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Canon OCT-A1, Operation Manual

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Canon OCT-A1 Operation Manual Download Page 114

114

7 Report

[Combined] Tab Screen

This screen shows the analysis results comparing examinations of both eyes in the 
[Macula 3D], [Glaucoma 3D] or [Disc 3D] mode, accompanied with retinal images.

Information

• 

See “[Report Settings] Tab” (see page 203) to enable the [Combined] tab.

• 

See “GUI Settings” (see page 207) to enable the [Progression] tab for the 
examination done in the [OCTA] mode.

• 

Use the RX Capture for Retinal Camera (optional product) to show retinal images.

Macula Thickness Analysis

The retinal thickness of the macula is analyzed on the basis of the captured OCT image 
of the posterior part of the retina centering on the macula in the [Macula 3D] mode. The 
analysis results are shown, for example, on maps of retinal thickness of the macula 
section, ETDRS grids, tables, graphs, and 3D layer maps of boundary surfaces.
These analysis results can be shown on the [Single], [Both Eyes], [Comparison], 
[Progression], and [Combined] tab screens.
For details on the color patterns of NDB, see “Macula Thickness Analysis/2D Tomogram 
Analysis/General Tomogram Analysis/Wide 3D Scan Analysis” (see page 153).

Information

See "Changing the Contents Displayed on a Report" (see page 212) for details on 
the "retinal thickness" area.

BT8-1794-E01_RX OCT-A1_HS100 V4.6_CVS.indb   114

10/26/2020   10:49:43 AM

Summary of Contents for OCT-A1

Page 1: ... Version 4 6 Make sure you read this manual before using the instrument Keep this manual in a safe place so that you can use it in the future Optical Coherence Tomography OCT A1 OCT HS100 Operation Manual BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 1 10 26 2020 10 49 19 AM ...

Page 2: ... other abnormal conditions Canon takes no responsibility for direct or consequential damages resulting from the use or the inability to use the OCT In addition no compensation is available for lost image data regardless of the cause of the loss of the image data Canon takes no responsibility for injuries or property damage that may occur if safety precautions are not followed or the instrument is ...

Page 3: ...be taken Important This symbol indicates important advice that we strongly recommend be followed while operating the OCT Information This symbol indicates supplementary explanations or advice for operating the OCT References This manual uses the following style to indicate reference destination Example see page 15 Where to Find Explanations The explanations for each product are in the following se...

Page 4: ...erence Map 44 Registration Screen Retinal Image 45 Settings Screen 45 4 Basic Operation 47 Flow of Operation 48 Examination Sets and Scan Modes 49 Types of Examination Sets 49 Types of Scan Modes 50 Preparing to Capture Images 54 Preparing the OCT 54 Entering Patient Information 55 Preparing for Patients 57 Capturing Tomogram Images 57 Selecting an Examination Set 58 Capturing Images 60 Checking t...

Page 5: ...ent 95 Eye Fixation Lamp 96 Changing the Size of the Internal Eye Fixation Lamp 96 Moving the Internal Eye Fixation Lamp 96 Making the Internal Eye Fixation Lamp Flash 96 Using the External Eye Fixation Lamp Optional Product 96 OCT Scanning Area 97 Displaying the Scanning Area 97 Moving the Scanning Area 97 Resizing the Scanning Area 97 Changing the B scan Line Interval 97 Adjusting the Focus 98 A...

Page 6: ...reen 149 Both Eyes Tab Screen 150 Comparison Tab Screen 151 Progression Tab Screen 152 Normative Database 153 Color coded Normative Database 153 Basic Report Operations 155 Showing the Report Screen 155 Deleting an Examination on the Report Screen 156 Saving Reports as Image Files 156 Saving OCT Images as Image Files 157 Saving the Currently Shown OCT Image as an Image File 157 Saving the Currentl...

Page 7: ...5 Setting Procedure 196 System Settings 198 System Settings Tab 198 Cache Settings Tab 200 Auto Export Settings Tab 201 Launcher Settings Tab 202 Report Settings Tab 203 Screening Settings Tab 204 Anonymization Settings 205 Anonymization Patterns 205 Anonymization Target 206 GUI Settings 207 Examination Settings 208 Creating New Examination Set 208 Editing An Examination Set 210 Changing the Conte...

Page 8: ...toring Data 240 Archive Settings 241 License Management 242 License Activation 242 Changing the Password 243 Creating Disease List 244 9 Maintenance 245 Daily Inspections 246 Cleaning and Disinfecting 247 Refilling Chin Rest Paper 249 Moving the Product 250 10 Troubleshooting 251 Appendix 255 Specifications 256 Initial Setting Items of the Scan Mode 260 Acceptable Characters 261 File Size of OCT I...

Page 9: ...1 Introduction BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 9 10 26 2020 10 49 20 AM ...

Page 10: ...anual mode optional product RX Viewer Optional Product The RX Viewer is an application software that displays and analyzes the retinal data and patient information acquired by the Canon Optical Coherence Tomography or the retinal camera from another computer connected via a network and allows you to print a report RX Server Optional Product The RX Server is an image filing software that manages pa...

Page 11: ...not intended to be used as the sole diagnostic instrument for disease A qualified doctor is responsible for the definitive diagnosis referring to other analysis results with other instruments The values displayed in the report is calculated based on the OCT image Please use the values as a reference for diagnosis Contraindication Do not use the OCT for those patients who Have an anamnestic history...

Page 12: ... Describes the handling precautions and operating instructions DVD ROM Opthalmic Software Platform Software RX Capture for OCT RX Viewer RX Server DICOM Conformance Statement CANON SOFTWARE LICENSE AGREEMENT Optional Products Chin rest paper 500 sheets Anterior Segment Adaptor ASA 1 External eye fixation lamp unit EL 1 RX Server Software license RX Viewer Software license RX Capture for Retinal Ca...

Page 13: ...1920 x 1080 pixels Screen colors 24 bits or more Hard disk 2 TB or more RAID 1 mirroring for a local server when not introducing the RX Server yet 100 GB or more For a remote server when introducing the RX Server Interface USB 2 0 Network 1000BASE T or more OS Microsoft Windows 10 Pro Version 1903 64 bit Microsoft Windows 10 Pro Version 1909 64 bit Microsoft Windows 10 Pro Version 2004 64 bit Appl...

Page 14: ...lay Screen resolution 1920 x 1080 pixels Screen colors 24 bits or more Hard disk 2 TB or more RAID 1 mirroring for a local server when not introducing the RX Server yet 100 GB or more For a remote server when introducing the RX Server Interface USB 2 0 Network 1000BASE T or more OS Microsoft Windows 10 Pro Version 1903 64 bit Microsoft Windows 10 Pro Version 1909 64 bit Microsoft Windows 10 Pro Ve...

Page 15: ...rd supporting Compute Capability 3 0 or later graphics cards with a higher performance than Quadro K2200 and a video memory of 4 GB or more Display Screen resolution 1920 x 1080 pixels Screen colors 24 bits or more Hard disk 100 GB or more Interface USB 2 0 Network 1000BASE T or more OS Microsoft Windows 8 1 Pro 64 bit Microsoft Windows 10 Pro Version 1903 64 bit Microsoft Windows 10 Pro Version 1...

Page 16: ...ty 3 0 or later graphics cards with a higher performance than Quadro K2200 and a video memory of 4 GB or more Display Screen resolution 1920 x 1080 pixels Screen colors 24 bits or more Hard disk 2 TB or more RAID 1 mirroring for a local server when not introducing the RX Server yet 100 GB or more For a remote server when introducing the RX Server Interface USB 2 0 Network 1000BASE T or more OS Mic...

Page 17: ...system configuration is shown below AC cord Monitor Mouse Printer Computer Video Keyboard LAN USB AC cord AC cord AC cord Isolation transformer AC LINE AC LINE Hub Isolation transformer BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 17 10 26 2020 10 49 20 AM ...

