems Inc IMAGEnet User Manual 2 2 IMAGEnet Components IMAGEnet Window The IMAGEnet window consists of several elements such as the title bar the menu bar the tool bar and the status bar The title bar is located at the top of the window then the menu bar is just below then the tool bar in gray The status bar is located at the bottom of the window IMAGE not S000 IMACE na F000 Daihen 8 2S ole POE fel of espa esp eli wel I WOME aslpm lt Figure 2 2 IMAGEnet Window Images are displayed in child windows called Image Window s in the IMAGEnet window The image window is created when an image is opened and is removed when the image is closed The IMAGEnet window is maximized on start up to make room for image windows as large as possible It is possible to make the window smaller however the image windows can never be larger than the IMAGEnet window In addition to the normal image window there are 2 more image windows One is for image capturing and the other is for proofsheet editing The image window used for image capturing is called Capture Window which has a control dialog bar at the bottom of the window The image window used for the proofsheet editing is called Edit Window which also has a control dialog bar at the bottom These 2 image windows are quite
69. he procedure In addition any of icons to be used for changing display mode may be used here The region to be analyzed may be changed even after the analysis is done To specify the region to be analyzed again click the icon described below Icons to be used for specifying region Click this icon to specify the region to be analyzed again However the current analysis results will be lost If the original image was already analyzed once only the original analysis region in the image is usable for specifying the new analysis region Setting Parameters EJ To change the settings for the histogram click this icon The Setup Parameters dialog box will be displayed Change the settings then click OK The analysis results in the image window will be updated to the settings immediately Page 97 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Setup Parameters Figure 7 Setting Parameters In the Setup Parameter dialog box the following settings may be changed for the histogram and the print Page 98 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Histogram Class Begin The measurement at which the histogram should begin The default is 0 square microns Class Width The width of each bar The default is 100 square microns Percentage The scale used for the ordinate axis Choices are 25 50 75 or 100 The default is 50 Print Template File Specify a print t
70. hen hold down the left button Drag the mouse to the lower right corner of the area and release the button A guide frame will be displayed while dragging the mouse To keep compatibility with IMAGEnet 640 there is a limit for the size of the analysis region The system cuts the region out and relocates it at the upper left of the image window then starts analyzing the region automatically The analysis result will be quickly displayed in the image window If the image has already been analyzed once the Endothelial Cell Analysis System directly displays the analysis result based on the cell boundaries that already exist in the image I 3 Editing Boundaries The Endothelial Cell Analysis System displays the analysis results in the image window using the boundary lines automatically extracted by the system However depending on the quality of the image some boundary lines may not have been extracted and erroneous boundaries may have been found by the system Such erroneous boundaries must be edited and corrected here to get the correct analysis result If the original image is clear and sharp no correction may be needed In such a case simply skip this procedure Page 93 of 105 Topcon Medical Systems Inc IMAGE net User Manual Endothelial Cell Analysis R 2 00 aE a atos Number Minimum Size Maximum Size Average Size S D of Size C of Size ty Cg PGi roy a OS a e A Analyze 48 1 93
71. ion Dialog Box Click OK when you have made necessary changes After selecting a proofsheet the following dialog box will be displayed for editing the image information Editing Image Information lt IMG0010 gt ID Code 000 00 0000 Name Patient 01 TOPCON Caneel Procedure lt 50 0 Demo l 02 50 0 Demo 2 Date 01 06 1989 03 50 0 Demo 3 04 50 0 Demo 4 Label PROOFSHEET 05 50 0 Demo S Remark Note Figure 8 4 Edit Proofsheet Information Dialog Box Page 39 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Click OK when you have made necessary changes 8 3 Checking Database Files If having trouble accessing a system database choose Check Database Files from the Utilities menu IMAGEnet scans the patient database files and the image database files and tries to fix problems if any are found Since this function sometimes takes a long time it should not be run often 8 4 Showing Archive Disk Information To check the contents of an archive disk choose Show Archive Disk Information from the Utilities menu This will show information about the archive disk currently mounted in the drive 8 5 Initializing Archive Disk Before using a new archive disk it needs to be initialized as an archive disk using IMAGEnet To initialize a new archive disk choose Initialize Archive Disk from the Utilities menu Mount the new archiv
72. isk file activate the image window first by clicking anywhere on the window or using several click actions of the right mouse button then choose Export Image from the Utilities menu This will show the following dialog box to specify a file to browse the disk Type or select the image file then click OK The active image will be exported to the disk file If an existing image file was selected that file will be overwritten Export of an image can be done as a TIF file a BMP file a JPEG JPG file or DICOM DCM file The images are exported in the following file format TIF 8 bit gray scale or 24 bit color BMP 8 bit gray scale or 24 bit color JPEG 8 bit gray scale or 24 bit color DICOM _ 8 bit gray scale or 24 bit color non compressed format The Digital Imaging and Communications in Medicine DICOM is a standard for the communication of medical images and associated information The file format saved by the import export function uses the specification for Visible Light Image for Photography DRAFT STANDARD FOR TRIAL USE If JPEG is chosen a dialog box which asks the image quality will be displayed Choose a quality for the saved image The higher the image quality is the bigger the file size becomes High is the best for most cases it provides a good balance of image quality and file size 8 8 Quick Draw Starting the Quick Draw Utility In IMAGEnet display an original image then select the