Page 18: ...he RX Capture for OCT and operate it In the RX Capture for OCT perform all examination related operations such as entering patient information capturing tomogram images viewing reports and setting for output OCT RX Capture for OCT Database BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 18 10 26 2020 10 49 20 AM ...

Page 19: ...ted the patient first can modify or delete the patient information Users who select the patient later can view the information in read only mode In the read only mode the color of highlighting for the data selected in the patient list or examination list turns from yellow to gray However the data of a patient whose eye is being captured in the RX Capture for OCT cannot be viewed with other compute...

Page 20: ...ge In the RX Viewer search patients and view their reports The RX Viewer can also display 3D images by using a computer which meets GPU requirements Additionally by using the RX Capture for Retinal Camera optional product your retinal cameras can be connected OCT No 1 RX Viewer No 10 No 6 No 5 Database Network RX Server No 2 No 3 No 4 No 7 No 8 No 9 RX Viewer No 1 Retinal Camera No 1 No 2 No 3 No ...

Page 21: ...2 Safety BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 21 10 26 2020 10 49 21 AM ...

Page 22: ...ric shock Type B applied parts chin rest and forehead rest Degree of protection against ingress of water IPX0 Degree of safety of application in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide Not suitable Mode of operation Continuous operation BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 22 10 26 2020 10 49 21 AM ...

Page 23: ...rohibited Do not use a multiple power strip and an extension cable Connect the power cord directly to the AC outlet Do not use a multiple power strip and an extension cable with it Prohibited Do not disassemble or modify Otherwise fire or electric shock could result Because the OCT incorporates high voltage parts that result in electric shocks touching them could result in death or serious injury ...

Page 24: ...ge specified on the rating label Otherwise fire or electric shock could result The supplied power cord is designed exclusively for this product Do not use any other power cord Prohibited Do not plug or unplug the power plug with wet hands Do not plug or unplug the power plug with wet hands Otherwise it could result in electric shock Unplug the plug periodically and remove any dust or dirt around t...

Page 25: ...quipment and the patient simultaneously Otherwise electric shock could result CAUTION Prohibited Do not install in locations exposed to water steam moisture or dust Doing so may cause problems or malfunctions Prohibited Do not install in locations exposed to salt sulfur or corrosive gas Doing so may result in corrosion of the instrument problems or malfunctions Prohibited Do not install in locatio...

Page 26: ...he base and keep the OCT level Do not hold it by the face rest or the measurement unit as they may come off and result in injury Lift the OCT with at least one other person when moving it The OCT weighs approximately 29 kg 64 lbs It should only be lifted by two or more people Use the indentations for lifting Hold the OCT when connecting or disconnecting a cable For safety reasons when connecting o...

Page 27: ...sure that there is no foreign matter that can affect image readings or diagnosis Be sure to turn off the power when not in use For safety reasons be sure to turn off the power of all the devices when the OCT is not being used Also unplug the power plug from the AC outlet and put on the cover when the OCT is not going to be used for a long time Otherwise dust or any foreign matter may accumulate an...

Page 28: ...off the OCT or the computer during image capture data transfer or backup Doing so may damage the computer or corrupt the data Prohibited Do not change the OS settings e g screen resolution date format date or language while the software is running Otherwise the software may not function properly Prohibited Do not operate the software until importing or transferring of the image is completed Otherw...

Page 29: ...re when not using it To prevent unauthorized operation be sure to log off from the software when it is not being used Maintain and manage the operating environment of the software properly If you add change or update the OS driver or other software after installing the software the software may not function properly Contact your sales representative or local Canon dealer beforehand Prohibited Do n...

Page 30: ...Control for Health and Safety Act of 1968 Also this product is certified as a Class 1 laser product under IEC 60825 1 2007 IEC 60825 1 2014 EN 60825 1 2007 and EN 60825 1 2014 Since radiation emitted inside the device is completely confined within protective housings and external covers the laser beam cannot escape during any phase of normal user operation BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS ind...

Page 31: ...OCT You cannot take good images if the objective lens is dusty Cleaning and Disinfecting Do not allow the blower to touch the lens Do not wipe or rub the lens if there is dirt or dust on it Do not wipe the lens with ethanol solution eyeglass cleaner or silicone coated paper Doing so could damage the surface of the lens or leave streaks Do not clean the exterior of the OCT with lens cleaner Doing s...

Page 32: ...on the objective lens and the optical parts inside the measurement unit You cannot take good images if the equipments are dusty When the OCT is not being used attach the objective lens cap and place the dust cover over the OCT Installation Ask your sales representative or local Canon dealer to install it Use a USB cable that is attached to the supplied ferrite core Ask your sales representative or...

Page 33: ...ou buy a new similar product or to an authorized collection site for recycling waste electrical and electronic equipment EEE Improper handling of this type of waste could have a possible negative impact on the environment and human health due to potentially hazardous substances that are generally associated with EEE At the same time your cooperation in the correct disposal of this product will con...

Page 34: ... in Windows When two or more users are using the software be sure to select Log Off and then log on again as a different user 6 Be sure to set the screen saver power options and font settings on the computer as shown below Items Settings Screen saver None Turn off the display Never Put the computer to sleep Never Turn off hard disks Never When I press the power button Shut down Start menu power bu...

Page 35: ...roduct Labels The labels and the marks attached to the OCT are shown below Follow the information on the label to use the OCT appropriately Label BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 35 10 26 2020 10 49 22 AM ...

Page 36: ...er in SIX digits Example 123456 Year and month of manufacture Example October 2012 Others Alternating current Type B applied part This mark shows compliance of the equipment with Directive 93 42 EEC This mark indicates that a user s manual is supplied with this equipment Product that WEEE directive Directive on Waste Electrical and Electronic Equipment requires separate collection Manufacturer s n...

Page 37: ...3 Part Names BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 37 10 26 2020 10 49 23 AM ...

Page 38: ... lens cap 3 Objective lens 4 Face rest 5 Chin rest 6 Connector for the external eye fixation lamp with cap The external eye fixation lamp is sold separately 7 Measurement unit 8 Base 9 Indentation for lifting BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 38 10 26 2020 10 49 23 AM ...

Page 39: ... 3 3 1 POWER lamp 2 Power switch 3 Vent hole 4 Data cable terminal 5 Height adjustment mark 6 USB connector 7 AC power connector 8 Synchronous cable terminal 9 Indentation for lifting BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 39 10 26 2020 10 49 23 AM ...

Page 40: ...pture for Retinal Camera optional product in RX Capture for OCT Patient Screen 1 2 6 5 3 4 7 8 12 15 16 9 10 11 13 14 17 1 Patient ID 2 Patient name 3 Patient list Worklist 4 Ethnic Group 5 Sex 6 Birth date 7 Rics File button 8 Patient data importing button 9 CSV file importing button 10 Accession number 11 Add button 12 Disease name 13 Clear button 14 Comment area 15 Update button 16 Examination ...

Page 41: ...eyes button 5 Z Adjustment button 6 Chin Rest button 7 Anterior segment image 8 SLO live image 9 Focus slider 10 Recent examination list 11 Start button Stop button 12 Capture button 13 Fixation lamp button 14 Patient information 15 OCT live image 16 C Gate slider 17 Tilt adjustment button 18 Image quality indicator BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 41 10 26 2020 10 49 23 AM ...

Page 42: ... 3 1 6 4 5 7 8 9 11 10 1 Patient information 2 Right left eye indicator 3 Examination sort tab 4 NG image check box 5 Examination list 6 View mode tab 7 Disease name 8 Comments area 9 Print button 10 Output button 11 Analysis result BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 42 10 26 2020 10 49 24 AM ...

Page 43: ...een 1 13 15 11 12 9 8 7 10 14 2 5 4 3 6 1 OCTA image 2 B scan line display 3 Distance Area Density Tool 4 Distance Area Density Tool display 5 Output button 6 Print button 7 Denoise button 8 Density Map Density Grid display 9 Density Analysis selection 10 En Face Image Overlay slider 11 Projection Method selection 12 Projection Artifact Removal 13 Brightness Contrast adjustment 14 OCTA image displ...