73. ive It is easy to switch the database to be accessed in IMAGEnet without exiting the program System Databases The system database is a truly structured database which consists of several data files The data files are kept and maintained in the database directory and image files are stored in the image files directory These directories are located on a hard disk of the computer The images may be stored on a permanent archive disk such as a CD ROM or an optical disk IMAGEnet accesses the system database located on a remote computer as Page 6 of 105 Topcon Medical Systems Inc IMAGEnet User Manual well However the system database must be prepared and defined using the system configuration program IMAGEnet will not access to the existing database for IMAGEnet 640 IMAGEnet 1024 and IMAGEnet for Windows These databases must be converted once before starting to use IMAGEnet Storage Drives IMAGEnet is also able to store images to any disk drive including remote drives on remote computers The storage drive is very convenient for storing images temporarily Floppy diskette and any other removable media can also be used as a storage drive to carry images from one IMAGEnet to another In the storage drive image files are stored in the root directory of the storage drive Patient and image information are stored in a file called DATAFILE DATAFILE is created in the root directory or in any sub directory DATAFILE is not a structure
74. k OK Use the Update Drive button to update the disk label information of the highlighted disk drive Use the Update All Drives button to update the disk label information of all disk drives in the list Page 68 of 105 Topcon Medical Systems Inc IMAGEnet User Manual B 2 Copying Images from a Jukebox Unlike when displaying an image there is no specified disk number when copying images using a system database Therefore IMAGEnet immediately displays the Select Archive Drive dialog box to select a disk to be accessed as the source disk when Archive Disk is selected as the source The jukebox also appears in the source database list and the same dialog box will be displayed if the jukebox is selected as the source database In this case the HISTORY file on the disk will be used as the database Jukebox drives are currently only supported as read only These drives cannot be selected as a destination of the Save command in the File menu and the Copy Delete Images command in the Utilities menu Page 69 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Appendix C CD Recording Utility C 1 Overview IMAGEnet allows patient images and information be stored archived permanently and periodically to a series of compact disks CDs These CDs are sequentially numbered 0001 9999 for easy access of patient data of any given previous visit Each CD holds information of a
75. k labels are also stored in IMAGENET INI so that IMAGEnet is able to keep track of the disk information A jukebox is defined using the IMAGEnet Setup Program SETUP EXE IMAGEnet scans all the drives of the jukebox the first time it is used This might take awhile if the number of drives is great However once the drives are scanned and all the disk label information is cached IMAGEnet will find the necessary disk without scanning the drives B 1 Displaying an Image from a Jukebox When displaying an image through the Open command in the File menu IMAGEnet scans all disk labels in the cache instead of reading disk labels on each disk to find the one with the required disk number If the disk was found in the cache IMAGEnet actually reads the disk label on the disk and checks if the disk number of the disk is correct If the disk number is correct IMAGEnet starts loading image from the disk If the disk number is not correct or the disk number was not found in the cache IMAGEnet displays the following dialog box ce Archive disk 0020 FADRIVEOO1 Disk 00001 TOPCON FADRIVE002 Disk 00002 TOPCON FADRIVEO03 Disk 00003 TOPCON FADRIVE004 Disk 00004 TOPCON FADRIVE005 Disk 00005 TOPCON FADRIVEO06 Disk 00006 TOPCON FADRIVE007 Disk 00007 TOPCON FADRIVEOOB z Update Drive Update All Drives Cancel Figure B 1 Select Archive Drive Select the drive in which the disk is mounted then clic
76. ll down menu and the status bar will disappear To show these bars choose the same menu item Toolbar or Status Bar in the View menu again These menu items work as a toggle to hide and show the bars 12 5 Cascade Tile and Arrange Icons Arrange image windows by choosing Cascade or Tile in the Window menu Cascade arranges all image windows in an overlapping pattern Tile arranges all image windows in a tile pattern Arrange Icons in the Window menu arranges image icons minimized image windows along the bottom of the IMAGEnet window 12 6 Getting Help Choose Help Topics in the Help menu to display the opening screen of Help This allows jumping to step by step instructions for using IMAGEnet and various types of reference information Alternatively click the Toolbar s Context Help button the mouse pointer will change to an arrow and question mark Then click anywhere in the IMAGEnet window The Help topic will be shown for the item clicked Page 63 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Help Topics IMAGEnet 2000 Help 2 x Contents index Find Click a topic and then click Display Or click another tab such as Index Q IMAGEnet Menu 2 File menu Patient menu 2 Capture menu B Tools menu 2 Utilities menu view menu 2 Window 2 Help menu 00 How to Use IMAGEnet Register Select Patient Capture Image