Page 44: ... Tool display 7 En Face image display content 8 B scan tomogram image Registration Screen Difference Map 1 2 3 7 5 6 4 1 Selected examination 2 Examination for comparison 3 Projection image before alignment 4 Thickness map 5 Overlay slider 6 Projection image after alignment 7 Difference map BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 44 10 26 2020 10 49 26 AM ...

Page 45: ...Names 45 Registration Screen Retinal Image 3 1 2 1 Retinal image 2 SLO image 3 Overlay slider Settings Screen 1 2 1 Setting items 2 Settings BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 45 10 26 2020 10 49 27 AM ...

Page 46: ...46 3 Part Names BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 46 10 26 2020 10 49 27 AM ...

Page 47: ... procedures from turning on to turning off RX Capture for OCT RX Viewer and RX Server The basic procedures for Selecting an Examination Set and Viewing Reports in RX Viewer and RX Server are the same as in RX Capture for OCT For details see the basic procedures for RX Capture for OCT BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 47 10 26 2020 10 49 27 AM ...

Page 48: ...Patient Information see page 55 Preparing for Patients see page 57 Selecting an Examination Set see page 58 Shutting Down the RX Capture for OCT see page 68 Capturing Images see page 60 Checking the Captured Image see page 62 Viewing Reports see page 63 Outputting and Printing Reports see page 64 Performing a Follow up Examination see page 66 Follow up examination BT8 1794 E01_RX OCT A1_HS100 V4 6...

Page 49: ...of the macula C Gate coherence gate is set to the vitreous side Scan modes Macula 3D and Multi Cross Glaucoma This examination set captures OCT images by doing a vertical B scan of the macula and optic disc Scan modes Wide 3D and Cross Choroid This examination set captures OCT images by doing a horizontal B scan of the macula C Gate is set to the choroid side Scan modes Macula 3D and Multi Cross A...

Page 50: ...s mode a 3D scan is done on the region centering on the macula The scanning area is 10 x 10 mm and the primary scanning direction is vertical Secondary scanning direction Primary scanning direction Scanning area Disc 3D In this mode a 3D scan is performed on the region centering on the optic disc The scanning area is 6 x 6 mm and the primary scanning direction is horizontal Primary scanning direct...

Page 51: ... Scanning area Custom 3D In this mode the scanned object scanning direction scanning area and other conditions can be customized and set Cross In this mode a cross scan is performed on the region centering on the macula or optic disc along one line for each direction Multi Cross In this mode a cross scan is performed on the region centering on the macula or optic disc along five lines for each dir...

Page 52: ...m and the primary scanning direction is horizontal Primary scanning direction Secondary scanning direction Anterior segment Scanning area Anterior Cross In this mode a cross scan is performed on the anterior segment along one line for each direction Anterior Radial In this mode a radial scan is performed on the region centering on the anterior segment along 12 lines BT8 1794 E01_RX OCT A1_HS100 V4...

Page 53: ...be 3 x 3 mm 4 x 4 mm 5 x 5 mm 6 x 6 mm or 8 x 8 mm The primary scanning direction is horizontal Primary scanning direction Secondary scanning direction Scanning area Information When OCTA 2 is installed the scanning area can be set to 9 x 9 mm 10 x 10 mm 9 x 3 mm 12 x 4 mm or 3 x 9 mm BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 53 10 26 2020 10 49 27 AM ...

Page 54: ... the measurement unit moves and stops at its initial position CAUTION The measurement unit moves during initialization keep the patient s chin away from the chin rest and do not touch the measurement unit There is a risk of injuring the patient 4 Turn on the power to the computer and the monitor The RX Capture for OCT is started automatically and the login screen appears 5 Enter the user ID and pa...

Page 55: ...umbers of licenses for each appear on the login screen Entering Patient Information 1 Enter the patient ID of a new patient Make sure that there is no patient with the same patient ID shown in the patient list If patient IDs are duplicated or the patient is already registered patients with the same patient ID are shown in the patient list If patient IDs are duplicated check the patient IDs and ent...

Page 56: ...se be sure to enter a birth date and an ethnic group Information Click Clear to delete all the entered patient s information at once Information Asterisk is displayed on the input mandatory items 3 Click the OCT Capture tab The entered patient information is registered in the patient list and the OCT Capture screen appears The measurement unit moves Important A dialog box appears while the measure...

Page 57: ...ent s chin on the chin rest Place the patient s forehead against the forehead rest Instruct the patient to remove his her contact lenses or glasses if he she is wearing them Adjust the heights of the optical bench and chair so the patient is comfortable 3 Adjust the height of the chin rest Click the Chin Rest button and align the patient s eye with the height adjustment mark Height adjustment mark...

Page 58: ... his her hands and fingers clear of the measurement unit and base 1 Click R The measurement unit moves to the patient s right eye Important A dialog box appears while the measurement unit is moving To stop the movement of the measurement unit click Cancel 2 Click the automatic adjustment mode button The button is highlighted 3 Select the Macula Disease examination set from the list box The scan mo...

Page 59: ...en To stop the movement of the measurement unit click Cancel Important If the alignment of the anterior segment fails a dialog box appears when the adjustment ends Make sure that the position of the patient s eye is aligned with the height adjustment mark on the face rest Make sure that the pupil appears in the center of the anterior segment image on the live view screen After checking these items...

Page 60: ...quality indicator has not changed to green operate the focus slider and C Gate slider to adjust the image The image quality indicator may not be green when there is opacity inside the patient s eye 2 Make sure that the OCT live images at the top and bottom edges appear If the images at the top and bottom edges do not appear or are faint adjust the scanning area See OCT Scanning Area see page 97 fo...

Page 61: ...t buttons to adjust the tilt of the tomogram image 4 Click Capture Or right click on any part of the screen Image capture starts A confirmation screen appears when image capture ends Information The background of the logged in user s name turns green on the live view screen when capture setup is complete Images can be captured while the background is green The background of the logged in user s na...

Page 62: ...e OCT Capture screen reappears Clicking OK automatically switches to the next scan mode which is Multi Cross The OCT Capture screen appears Perform the procedure from Capturing Images To capture the image of another patient s eyes click the Patient tab From here on repeat the procedure from Entering Patient Information If you are displaying the OCT Capture screen the selected patient s data cannot...

Page 63: ...o view reports in other modes 1 After the capturing is completed click the Report tab The Report screen appears If you are displaying the Report screen users who select the patient later can view the information in read only mode If you do not need to view the reports switch the screen to the Patient screen BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 63 10 26 2020 10 49 31 AM ...

Page 64: ...aved to a pre specified folder Information See Saving Reports as Image Files see page 156 for details on saving reports Information Printing a Report When Print is clicked the print dialog box appears Select the printer and then click Print To capture the image of another patient s eyes click the Patient tab From here on repeat the procedure from Entering Patient Information BT8 1794 E01_RX OCT A1...

Page 65: ...mode 1 From the examination list select and right click an examination you want to recapture and from the menu select Retry Capture The OCT Capture screen appears When this happens Retry Capture is selected in Examination Set and capturing is done in the scan mode used previously BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 65 10 26 2020 10 49 32 AM ...

Page 66: ...those in a previous examination A follow up examination is automatically done when an examination is repeated 1 Select a patient 2 Select an examination Select the date of an examination for which you want to do a follow up and then select an examination done on that day BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 66 10 26 2020 10 49 33 AM ...

Page 67: ...epeat the procedure from step 4 of Selecting an Examination Set Clicking OK in the confirmation screen after capturing an image switches to the next registered scan mode Information Examinations judged as NG are not included in the follow up examination Information To capture images using the regular procedure select an examination set other than Follow up BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS ind...

Page 68: ...he computer turns off automatically after the RX Capture for OCT shuts down Information Do not turn off the computer when the RX Viewer is in use Click and then click Exit to shut down the software without turning off the computer 3 Turn off the power to the OCT 4 Disconnect the power plug from the AC outlet 5 Attach the objective lens cap and place the dust cover over the OCT BT8 1794 E01_RX OCT ...

Page 69: ...Patient screen appears Information To operate this software using the user information already registered in the domain select the directory service server from the domain list box on the login screen The domain list box appears on the login screen when LDAP authentication is enabled on the LDAP Settings screen BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 69 10 26 2020 10 49 34 AM ...

Page 70: ...g out The login screen appears Important On the day when automatic backup is performed exit lastly the software installed on the computer to be used for backup 2 Click Exit RX Viewer exits BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 70 10 26 2020 10 49 34 AM ...

Page 71: ...re using the user information already registered in the domain select the directory service server from the domain list box on the login screen The domain list box appears on the login screen when LDAP authentication is enabled on the LDAP Settings screen Information The names of the registered software and the numbers of licenses for each appear on the login screen BT8 1794 E01_RX OCT A1_HS100 V4...

Page 72: ...e installed on the computer to be used for backup 2 Click Exit RX Server exits Seeing the Operation Manual Clicking the operation manual button on the menu bar displays the operation manual Information Contact your sales representative or local Canon dealer if the operation manual does not appear BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 72 10 26 2020 10 49 34 AM ...

Page 73: ...an manage patient information that is registered to the patient list or import existing patient information The software supports incremental searching automatic filtered searching BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 73 10 26 2020 10 49 34 AM ...

Page 74: ...s not in the existing patient list 3 Enter patient information other than the patient ID Important To perform a comparison and an analysis with the normative database be sure to enter a birth date and an ethnic group 4 Click the OCT Capture tab The patient information appears on the patient list and the OCT Capture screen appears BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 74 10 26 2020 10 49 35 AM...

Page 75: ... Add Searching for a Patient Patients that match the text entered in the patient information entry field appear However you cannot use an accession number for searching This section describes how to search for the patient information by patient IDs and disease names Information Searching for Patients by Magnetic Card or Bar Code Reader Communications parameters and data must be set for the magneti...

Page 76: ...nformation An incremental search is performed as text is entered so patient IDs that contain the entered text will appear in the patient list Searching by Disease Name Enter a disease name Matching patients appear in the patient list Information Enter text in other entry fields to narrow down the search conditions if patients with the same disease are registered BT8 1794 E01_RX OCT A1_HS100 V4 6_C...

Page 77: ...nt information and click OK The Patient screen reappears The patient information is updated Important An error message appears when a patient ID that is already registered is entered and OK is clicked In this case the patient information cannot be updated Enter a patient ID that is not yet registered Information Edits of patient information in the Edit Patient Information screen are not applied to...

Page 78: ... Administrator or Super User privilege Information Multiple items can be selected by Shift clicking or Ctrl clicking Important Once deleted patient information cannot be restored Carefully check patients before deleting them 1 Select and right click a patient and select Delete from the menu A message screen appears 2 Click Yes The patient information is deleted BT8 1794 E01_RX OCT A1_HS100 V4 6_CV...

Page 79: ...tient information registered to the study order is registered in the patient list and the OCT Capture screen appears Information If content that cannot be registered on the software is entered a message screen appears If OK is clicked corresponding items are registered as blank If Cancel is clicked patient information is not registered to the patient list and the OCT Capture screen does not appear...

Page 80: ...tion Clicking the column header toggles between descending order and ascending order Changing Order of Displayed Items Drag the column headers of each item The items move to the position where the mouse button is released Changing Items to Show Right click on the column header of the items and click the selected items Clicked items are deselected and do not appear in the patient list Changing the ...

Page 81: ...ngs for outputting data see Output Settings see page 218 Information Multiple items can be selected by Shift clicking or Ctrl clicking Outputting All Examination Results of Selected Patients All OCT images and reports for selected patients can be output 1 Select and right click a patient and select Output from the menu The Select Output Destination screen appears 2 Select the output destination an...

Page 82: ... from the menu The Select Output Destination screen appears 2 Select the output destination and then click OK Information Printing an Examination Select and right click an examination and select Print from the menu Changing the Assessment of Examination Select and right click an examination and select NG from the menu BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 82 10 26 2020 10 49 38 AM ...

Page 83: ...port Settings tab of the Input Settings screen enter the Column No of each item see page 216 The patient information must be entered in the CSV file according to this column order 2 Make a list of patient information in a CSV file Observe the following rules when entering patient information To leave a field blank do not enter anything For sex enter M for male F for female and O for other For ethn...

Page 84: ...he Close button becomes active Information When Duplicate Patients are Registered to the Patient List A message screen appears if there are items that do not match existing patient information If Yes is clicked the items that do not match are overwritten If No is clicked the items are not overwritten To manage two or more patients at a time click Yes to all or No to all 5 Click Close The Patient s...

Page 85: ...ltiple items can be selected by Shift clicking or Ctrl clicking Exporting All the Examination Data of Selected Patient 1 Select and right click a patient and select Export from the menu 2 Select the save destination and then click Save 3 When the save is completed click OK BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 85 10 26 2020 10 49 39 AM ...

Page 86: ...Examination Data 1 Select and right click an examination and select Export from the menu 2 Select the save destination and then click Save 3 When the save is completed click OK BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 86 10 26 2020 10 49 39 AM ...

Page 87: ...Information When Duplicate Patients are Registered to the Patient List A message screen appears if there are items that do not match existing patient information If Yes is clicked the items that do not match are overwritten If No is clicked the items are not overwritten To manage two or more patients at a time click Yes to all or No to all If Cancel is clicked the file import is canceled 3 Click C...

Page 88: ...rator or Super User privilege 1 Select and right click an examination and select Move to Other Patient from the menu The Choose destination patient screen appears 2 Enter a patient ID or select a patient as the output destination and click OK A screen confirming the transfer appears BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 88 10 26 2020 10 49 39 AM ...

Page 89: ...etion of the transfer 4 When the transfer is completed click OK Important Contact your sales representative or local Canon dealer if you are no longer sure of the output destination for the examination data BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 89 10 26 2020 10 49 39 AM ...

Page 90: ...n you need Administrator or Super User privilege 1 Select and right click an examination and select Edit from the menu The Edit examination s information screen appears 2 Enter an accession number and click OK A message appears confirming the completion of editing BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 90 10 26 2020 10 49 39 AM ...

Page 91: ...dit appears Check the content of the message To complete editing click OK to close the message Important Contact your sales representative or local Canon dealer if you are no longer sure of the edited accession number BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 91 10 26 2020 10 49 39 AM ...

Page 92: ... only those captured in the Macula 3D Glaucoma 3D Disc 3D and Anterior Radial modes 1 Select and right click an examination and select Save as XML from the menu 2 Select the save destination and then click Save A completion message appears 3 When the save is completed click OK BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 92 10 26 2020 10 49 39 AM ...

Page 93: ...on screen In the standby screen select the mode and perform other preparations In the live view screen adjust the focus or C Gate while viewing the live SLO image and the live OCT images Decide if the captured image is acceptable in the confirmation screen BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 93 10 26 2020 10 49 39 AM ...

Page 94: ...duce acceptable results when examining the eyes of some patients If this happens adjust manually Changing the Examination Set and Scan Mode To change the examination set select the desired examination set from the list box To change the scan mode click the desired scan mode button This switches the scan mode The button is highlighted and the name of the scan mode appears When the scan mode is chan...

Page 95: ... segment image Pupil vertical position adjustment click the anterior segment image Anterior segment image focus adjustment click Z Adjustment button Alignment circle Information Using the Mouse Wheel You can do the same operation as Z Adjustment button by placing the cursor on the anterior segment image and turning the mouse wheel BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 95 10 26 2020 10 49 40 A...

Page 96: ...e image Internal eye fixation lamp mark Making the Internal Eye Fixation Lamp Flash Click the currently selected internal eye fixation lamp button The internal eye fixation lamp flashes for about two seconds Information If Blink is selected on Internal Fixation Target in the settings screen the internal eye fixation lamp blinks continuously Using the External Eye Fixation Lamp Optional Product Cli...