77. n When the trigger button is pressed an image is captured and is displayed in the capture window IMAGEnet beeps when it s ready for the next capture All the images captured are stored in the image buffer The number of images that can be captured at a time depends on the systems resources Timer When a capture window requiring a timer is opened the timer is made ready but is not started Before starting a timer it must first be primed To do this click the Page 15 of 105 Topcon Medical Systems Inc IMAGEnet User Manual clock icon on the control dialog bar You will now see the ghosted digits of the timer If the capturing device trigger is pressed the space bar is pressed or the clock icon is again clicked the timer will begin To restart a running timer click the clock icon A message will appear to confirm the restart Timers for each patient and procedure continue to run until the IMAGEnet program is closed If a patient is recalled for the same procedure a message will appear asking if currently running timer should be used oe Bk Oho Wr Be Figure 3 2 Capture Window 3 4 Viewing Captured Images In the capture window any captured image can be displayed using the left arrow button and the right arrow button on the control dialog bar These buttons change the displayed image to the one before previous and the one after next To view captured images as a proofsheet click the Proofsheet icon on the
78. n 011 213 0 Upper Left Corner Upper Right Corner Lower Left Corner 3 Lower Right Corner BitmapSize 0 112 0 Auto Select Small Bitmap 22 Large Bitmap Button Icon ID Command No 1 to 16 e Icon ID Icon ID Name Command No Menu Command Number See Command Table on the next page for actual values Menu Command Icon ID Name Command No File Open FILE_OPEN 57601 Close FILE CLOSE 57602 Save FILE_SAVE 57603 Print FILE_PRINT 57607 Note FILE_NOTE 32924 Exit IMAGEnet FILE_EXIT 57665 Patient Select Patient PATIENT_SELECT 32785 Select Database Drive PATIENT_DATABASE32772 Tools Undo TOOL_UNDO 32807 Negative Image TOOL_NEGATIVE 32799 Expand Contrast Med TOOL_EXPAND 32930 Adjust Contrast Color TOOL_ADJUST 32793 Box Enhancement TOOL_ENHANCE 32794 Annotate TOOL_ANNOTATE 32790 Page 76 of 105 Topcon Medical Systems Inc Add to 4Up Add to 9Up Add to 16Up Utilities Copy Delete Images Transfer to Clipboard Window Adjust to Image Duplicate Help Help Topics Other Load Proofsheet Dash 1 General Dash 2 General Dash 3 General Fluorescein Color ICG Non mydriatic Color Non mydriatic B W Slitlamp Cell Capture Program Cell Analysis Quick Draw Image Densitometry IMAGE net User Manual TOOL_4UP 32787 TOOL_9UP 327
79. nagernent Cancel Ep ADU A amp OUSA TOP TOPCON Add Edit Delete Tranemission Management uo Regular Transmission Start Transmission 07 00 Add End Transmission 20 00 Delete Page 80 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Appendix F MPS Disc Area Circles PDT Circles Optional Module F 1 Starting the Function In IMAGEnet display an image then select the command name from the Utilities menu The image window must be active when the command is selected When started the following dialog box will be displayed with the original image displayed in the dialog box This dialog box mainly consists of the image window 4 icons 2 or 3 function check boxes and 6 color patches with radio buttons There may be only 2 function check boxes AREA and either MPS DA or PDT if only a dual function version of this utility has been installed PDT 7 MPS Disc Area Circles Function Image Size 1084 X 1012 35 Change Circle Size 1 0 DA PDT Additional Area o s mm 07 14 1999 4 35 Left 0 32 5 Cancel Figure 1 Main Dialog Box Page 81 of 105 Topcon Medical Systems Inc IMAGEnet User Manual The current mode is controlled selecting one of the function check boxes to the right of the image AREA This function is an enhanced version of the regular area measurement function in IMAGEnet The enhancement involves also calculating the area in Disc Area DA units In
80. ness of the image is distributed Adjust the red bar just below the histogram to cover the most crowded portion of the histogram which is usually a mountain shape To check how contrast will be stretched before exiting click Preview Click OK to exit and stretch contrast of the image permanently Color Adjustment Fa E 128 Cancel 128 Preview l Synchronize RGB bars Figure 6 3 Adjust Color Dialog Box The dialog box has 3 slide bars corresponding to red green and blue Adjust these bars to control intensity of each color To check how color will be adjusted before exiting click Preview Click OK to exit and change color of the image permanently Box Enhancement This tool enhances the contrast of a region of interest Unlike Expand Contrast and Adjust Contrast this tool improves the contrast only within the region specified without affecting others Since Box Enhancement uses local image information in the region the contrast is enhanced more strongly and efficiently After choosing Box Enhancement the cursor will change to a cross hair shape when it is moved to the active image window First move the cursor to the upper left corner of the region of interest Then click and drag the mouse until the guide rectangle completely covers the region of interest When the mouse button is released the contrast enhancement will be applied to the region
81. not a viable image you cannot save only the proofsheet to a disk The patient ID code and the patient name can t be changed in this dialog box To change patient information other than the patient ID code and the patient name click the Patient button Patient Information to be Saved IMAGEnet adds the patient information to the destination database or the INFOFILE on the drive if the patient is not registered To change the patient information when saving click the Patient button The following dialog box will be displayed to allow modification Page 26 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Figure 5 2 Patient Information Dialog Box After editing everything click OK to go back to the save image dialog box If the patient is already registered in the database or the INFOFILE IMAGEnet updates the information with the contents of the above dialog box Page 27 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Chapter 6 Using Tools Several useful tools can be applied to displayed images to enhance their view IMAGEnet provides Negative Image Expand Contrast 4 levels Adjust Contrast Color Box Enhancement Enhance a ROI Smooth Image 3 levels Sharpen Image 3 levels Mirror Rotate Image Mirror Rotate Flip Add to 4UP 9UP and 16UP Annotate Image Permanent Graphics Delete Graphics Zoom Image Undo The above tools are run by ch