Page 97: ...anning Area Move the cursor over the periphery of the scanning area mark and drag the periphery The scanning area can be resized in the Cross Multi Cross Custom 3D Radial and Anterior Cross modes Changing the B scan Line Interval The B scan line interval can be changed when the Multi Cross mode is selected Drag the end line The lines change those color to orange while the end line is dragged As th...

Page 98: ... is at the sharpest position Information Using the Mouse Wheel You can do the same operation as the focus slider by placing the cursor on the SLO live image and turning the mouse wheel Automatic Focus The focus is automatically adjusted by clicking the automatic focus button Showing the Focus Adjustment Value The adjustment value appears under the focus slider Use this as a reference when adjustin...

Page 99: ... dot Automatic C Gate button C Gate slider Information Using the Mouse Wheel You can do the same operation as the C Gate slider by placing the cursor on the OCT live image and turning the mouse wheel Automatic Adjustment of Vertical Position The vertical position of the OCT live image is automatically adjusted by clicking the automatic C Gate button BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 99 10...

Page 100: ...d the button changes to Play Click Play to start showing images again automatically Information The OCT images appear as a list in the Cross Multi Cross Anterior Cross and Radial modes The projection image does not appear in the scan modes above Information In the OCTA mode the projection image appears just after you capture images and then it switches to the OCTA image BT8 1794 E01_RX OCT A1_HS10...

Page 101: ...contrast B Brightness C Contrast Information Resetting Brightness and Contrast After Adjustment Right click the OCT image and select Reset Brightness Contrast from the menu Changing the Color of Captured Images Right click the OCT image and select the item from the menu Gray Scale Show in gray scale default Invert Show in inverted gray scale False Color Show in color BT8 1794 E01_RX OCT A1_HS100 V...

Page 102: ... scan mode the OCTA Capture license optional product and the OCTA 2 license optional product are required The Repeat button appears when the OCTA 2 license is enabled Click Repeat to display the OCT Capture screen Information During repeat capturing the number of captures Repeat appears on the OCT Capture screen BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 102 10 26 2020 10 49 41 AM ...

Page 103: ...e examination displayed in the Recent Examination The confirmation screen appears 2 Click OK or NG The standby screen reappears The scan mode that was selected before moving to the confirmation screen remains effective Information You can also change assessments in the Patient screen and Report screen BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 103 10 26 2020 10 49 41 AM ...

Page 104: ...e distance from the auxiliary lens CAUTION Be sure to attach the auxiliary forehead rest and auxiliary chin rest The working distance changes when the auxiliary lens is attached The patient s eye may be injured by making contact with the objective lens if the auxiliary forehead rest and auxiliary chin rest are not attached CAUTION Be sure to keep the patient s face away from the chin rest and fore...

Page 105: ...ehead against the auxiliary forehead rest Instruct the patient to remove his her contact lenses or glasses if he she is wearing them Adjust the heights of the optical bench and chair so the patient is comfortable 5 Adjust the height of the chin rest Click Chin Rest button to align the patient s eye with the height adjustment mark 6 Click Z Adjustment button to move the measurement unit toward the ...

Page 106: ...ion of the OCT live image Adjust to set the capturing part at the center 4 Operate the focus slider to adjust the focus and brightness of the SLO live image 5 Click Capture The following procedures are the same as for retinal tomography 6 Remove the Anterior Segment Adaptor Refer to the Anterior Segment Adaptor operation manual Important A message screen appears if a scan mode other than Anterior ...

Page 107: ...ng OCTA Mosaic Capturing 1 Select an examination set registered for mosaic capturing from the list box 2 Click Capture This step is the same as for retinal tomography 3 Click OK or NG When you are satisfied with the image click OK The OCT Capture screen appears and the internal eye fixation lamp moves to the next setting position To capture the image again click NG 4 Click Capture After this step ...

Page 108: ...tial Position Set the initial position of the measurement unit The measurement unit moves to the eye to be examined which has been selected in this item for new examinations When Don t move is selected the measurement unit does not move from the previous examination position Default Fixation Target Select a fixation target type The fixation target type selected in this item is the first type to be...

Page 109: ...settings screen closes Image Capture Shortcut Keys In the OCT Capture screen images can be captured by using the keyboard or the mouse The following table shows default shortcut key assignments To change key assignments see Changing Image Capture Settings Key Function Tilt adjustment buttons vertical direction Tilt adjustment buttons horizontal direction Page Up Page Down Chin Rest button Space St...

Page 110: ...r the user who selected the patient first and is viewing the patient data 2 Click OK 3 Make sure that the user who is viewing the patient data has deselected the patient Request the user who is viewing the patient data to deselect the patient according to the request message 4 Click the OCT Capture tab Information If the user who is viewing the patient data cannot deselect the patient because he s...

Page 111: ...7 Report This chapter describes reports which show the analysis results of examinations BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 111 10 26 2020 10 49 43 AM ...

Page 112: ...the optic disc The compatible scan mode is Disc 3D Wide 3D Scan Analysis This scans the macula and the optic disc one time and then shows the analysis results The compatible scan mode is Wide 3D 2D Tomogram Analysis This shows the tomogram image and the retinal thickness of the specified part The compatible scan modes are Cross Multi Cross and Radial The tomogram images can be averaged maximum 50 ...

Page 113: ...reous opacity or a cataract In this case the boundary or the thickness profile of the unclear part is displayed by a dotted line Additionally none of the thickness maps NDB maps difference maps and 3D images are color coded Type of View Mode Single Tab Screen This screen shows the analysis results of one eye Both Eyes Tab Screen This screen shows the analysis results comparing examinations of both...

Page 114: ...he basis of the captured OCT image of the posterior part of the retina centering on the macula in the Macula 3D mode The analysis results are shown for example on maps of retinal thickness of the macula section ETDRS grids tables graphs and 3D layer maps of boundary surfaces These analysis results can be shown on the Single Both Eyes Comparison Progression and Combined tab screens For details on t...

Page 115: ...ors are color coded on the basis of the normative database The area to calculate average retinal thickness and retinal volume has been modified from the scanning area 10 x 10 mm to the inside of the ETDRS grid since the version 3 0 4 Retinal thickness trend graph This plots all examinations performed for the same patient to show changes in the retinal thickness over time The selected examination i...

Page 116: ...tion Color map which shows differences between retinal thickness and the normative database 7 Thickness map of layers A thickness map of specified layers is overlaid on the projection image You can select the map that is shown from the list box IS OS RPE Thickness IS OS to RPE thickness map RPE BM Thickness RPE to BM thickness map Inner Retinal Thickness Retina inner layer thickness map Outer Reti...

Page 117: ... table shows the values for the right and left eyes The rightmost column is the difference between the right and left eyes 4 OCT image horizontal scan 5 NDB comparison map Thickness map of layers NDB comparison map and thickness map of layers on the Single tab screen can be selected from the list box 6 3D layer map Same as Single tab screen BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 117 10 26 2020...

Page 118: ...tion The rightmost column is the difference between the two examinations 3 OCT image horizontal scan 4 NDB comparison map Thickness map of layers Same as Both Eyes tab screen 5 Retinal thickness difference map This color map shows the difference in retinal thickness between both examinations Values for the differences between both examinations are shown in the grids 6 3D layer map Same as Single t...

Page 119: ...es A retinal thickness map is shown for the oldest examination 2 NDB comparison map Thickness map of layers Same as Both Eyes tab screen 3 OCT image horizontal scan 4 Retinal thickness trend graph Same as Single tab screen The selected examination is indicated in blue four examinations displayed on the reports are indicated in brown and other examinations are indicated in black 5 Full Retinal Meas...

Page 120: ...e Same as Single tab screen 2 Retinal image 3 NDB comparison map Thickness map of layers Same as Both Eyes tab screen 4 ETDRS grid Same as Single tab screen 5 OCT image horizontal scan BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 120 10 26 2020 10 49 45 AM ...