82. nt adjustment panel is displayed only when printing a proofsheet or a composite using the precise print mode Page 35 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Chapter 8 Using Utilities 8 1 Editing Proofsheet Captured images saved as a proofsheet sometimes consist of 2 or more proofsheets and the proofsheets sometimes contain unwanted images which are too dark or too bright To edit such proofsheets choose Edit Proofsheet from the Utilities menu The Select Patient dialog box will be displayed first Select a patient using the method described in 4 2 Selecting Patient then click OK This will show the Select Proofsheet dialog box similar to the one described in 4 3 Selecting Image In this dialog box select proofsheets to edit from the image list then click OK Two or more proofsheets may be selected but all must have the same procedure name and the same capture date After selecting the proofsheets to be edited an edit window is displayed on the screen The edit window looks like another image window but it has a control dialog bar at the bottom The control dialog bar allows editing the image label of the proofsheets and the individual images All proofsheets are merged and are reconstructed once If there are several empty spots left in the first proofsheet images in the second proofsheet are moved there to fill up the first proofsheet Figure 8 1 Proofsheet Edit
83. oints of a line area or continuous line or straight line Page 42 of 105 Topcon Medical Systems Inc IMAGEnet User Manual To carry out trimming select the starting and ending points of a trimming area by pressing and holding the mouse button m To draw a rectangle outline or mesh or filling use this function O To draw an ellipse or a circle outline or mesh or filling use this function Icons to be used for changing font line and arrow styles To change the font line and arrow styles use the following icons located at the right of the image window To change font size style and name use this function To change pen width filling line style and mesh style use this function e PEN WIDTH solid dash and dot e FILLING outline mesh and brush e LINE STYLE area scribble and line e MESH STYLE horizontal mesh vertical mesh downward mesh upward mesh horizontal and vertical mesh and crossmesh Icons to be used for deleting the drawing To delete the graphics use the following icons located at the right of the image window To delete the last operation use this function To delete all graphics in the window use this function Graphics on the original image can not be deleted Icons to change display mode To toggle the graphics on off use the following icon located at the right of the image window eZ This function is enabled only when the icon is pressed The drawing will be hidden in order to get a
84. ools OUP Icon Add to 9UP Tools 16UP Icon Add to 16UP Tools Help Icon Context Help Help The tool bar also provides the ability to resize the image on the screen The drop down list box on the tool bar shows the current display size as a percentage of the original size and lets the operator quickly changes the display size of the image on the screen There are 4 display fields on the status bar The 1st the most left field is used to show the status of IMAGEnet The 2nd field is used to show the patient ID code when a patient is selected The 3rd field is used to show free disk space on the drive where images are to be saved The 4th the most right field shows the clock When an image is displayed on the screen a new window for the image is created in the IMAGEnet window Though you can have two or more image windows on the screen only one can be active Most functions work on the image in the active image window Each image window has the title on the top to show identification information of the image Page 12 of 105 Topcon Medical Systems Inc IMAGEnet User Manual 2 3 Operating IMAGEnet Once IMAGEnet is started choose a command or an operation to perform from the menu bar Use the menu icons on the tool bar as a short cut for some menu items A menu item or a menu icon displayed in gray means that the item or the icon is not available To capture images choose a capture procedure to perform from the Capture menu
85. oosing from the Tools menu All except for Zoom Image are applied to the image in the active window immediately Negative Image Expand Contrast and Adjust Contrast Color may also be run through the tool bar A mark is added to the end of the file name in the window title if any tool was applied to the image To undo the last tool applied to the image choose Undo from the Tools menu or click the undo icon on the tool bar The undo buffer will be valid until the next tool is applied to an image even if the active window has been changed Undo only applies to the current active image window to which the last tool was applied Negative Image This tool simply converts the image to negative Expand Contrast This tool expands the contrast of the image Three different levels of strength are provided to cover a variety of needs If you need the maximum strength choose Equalize for the histogram equalization method Page 28 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Adjust Contrast After choosing Adjust Contrast Color either the Adjust Contrast dialog box or the Adjust Color dialog box is displayed according to the type of the image Adjust Contrast x 1x C 5X C 10X 50X jea E o Preview oa aaa Figure 6 2 Adjust Contrast Dialog Box The graph at the left displays the density histogram of the image This histogram shows how the bright
86. original image can not be deleted Page 82 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Icons to be used for changing display mode To toggle the graphics on off or between a zoomed and a normal image use the following icon located at the right of the image window This function is enabled only when the icon is pressed The drawing will be hidden in order to get a better view of the image underneath But the graphics on the original image can not be hidden The drawing will return when the icon is released This function toggles between a zoomed and a normal image 6 Color radio buttons to be used for drawing To select the graphics color for drawing use this function Icons to be used for changing MPS DA circle size lt gt To change Circle size use these arrows The current Circle Size will also be displayed The circle size may also be changed by clicking the right mouse button while the cursor is on the image Additional PDT Area To change the additional circle radius enter the desired value in millimeters A value of 0 0 will encircle the area exactly with no additional radius Exiting the MPS Rings Utility To exit the MPS Rings Utility click the Done button The original image in the IMAGEnet window will be replaced by the analysis results Printing Analysis Results Exit the MPS Rings Utility then use the Print command in the File menu of IMAGEnet Page 83 of 105 Topcon Me
87. pproximately 650MB which if 16 images are shot of each patient allows data of 32 37 patients be stored Before a CD is created the patient data are mastered in a special partition of the computer hard drive referred to as the Archive Disk The Archive Disk has a capacity of approximately 615MB similar to the capacity of a CD Images being captured should be saved directly to the Archive Disk unless you need to edit the number of images in prootsheets after you save them See chapter 8 1 for detail When the Archive Disk is full a message will appear on the screen indicating there is insufficient space on the Archive Disk It is time to create a CD C 2 Using CD Recording Utility To make the backup process of your patient data as effortless as possible IMAGEnet ver 2 10 or higher offers a one button solution for recording CD s from the Archive Disk simply place a blank CD in the CD writer and click the menu choice Utilities Finish CD The CD Recording Utility will automatically take you through the following three Steps 1 Record CD from the Archive Disk First you will see an information dialog box BURNCD E Ready to record from the 4chive Disk L5 Please mount a blank COA media into CO writer Disk number 00056 Copy 7 of 1 E Cancel indicating the disk number of the Archive Disk and the copies of CDs you would like to record Click OK here The program will automatically initiate the GEAR software fo
88. r CD recording You will see a GEAR splash screen Page 70 of 105 Topcon Medical Systems Inc IMAGEnet User Manual opr igh e133 GAR ha lre nrk Followed by a progress screen GEAR information Action Unloading disc Current speed 4 Status Progress l I I Ki 100 l Ki so The process may take approximately 15 minutes as indicated by a progress screen At completion the CD tray of the recorder will slide out 2 Archive array process After the CD s is made successfully the CD Recording Utility will automatically initiate the process of moving data from the Archive Disk to the Array Drives The IMAGEnet system has been setup with enough storage space the Array Drives for a number of previous archive disks being kept on line so that the user can assess these data without the need of the CD s See Appendix B for detail This process will take approximately 5 minutes as indicated by the progress bar on the left upper corner of the screen 3 Re initialize the Archive Disk CD Recording Utility will automatically re initialize the Archive Disk with the next sequential number so that it is ready for saving data of new patients NOTE Please DO NOT attempt to use the system for capture or reviewing or any other window multi tasking during the CD recording process Failure to do so may cause loss of your precious patient data Page 71 of 105 Topcon Medical Systems Inc IMAGEnet User Manu
89. re Tools Whites Yew Yrindow bjelp e 22 mal salze walonan 5 si S004 06 01 1399 Proofsheet IM000030 JPG For Hop press ft aS on 277MB tom Figure 3 Result Image Exiting the Mosaic Utility To exit the Mosaic Utility select the Exit on File menu The result image will be displayed in a new window Printing Result Image The Mosaic Utility does not print the result image Return to IMAGEnet then use the Print command in the File menu of IMAGEnet Saving Result Image The Mosaic Utility does not save the result image either to the hard disk or to an archive disk Returning to IMAGEnet then use the Save command in the File menu to save the result image to any disk The result image saved to a disk may be displayed at a later time Page 88 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Appendix H OIS Viewer Optional Module H 1 Setting up OIS Viewer OIS viewer once installed will be on the Utilities menu in IMAGEnet The first time it is used it will produce a message No database file defined Click OK and click Select Database DIS Direct Patient Name FO Aen Close Select Database File x Database in Use None i Add File Add Drive Modity Delete _ Sort by Capture Date Select Database Search Record OIS is a registered trademark of Ophthalmic Imaging System Select Add File and fill in the fields
90. re sessions To remove all measurements for the current session choose Page 45 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Undo from the Tools menu To remove all graphics on the image choose Delete Graphics from the Tools menu The right mouse button may be used to move to the next window If the next window is not a single image the Measure dialog box will temporarily be hidden Continue clicking the right button until a single image is displayed The Measure dialog box will reappear and measurement may continue The Tile button is only in effect during a Compare session and will rearrange the images being compared into their original tiled version This can be used to restore a maximized image to its original position If an image has burned in graphics in IMAGEnet this can be done by choosing Make graphics permanent the measure function will not detect any previous graphics Thus if an image already has one line measurement burned in the Measure function will simply overwrite that measurement with the next line drawn To prevent this use the Line s button to reset the labeling In this particular case set Start line at to 2 Start line at fl Start area at fi cane Figure 8 8 Reset Line and Area label numbers 8 10 2 Compare Up to four single images may be compared during a single compare session At least 2 are necessary for the function to run With a