Page 121: ...e of how to perform NFL GCL IPL analysis To perform GCL IPL analysis right click either SLO image NFL GCL IPL grid or NFL GCL IPL Deviation map or NFL GCL IPL Significance map and select the GCL IPL Analysis from the menu Both Eyes Tab Screen 1 2 5 4 3 1 SLO image NFL GCL IPL grid The map to overlay on the SLO image can be selected from the list box Values corresponding to the map are shown on thr...

Page 122: ...is shown for the left eye if the left eye right eye is a negative value The background color is not shown if each value is a positive value 2 OCT image vertical scan 3 NFL GCL IPL Deviation map This color map shows differences between NFL GCL IPL thickness and the normative database 4 NFL GCL IPL Significance map This color map shows singular points by comparing NFL GCL IPL thickness with the norm...

Page 123: ... screen 4 NFL GCL IPL trend graph This plots all examinations performed for the same patient to show changes in the NFL GCL IPL thickness over time The selected examination is indicated in blue four examinations displayed on the reports are indicated in brown and other examinations are indicated in black Background colors are color coded on the basis of the normative database You can select what t...

Page 124: ...Measurement table This table shows the overall average value of the NFL GCL IPL grid and the average values of the superior and inferior regions for the NFL GCL IPL thickness The rightmost column is the rate of change Background colors are color coded on the basis of the normative database BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 124 10 26 2020 10 49 45 AM ...

Page 125: ...PL grid Same as Both Eyes tab screen 2 NFL GCL IPL grid Same as Both Eyes tab screen 3 OCT image vertical scan 4 RNFL thickness map Same as Both Eyes tab screen in Optic Disc Analysis See Both Eyes Tab Screen see page 128 5 TSNIT parameters Same as Both Eyes tab screen in Optic Disc Analysis See Both Eyes Tab Screen see page 128 6 Retinal image BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 125 10 26 ...

Page 126: ...s tab screen in Optic Disc Analysis See Both Eyes Tab Screen see page 128 Layout 2 1 2 3 4 5 1 Retinal image 2 OCT image vertical scan 3 TSNIT parameters Same as Both Eyes tab screen in Optic Disc Analysis The rightmost column is the difference between the right and left eyes 4 NFL GCL IPL grid Same as Both Eyes tab screen 5 RNFL profile Same as Both Eyes tab screen in Optic Disc Analysis BT8 1794...

Page 127: ...age 2 OCT image vertical scan 3 TSNIT parameters Same as Both Eyes tab screen in Optic Disc Analysis The rightmost column is the difference between the right and left eyes BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 127 10 26 2020 10 49 46 AM ...

Page 128: ...same as the Combined tab screen in NFL GCL IPL Analysis GCL IPL Analysis For details on the color patterns of NDB see NFL GCL IPL Analysis GCL IPL Analysis Optic Disc Analysis Wide 3D Scan Analysis see page 154 As for the ONH parameters see ONH parameters see page 154 Both Eyes Tab Screen 1 2 3 5 4 7 8 9 10 6 1 SLO image The projection image is overlaid on the SLO image and Disc color orange Cup c...

Page 129: ...tents Displayed on a Report see page 212 7 ONH parameters This table summarizes the results of shape analysis of the optic disc for the right and left eyes Background colors are color coded on the basis of the normative database Disc Area Disc area mm2 Rim Area Rim area mm2 Cup Volume Cup volume mm3 Rim Volume Rim volume mm3 C D Area Cup Disc area ratio C D Vertical Cup Disc vertical ratio C D Hor...

Page 130: ...rd deviation of retinal thickness of TSNIT region Symmetry Symmetry of both eyes relating to TSNIT region 9 RNFL grid The inside of the measurement circle is divided into 4 or 12 sectors and the RNFL thickness is shown Background colors are color coded on the basis of the normative database 10 RNFL profile The RNFL thickness at the TSNIT region for the right and left eyes is shown Background color...

Page 131: ...FL thickness and the normative database 3 RNFL profile Shows the RNFL thickness along the measurement circle for the selected examination rightmost examination and the oldest examination leftmost examination Background colors are color coded on the basis of the normative database 4 RNFL trend graph This plots all examinations performed for the same patient to show changes in the RNFL thickness in ...

Page 132: ...the same as on the Both Eyes tab screen This table shows the values for each examination The rightmost column is the rate of change Background colors are color coded on the basis of the normative database Wide 3D Scan Analysis This shows the measurement results for the retinal thickness of the macula and the optic disc based on the captured OCT images of the macula and optic disc in the Wide 3D mo...

Page 133: ...ation map Same as Both Eyes tab screen in NFL GLC IPL Analysis GCL IPL Analysis See Both Eyes tab screen see page 121 9 TSNIT area OCT image Same as Both Eyes tab screen in Optic Disc Analysis See Both Eyes tab screen see page 128 10 RNFL profile Same as Both Eyes tab screen in Optic Disc Analysis See Both Eyes tab screen see page 128 11 ONH parameters Same as Both Eyes tab screen in Optic Disc An...

Page 134: ...n see page 115 6 NFL GCL IPL thickness map Same as Both Eyes tab screen in NFL GLC IPL Analysis GCL IPL Analysis See Both Eyes tab screen see page 121 7 NFL GCL IPL Significance map NFL GCL IPL Deviation map Same as Both Eyes tab screen in NFL GLC IPL Analysis GCL IPL Analysis See Both Eyes tab screen see page 121 8 NFL GCL IPL grid Same as Both Eyes tab screen in NFL GLC IPL Analysis GCL IPL Anal...

Page 135: ...ers The analysis results can be viewed on the Single Both Eyes Comparison and Progression tab screens The following example describes in screen elements for an examination done in the Multi Cross mode For details on the color patterns of NDB see Macula Thickness Analysis 2D Tomogram Analysis General Tomogram Analysis Wide 3D Scan Analysis see page 153 Single Tab Screen 1 5 7 4 3 2 6 1 Analysis ima...

Page 136: ...is image This shows the items selected in the analysis image list box OCT image The value of the intersection point of the boundary and measurement line is shown unit µm The measurement line of the thickness profile moves by dragging the measurement line When the images are captured in the Multi Cross or Radial mode the OCT images can be switched by turning the mouse wheel Thickness profile The va...

Page 137: ...s profile can be selected from the list box Difference Shows thickness differences of both examinations Normative DB Shows background colors based on the normative database 2 Thickness difference of both examinations The parts which have differences in thickness are shown in colors Progression Tab Screen The elements of the Progression tab screen are the same as those on the Comparison tab screen ...

Page 138: ...ess are shown on the ETDRS grid Thickness Map Thickness map of the selected boundary Significance Map Color map which shows singular points by comparing thickness of the selected boundary with the normative database Deviation Map Color map which shows differences between thickness of the selected boundary and the normative database SLO Image Image overlay disabled 3 Reconstructed image You can sel...

Page 139: ...ndicator The quality of the OCT image is indicated in a scale from 1 to 10 6 OCT image The thickness of the point of intersection of the boundary and measurement line is shown The measurement line of the thickness profile moves by dragging the measurement line The C scan image is changed by dragging the C scan line 7 Thickness profile This shows the thickness of the selected boundary The value of ...

Page 140: ...f the thin lines in the region by the area by mm 1 Important The analysis results for area density and skeleton density may vary depending on your software version Use software of the same version as the previous analysis when comparing the analysis results Single Tab Screen 4 5 3 2 6 9 7 8 10 11 1 1 Averaging button when the OCTA 2 license is installed Clicking this button averages several OCTA e...

Page 141: ...s the layer between the two boundaries selected from OCT image 2 En Face Image 1 En Face image that shows the layer between the two boundaries selected from OCT image 1 En Face Image 2 En Face image that shows the layer between the two boundaries selected from OCT image 2 Projection Image Projection image SLO Image Image overlay disabled 5 En Face image En Face Image 1 En Face image that shows the...