91. s the alternate patient list until another database is selected or all the conditions specified in the patient query dialog box are cleared Once a patient has been selected IMAGEnet automatically searches the database and displays the image dialog box described in the next section 4 3 Selecting Image To select an image to display choose Open from the File menu or click the image icon on the tool bar The following dialog box will be displayed to select an image Page 22 of 105 Topcon Medical Systems Inc IMAGEnet User Manual ID 999 99 9999 OPCON Tokyo pane r d Cancel Birth Date 01 01 1996 Sex Male Note Select Patient Total records 4 Date Procedure File 10 04 1994 color IMGO0084 10 04 1994 fluorescein IMG0085 10 04 1994 fluorescein IM000161 TIF 10 04 1994 fluorescein 1M000162 TIF Figure 4 5 Select Image Dialog Box The image list contains all images for the patient including images on optical disks Images on the system hard disk are listed first then images for each optical disk are listed In each image record optical disk No OOOO means the system hard disk P nn at the left of the image file name means that the record is a proofsheet with nn images The icon appeared at the left of each line shows the type of the image record A B W image m F A color image E A proofsheet image The icon in shows the image has a note To display an image in
92. single image displayed in the active window choose Compare from the Utilities menu If only 2 single images have been loaded into memory the function will go directly to the Align Images dialog box If more that 2 images have been loaded a Select Images dialog box will be displayed Use the left mouse button to choose and unchoose the 2 3 or 4 images to be compared If less than 5 images have been loaded the Select All button may be used to select all the images at once If more than 16 images have been loaded into memory use the gt gt up and lt lt down buttons to move through the pages Choose OK to continue finish choosing the images The images chosen for comparison will be displayed in a tiled format for alignment and mapping Before the images can be mapped they must be aligned to match each other IMAGEnet uses a transformation which requires at least 3 sets of corresponding points Points should be entered progressively on each image 1 e point 1 on image 1 point 1 on image 2 point 1 on image 3 point 1 on image 4 point 2 on image 1 etc Use Page 46 of 105 Topcon Medical Systems Inc IMAGEnet User Manual obvious points such as vessel crossings as often as possible The transformation works best if the points surround the area of interest in a triangular pattern MAGE Rar 2 dhcp enn ol _ Eile Patient Capture Tools Ui _ aj ala ola alaiz ala F canca Hove E i
93. subject to these terms and conditions the Terms and Conditions PLEASE READ THESE TERMS AND CONDITIONS CAREFULLY COPYRIGHT All information contained in this Manual is the intellectual property of and copyrighted material of TMS All rights are reserved You may not use access copy store display create derivative works of sell modify publish distribute or allow any third party access to any graphics content information or data in this Manual without TMS express written consent and may only use such information for the care and operation of your IMAGEnet system The information and data in this Manual are a valuable asset of TMS and are developed by the expenditure of considerable work time and money and are the result of TMS original selection coordination and arrangement TRADEMARKS IMAGEnet IMAGEnet IMAGEnet Lite IMAGEnet X IMAGEnet H IMAGEnet 640 and IMAGEnet 1024 are trademarks of TMS Microsoft MS Windows and Windows NT are registered trademarks of Microsoft Corporation Btrieve is a registered trademark of Pervasive Software Inc Product names mentioned herein may be trademarks of their respective companies USE OF IMAGENET SYSTEM SUBJECT TO AGREEMENT AND LICENSE Ownership of the IMAGEnet System is subject to the Topcon Medical Systems Inc Terms of Sale for IMAGEnet and the IMAGEnet Software License Agreement which were supplied to you when you purchased the IMAGEnet system Any service provided for
94. te then click the Update button The patient information will be updated and the dialog box will be closed To not change anything click Close to skip updating the patient information 9 2 Registering New Patients To register patients without doing capture choose Register Patient from the Patient menu This will show the following dialog box to register a new patient Page 51 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Basic Information Register Information ID code l Chart No Last Name Entry Date First Name Entry Class v Birth Date C Male Female Occupation Physicians Diagnosis Image Notes si AO z 2 2 ZZ i n o y n o sirow Custom Fields Comment Custom Data 1 X Custom Data 2 v Custom Data 9 v pore omea meser Figure 9 2 Patient Registration Dialog Box Fill the patient information fields in the dialog box then click the Register button to register it At least the patient ID code and the patient name must be specified Other information field may be left blank 1f it s not available at the time Fields may be changed later After the patient is registered the patient information fields are all cleared and ready for registering another patient To recall the patient information just registered click the Recall button To exit the dialog box click Close 9 3 Deleting Patients To delete pati
95. te the image window then select the display size to be set from the drop down list box on the tool bar If the display size is smaller than 100 the image on the screen will be reduced If the display size is larger than 100 the image will be enlarged with that ratio The original image data will not be changed To resize the original image data permanently select Resize from the drop down list Closing an Image Window To close an image window make the window active then choose Close from the File menu or use the system menu of the image window Alternatively access the system menu of the window by clicking the square at the upper left corner the left end of the title of the window Page 24 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Putting an Image Window on Top Many image windows can be opened simultaneously The number of image windows one can open is only limited by the amount of system memory The image window opened last is displayed on top To pull up an image window behind the top image window and place it on top click anywhere on the image window using the left mouse button Put the image window just underneath the top image window on top using the right mouse button This action rotates all the image windows including the capture windows and the edit windows sending the top image window to the bottom Displaying Another Image in a Proofsheet To display another image in a proofsheet activ
96. teps described below In IMAGEnet display an endothelial image Start the Endothelial Cell Analysis System Specify the region to be analyzed in the image Edit cell boundaries automatically extracted by the system Perform the analysis again using the edited boundaries Print the analysis results Exit the Endothelial Cell Analysis System Save the analyzed image to a disk if necessary The following information will be displayed by the Endothelial Cell Analysis System regarding to the specified analysis region in an endothelial cell image Minimum Size Minimum cell area in the analysis region Maximum Size Maximum cell area in the analysis region Average Size Average cell area in the analysis region D of Size Standard Deviation of the area of the cells C V of Size Coefficient Variant of the area of the cells Cell Density The number of cells in 1 square millimeter Hexagonality The approximate percentage of cells with a hexagonal shape Histogram The histogram which shows a distribution of cell area The analysis results may be printed to a printer and the analyzed image may be saved to the hard disk or an archive disk Page 91 of 105 Topcon Medical Systems Inc IMAGEnet User Manual I 2 Starting the System Preparing Cell Image The Endothelial Cell Analysis System uses an endothelial cell image captured by IMAGEnet IMAGEnet or the IMAGEnet 640 system The image must have a correct
97. the IMAGEnet System is subject to the terms of the Topcon Medical Systems Inc IMAGEnet Service Contract EXCEPT FOR ANY WARRANTIES IN SUCH AGREEMENTS THIS MANUAL AND THE IMAGENET SYSTEM ARE PROVIDED AS IS THERE ARE NO OTHER WARRANTIES TMS DISCLAIMS ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR USE OR PURPOSE TMS SHALL NOT BE LIABLE FOR TECHNICAL OR EDITORIAL ERRORS OR OMISSIONS CONTAINED HEREIN NOR FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES RESULTING FROM THE FURNISHING PERFORMANCE OR USE OF THIS MATERIAL Page 103 of 105 Topcon Medical Systems Inc IMAGEnet User Manual CONFIDENTIALITY This Manual and its contents jointly the Confidential Information are the confidential and proprietary information of TMS You agree to treat TMS Confidential Information with a degree of care no less stringent that the degree of care you would use in safeguarding your own most valuable trade secrets Nothing in this paragraph shall restrict you from disclosing Confidential Information to your employees as may be necessary or appropriate to operate or care for the IMAGEnet system Such employees must also keep the Confidentiality Information confidential In the event you become legally compelled to disclose any of the Confidential Information you shall give TMS immediate notice of such legal compulsion so that it may seek a protective order or other appropriate remedy WEBSITE OTHER STATEMENTS No statement
98. tility records one copy by default The number of copies is specified in the file BURNCD INI which is created automatically the first time the CD Recording Utility runs If you wish to activate this feature please contact IMAGEnet technical support Page 72 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Appendix D IMAGEnet TaskPad Extended Function DLL D 1 Overview The tool bar in IMAGEnet is a standard Windows style task bar which most Windows applications have At the time the tool bar was designed the typical Windows desktop size was 640x480 or 800x600 at most Lately IMAGEnet is run on a Windows desktop with the 1280x1024 resolution and the 1600x1200 resolution sometimes Therefore the original IMAGEnet tool bar is obviously too small to view and use on a Windows desktop at such a high resolution IMAGEnet TaskPad is an extended function DLL for IMAGEnet that works as a task pad with much bigger buttons approximately twice as big as the original buttons on the IMAGEnet tool bar IMAGEnet TaskPad holds up to a maximum of 16 bitmap buttons and the user may choose what icon and what command to assign for each button Any commands in the IMAGEnet menu are definable including capture procedures in the Capture menu At this moment 33 icons for 22 standard menu commands 7 capture procedures and 3 general purpose command icons are available IMAGEnet 2000 TaskPad IMAGEnet TaskPad may be located at the upper left corn
99. to the Clipboard as a DIB Device Independent Bitmap including graphics information on the image if it exists Most Windows applications should be able to paste the image to their document 8 10 Measure and Compare IMAGEnet provides two quantitative analysis functions Measure and Compare Both of these functions become available on the Utilities menu whenever a single image is displayed in the active window The two functions are disabled when a proofsheet composite or an acquisition window is active 10 1 Measure Line Color fi 1 804 Figure 8 7 Measure Dialog Box The Measure function allows the drawing of lines and areas anywhere on the image To choose a color click on one of the circles to the left or right of one of the eight colors or click one of the color boxes directly default is green Similarly click on either line or area default is area Move the mouse to the point at which to start the line or area press the left button and move the mouse holding the left button down When the line or area is done release the left button The measurement will be printed in the upper left line or right area of the image The measurements will only be visible 1f this portion of the image is visible in the window To remove the last measurement drawn during the current measure session press the Undo button This is a one level undo This will not affect measurements drawn in any previous measu