Page 142: ...n the enlarged OCTA screen Reset Brightness Contrast Reset the brightness contrast Save As Save the OCTA image Save As image with anonymization Anonymize the OCTA image and save it Save Binary Image Save a binary image or a skeleton image optional product Mosaic Create a mosaic image optional product If the projection artifact removal function is applied to the OCTA image it is also applied to the...

Page 143: ...aged OCTA appears as the scan mode for the averaged examinations Progression Tab Screen The following describes the elements that are different from those on the Single tab screen The other elements are the same as those on the Single tab screen 1 1 Show Difference check box When this box is selected the difference from the oldest examination leftmost examination is shown on the color map and grid...

Page 144: ...sts Volume View Shows the SLO image vitreous layers of the retina and choroid as semi transparent images 8 9 1 3 4 5 6 7 2 10 1 3D tomogram image This 3D image is constructed from B scan data Information Changing the Color of 3D Tomogram Images Right click the 3D tomogram image and select Gray Scale or False Color from the menu 2 SLO image Information Switching SLO Image Show Hide Right click the ...

Page 145: ...e is not supported 7 Selection of 3D projection method Volume view only VR Volume Ray Casting MIP Maximum Intensity Projection 8 Frame This is the boundary of the 3D tomogram image Information Switching Frame Show Hide Right click the 3D tomogram image and select Frame from the menu 9 Peeling control bars The view of the tomogram image corresponding to the position on the bars changes by altering ...

Page 146: ... of color coded layers of the retina The vitreous and choroid are not shown The Anterior 3D mode is not supported 1 1 Layer shift slider Solid view only The layers are separated by operating this slider BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 146 10 26 2020 10 49 52 AM ...

Page 147: ... Invert and False Color Angiography View Shows the SLO image and a non transparent image for each layer of the retina Two 3D OCTA image colors can be selected Gray Scale and False Color 1 1 Projection Artifact Removal check box When this box is selected the projection artifact removal function is applied to the 3D OCTA image BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 147 10 26 2020 10 49 53 AM ...

Page 148: ...down Resizing Turn the mouse wheel Restoring the 3D tomogram image to its original state Right click the image and select Reset Camera Position from the menu Peeling Control Bars Dragging the sphere changes the length of the bar and the tomogram image corresponding to the position on the bar is shown Dragging the bar changes the position of the bar and the tomogram image corresponding to the posit...

Page 149: ...ss The corneal grid is overlaid on the SLO image The values of the corneal thickness are shown on the grid 2 SLO image Corneal epithelium thickness The corneal grid is overlaid on the SLO image The values of the corneal epithelium thickness are shown on the grid 3 OCT image 4 Corneal thickness within 5 mm circle μm The central corneal thickness the maximum and minimum corneal thicknesses within th...

Page 150: ...m thickness The values of the corneal epithelium thickness are shown on the grid 3 OCT image Same as Single tab screen 4 Corneal thickness μm The items are the same as on the Single tab screen This table shows the values for the right and left eyes BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 150 10 26 2020 10 49 54 AM ...

Page 151: ...e values for each examination The rightmost column is the difference between the two examinations 4 OCT image Same as Single tab screen 5 Corneal thickness Corneal epithelium thickness difference map This color maps show the differences in corneal thickness and corneal epithelium thickness between both examinations Values for the differences between both examinations are shown on the grids BT8 179...

Page 152: ...helium Difference Shows the difference from the oldest examination leftmost examination as a color map and values A corneal epithelium thickness map is shown for the oldest examination 3 OCT image 4 Corneal thickness trend graph This plots all examinations performed for the same patient to show changes in the corneal thickness over time The selected examination is indicated in blue four examinatio...

Page 153: ... x 41 to 50 x x x x 51 to 60 x x x x 61 to 70 x x x x 71 to 85 x When the patient s age is outside the normative database the result is compared with the data of the nearest age group Age of 17 or under Compare with the data of 18 to 30 age group Age of 71 or over Compare with the data of 61 to 70 age group except White Age of 86 or over Compare with the data of 71 to 85 age group only White In th...

Page 154: ... to 95th percentile from the thinnest value in NDB Significance map is not color coded Yellow 1 to 5 The measurement value indicates the range from the 1st to 5th percentile from the thinnest value in NDB Red 1 or less The measurement value indicates the 1st percentile or less from the thinnest value in NDB ONH parameters 5 or less is not color coded Red 99 or more The measurement value indicates ...

Page 155: ...ent ID 2 Select an examination and then click the Report tab The Report screen appears The view mode that appears first differs according to the setting of the scan mode To switch view modes click the view mode tab The view mode that can be shown differs according to the scan mode selected when images were captured BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 155 10 26 2020 10 49 56 AM ...

Page 156: ...ation is deleted it cannot be restored To use this function you need Administrator or Super User privilege Saving Reports as Image Files The analysis report area of the Report screen can be saved as an image file The view mode and list box items are saved as shown 1 Click Output Or right click the examination list and select Output from the menu The Select Output Destination screen appears 2 Selec...

Page 157: ...file is saved to a pre specified folder Information For details on output destination settings see Output Settings see page 218 Saving the Currently Shown OCT Image as an Image File 1 Right click the OCT image and select Save As from the menu 2 Specify the save destination and click Save Saving the Currently Shown SLO Image as an Image File 1 Right click the SLO image and select Save As from the m...

Page 158: ...ame which you inputted on the System Settings screen at Initial Settings see page 198 and the login user s name are printed 1 Click Print Or right click the examination list and select Print from the menu The Print screen appears 2 Click Print The selected examination is printed Example of printout BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 158 10 26 2020 10 49 57 AM ...

Page 159: ...on for the right and left eye or shows it expanded Information Hiding Examinations Judged as NG NG images do not appear when you clear the NG image check box Changing the OCT Image View Changing Brightness and Contrast Move the cursor over the OCT image and drag the cursor up down right and left Dragging up and down Adjusts the brightness Dragging right and left Adjusts the contrast B Brightness C...

Page 160: ...efault When the view mode is General or OCTA Reset Boundaries Resets the positions of the boundaries Synchronize Boundaries Synchronizes the positions of two boundaries Angiogram Overlays Angiogram OCTA Changing the Ratio Right click the OCT image and select the item from the menu Fit Shows the image matched to size of image area default Real Scale Shows in real ratio 1 1 Using the Mouse Wheel to ...

Page 161: ...n to be Compared Individually The following describes the procedure for changing the examination to be compared in the Both Eyes Comparison or Combined mode 1 Click Select The Select examination screen appears 2 Select the examination and then click OK The Report screen reappears The selected examination appears BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 161 10 26 2020 10 49 57 AM ...

Page 162: ...eport screen reappears The selected examination appears Information The examination to be compared is automatically specified by clicking Latest examinations or Equal Interval Latest examinations The four latest examinations are specified Equal Interval The oldest examination is specified and three examinations are specified at equal intervals between the selected examination and the oldest examin...

Page 163: ...rom the menu Information The grid can be shown or hidden by selecting ETDRS Grid from the menu Selecting the OCT Image to Show The OCT image at the position of the OCT image selection line is shown by dragging the line Blue line The OCT image in horizontal scan direction Pink line The OCT image in vertical scan direction BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 163 10 26 2020 10 49 57 AM ...

Page 164: ...and turning the mouse wheel Measuring the Distance Between Boundaries Right click the OCT image and select Measurement Line from the menu The measurement line appears The thickness of the point of intersection of the boundary and measurement line is shown Measurement Line BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 164 10 26 2020 10 49 57 AM ...

Page 165: ...the brightness and contrast of the OCT images and change the color and ratio of the OCT image The enlarged OCT image of the anterior segment can also be shown in the same way This outputs or prints the screen This shows or edits boundaries This uses or shows the Tool to analyze the distance This adjusts the brightness contrast of the OCT image Clicking Reset returns brightness contrast to its init...

Page 166: ...mage The OCT image is changed by dragging the OCT image selection line Cross scan This shows the SLO image The OCT image is changed by clicking the B scan line OCTA image This shows the OCTA image En Face image This shows the En Face image The Report screen reappears Information Mouse Wheel Operation The OCT image can be changed by moving the cursor to the OCT image and turning the mouse wheel Sav...