100. ures and unexpected system crashes Captured images will be automatically recovered when the Capture function of IMAGEnet is called next Flushing images to the hard disk does not affect the operation of the capture window The images are treated just as if they are in the system memory If Buffering on Hard disk is checked in the Capture menu a captured image is immediately flushed to the hard disk automatically Page 17 of 105 Topcon Medical Systems Inc 3 7 Saving Captured Images IMAGE net User Manual To save captured images choose Save from the File menu or click the save icon on the tool bar The following dialog box will be displayed to select destination and to decide the style ID 999 99 9999 Name test Procedure Fluorescein 1 images Date 1999 01 14 Style gossosscoseossossoesooesosesseosesesooesosoosoosesecossoesoscooscsesssesssssssssoossossosesssssessssssssssseg l Save images as proofsheet an S if Cancel Title Proofsheet File Format C tandard TIF Compress JPG C Mixed Proofsheet Destination T Keep images in memory after save Database system X Media Hard Disk Archive Disk 0 29 MB required Figure 3 3 Save Captured Images Dialog Box Captured images may be saved either as a proofsheet or as single images Click OK to start saving the captured images A
101. us Default printer Ready Type EPSON LP 1500S Where WET Comment Paper Size Jaa 210x297 mm z Portrait A C Landscape Figure 7 3 Print Setup Dialog Box 7 4 Selecting Print Template The print template can customize the printout Without the print template the image is printed on a printing paper as large as possible However with the print template the image can be put at almost any position and in any size on the printing paper In addition specific image information can be added to the printout To select a print template choose Select template from the File menu The following dialog box will be displayed to select a print template to be used Page 33 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Template in Use Sample Print Template Sample Print Template Do not use Print Template Figure 7 4 Select Print Template Dialog Box Click desired print template or Do not use Print Template from the template list then click OK A print template assumes a certain printer and a certain printing paper Therefore select the proper print template for the Windows printer and for the printing paper Using Do not use Print Template to use any printer and printing paper The image is always printed as large as possible on the printing paper See Appendix B for details of the print template 7 5 Print Adjustment Panel When printing a proofsheet or a
102. ve disk Returning to IMAGEnet use the Save command in the File menu to save the analysis result to any disk I 7 Output File Format The output file created by the Endothelial Cell Analysis System is a simple text file All data items are stored as text and each text line terminates with the CR LF characters IMAGEnet CELL 5 00 File identifier 000 00 0000 Patient ID code Patient 01 TOPCON Patient name 01 19 93 Capture date cell Procedure name Mikel Image label 0000 Disk No IMG0059 File No Comment Not available 102 Number of cells 195 51 Minimum size 557 91 Maximum size 379 94 Average size 71 90 S D of size 20 52 C V of size 2632 43 Cell density 0 Heagonality mode 0 00 Ratio of triangles 0 00 Ratio of rectangles 20 63 Ratio of pentagons Page 101 of 105 Topcon Medical Systems Inc IMAGEnet User Manual 359 32 Ratio of hexagons 17 46 Ratio of 1 59 Ratio of octagons 0 00 Ratio of above 325 46 Area of cell 1 523 97 Area of cell 2 333 21 Area of cell 3 511 43 Area of cell 4 386 77 Area of cell 5 288 08 Area of cell 6 467 22 Area of cell 102 Page 102 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Terms amp Conditions The materials available in this Manual the Manual have been prepared by Topcon Medical Systems Inc TMS for owners of IMAGEnet systems It is designed to assist owners with the care and operation of the IMAGEnet systems Use of the Manual is
103. ver FlexMail Agent may of course receive images from two or more user sites FlexMail Agent has the ability to add the user site code for which the images have been transmitted from to the patient ID code in the restored image record in DATAFILE This will make the received images easily identified by the attached user site code in the patient ID code Site Code Patient ID User Site Table Restored Patient ID TOPCON sasana p Site Name TOPCON 000 00 0000 Site Code TOP gt TOP 000 00 0000 oS MEE In addition FlexMail Agent automatically chooses the correct destination for the image to be sent if it has a user site code in the patient ID code The user site code in the patient ID code will be removed before the image is actually sent In the above example TOPCON is equal to the entry name of the address book for the user site Page 79 of 105 Topcon Medical Systems Inc IMAGEnet User Manual FlexMail Main Dialog IMAG Enet FlexM ail Agent A 1 00 Sethings JPEG Quality Profile Hame Outlook High Recipient Hame TOPCON C Medium Sender s Name TOPCON Corporation E Low Transmit Mode i Both C Send C Receive C Asla Send Database File CAM allD rive Out Send Cycle js min Receve Database File CAM all riven Receive Cycle 30 min Save images in DICOM file format Transmit ea E p s Options Unload Options Dialog IHAGE net FlexMail Options Sender Ma
104. yed in the capture window are all possible This is one of the great features of IMAGEnet Page 19 of 105 Topcon Medical Systems Inc IMAGEnet User Manual Chapter 4 Displaying Images An image is displayed through the following steps in IMAGEnet Select a database to access Select a patient Select an image to be displayed The above operations are done through either the menu bar or the tool bar on the IMAGEnet window When IMAGEnet started up only the database was selected 4 1 Selecting Database To select a database or a drive to access choose Select Database Drive from the Patient menu or click the database icon on the tool bar The following dialog box will be displayed to select a database or a drive Database in Use IMAGEnet 2000 Database Remote Database IMAGEnet 2000 Database Detail Cancel Figure 4 1 Select Database Drive Dialog Box Click a database or a drive to access from the database drive list then click OK The fixed drives that do not have either INFOFILE or HISTORY will not be listed here To stay in the database or the drive currently used simply click Cancel Once a database has been selected IMAGEnet automatically loads the database and displays the patient dialog box described in the next section 4 2 Selecting Patient To select a patient choose Select Patient from the Patient menu or click the patient icon on the tool bar The

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