Page 167: ...elect vary according to the scan mode The boundaries you can select are as follows Anterior Cross mode Anterior Surface Anterior Radial mode Anterior Surface Epithelium Bowman s Membrane Posterior Surface 3 Drag a point Information For the OCT image of the anterior segment you can edit any part on the boundary Information Click Reset to return corrected contents to their initial states BT8 1794 E0...

Page 168: ...tions repeat the same operation 3 Click OK The Edit Tools screen closes and the analysis results are saved Editing Analysis Results for a Retinal Tomogram Image 1 Click Tools The Edit Tools screen appears 2 Edit analysis results Point the mouse cursor to an end of an analysis line and drag it after the cursor is changed to a cross To edit others repeat the same operation 3 Click OK The Edit Tools ...

Page 169: ... Click OK The Edit Tools screen closes Deleting Specified Analysis Results 1 Click Tools The Edit Tools screen appears 2 Delete analysis results Right click an analysis result you want to delete and select Delete Tool from the menu The analysis result is deleted To delete others repeat the same operation 3 Click OK The Edit Tools screen closes BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 169 10 26 2...

Page 170: ...r TSNIT parameters are automatically calculated on the basis of the detected regions 1 Click Disc Cup The Edit Disc Cup screen appears and points are shown on the Disc and Cup lines 2 Edit Disc To edit Disc bring the cursor to the Disc point and drag to the end point of RPE Disc BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 170 10 26 2020 10 49 59 AM ...

Page 171: ... of the OCT image Cup 4 Edit Disc and Cup of other OCT images Turn the mouse wheel to change the OCT image and repeat the procedure from step 2 5 Click OK The Edit Disc Cup screen closes The position of the boundary is automatically corrected to match the editing result Information Click Reset to return corrected contents to their initial states BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 171 10 26...

Page 172: ...ance 3 Click the start and end points The length is shown To analyze other locations repeat the same operation 4 Click OK The Edit Tools screen closes and the analysis results are saved Analyzing an Angle 1 Click Tools The Edit Tools screen appears 2 Select Angle 3 Click the start point vertex and end point The angle is shown To analyze other locations repeat the same operation 4 Click OK The Edit...

Page 173: ...Tools screen appears 2 Select AOD TISA 3 Click points in order from 1 to 5 1 2 3 4 5 The analysis result is shown 4 Click OK The Edit Tools screen closes and the analysis result is saved BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 173 10 26 2020 10 49 59 AM ...

Page 174: ...t the same operation 4 Click OK The Edit Tools screen closes Editing AOD TISA 1 Click Tools The Edit Tools screen appears 2 Select AOD TISA 3 Edit analysis results Point the mouse cursor to an end of an analysis line and drag it after the cursor is changed to a cross Moving the shape Drag Point 1 Rotating the shape around Point 1 Drag Point 2 Changing the length of the analysis lines Drag Point 3 ...

Page 175: ...k OK The Edit Tools screen closes Deleting Specified Analysis Results 1 Click Tools The Edit Tools screen appears 2 Select a Tool type 3 Delete analysis results Right click an analysis result you want to delete and select Delete Tool from the menu The analysis result is deleted To delete others repeat the same operation 4 Click OK The Edit Tools screen closes BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS ...

Page 176: ...is license optional product is required Information An Intelligent denoise license optional product and a video card that meets the operating environment are required to use the Intelligent denoise function The Denoise button appears only when both conditions are met This shows a B scan line color blue and a measurement line color white on the OCTA image The measurement line color white and values...

Page 177: ...ram image switches the screen to Enlarging the OCT Image see page 165 If you double click the image again the B scan tomogram image reappears The Report screen reappears Information Mouse Wheel Operation When you move the cursor to the B scan tomogram image and turn the mouse wheel the B scan line position of the OCTA image changes and the tomogram image appears Saving OCTA Images Right click the ...

Page 178: ...on Method Superficial Capillary Deep Capillary or RPC is selected as a boundary of the OCTA image A message appears if the conditions are not met Analyzing a Distance 1 Click Tools The Edit Tools screen appears 2 Select Distance 3 Click the start and end points The length is shown To analyze other locations repeat the same operation 4 Click OK The Edit Tools screen closes and the analysis results ...

Page 179: ...re saved Analyzing an Area Automatic Selection 1 Click Tools The Edit Tools screen appears 2 Select Area Auto Select 3 Click a point inside the region whose area you want to analyze A closed curve of the region containing the specified point is drawn 4 Click OK The Edit Tools screen closes and the analysis results are saved BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 179 10 26 2020 10 50 00 AM ...

Page 180: ...closes and the analysis results are saved Editing Analysis Results for an OCTA Image Editing Analysis Results for Distances 1 Click Tools and select Distance The Edit Tools screen appears 2 Edit the analysis results for the distance Point the mouse cursor to an end of an analysis line and drag it after the cursor is changed to a cross 3 Click OK The Edit Tools screen closes Editing Analysis Result...

Page 181: ...item you want to delete from Distance Area Area Auto Select or Density 3 Delete the analysis results Point the mouse cursor to an analysis line right click and select Delete Tool from the menu 4 Click OK The Edit Tools screen closes Information If you select Clear All on the Edit Tools screen all the analysis results are deleted BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 181 10 26 2020 10 50 00 AM...

Page 182: ...ne color white on the En Face image The analysis line color white and values are shown on the B scan tomogram image This outputs or prints the screen This uses or shows the Tools to analyze the distance and area This selects the boundaries of the En Face image This shows the B scan tomogram image Double clicking the B scan tomogram image switches the screen to Enlarging the OCT Image see page 165 ...

Page 183: ...enu Specify the save destination and click Save Analyzing an En Face Image You can analyze the distance between two points and the area of the specified region Analyzing a Distance 1 Click Tools The Edit Tools screen appears 2 Select Distance 3 Click the start and end points The length is shown To analyze other locations repeat the same operation 4 Click OK The Edit Tools screen closes and the ana...

Page 184: ... and the analysis results are saved Editing Analysis Results for an En Face Image Editing Analysis Results for Distances 1 Click Tools and select Distance The Edit Tools screen appears 2 Edit the analysis results for the distance Point the mouse cursor to an end of an analysis line and drag it after the cursor is changed to a cross 3 Click OK The Edit Tools screen closes BT8 1794 E01_RX OCT A1_HS1...

Page 185: ...ols screen closes Deleting Analysis Results for an En Face Image 1 Click Tools The Edit Tools screen appears 2 Select the item you want to delete Select the analysis item you want to delete from Distance or Area 3 Delete the analysis results Point the mouse cursor to an analysis line right click and select Delete Tool from the menu 4 Click OK The Edit Tools screen closes Information If you select ...

Page 186: ...he match point on the two projection images and then click that point Two to five points can be entered The more match points are entered the more accurately the SLO images can be positioned Entered points are shown in the order of red blue green yellow and light blue Information To reposition a point drag the point To delete all points click Clear BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 186 10...

Page 187: ...the right side Information The transparency of each image can be adjusted by operating the overlay slider To reset positioning of the image click Reset 4 Click OK The registration screen closes BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 187 10 26 2020 10 50 01 AM ...

Page 188: ...le Both Eyes Comparison Progression General tomogram analysis General 1 Right click the SLO image and select Importing Retinal Camera Image from the menu 2 Select a retinal image file and then click Open The registration screen appears At this time the positions of the SLO image and retinal image are automatically adjusted 3 Correct the positions of the SLO image and retinal image Drag the circumf...

Page 189: ...de you can import retinal images captured with the RX Capture for Retinal Camera optional product 1 Right click the SLO image and select Select Retinal Camera Image from the menu The Select examination screen appears 2 Select a retinal image file and then click OK Same as Importing Retinal Camera Image 3 Correct the positions of the SLO image and retinal image Same as Importing Retinal Camera Imag...

Page 190: ... function is a function of RX Capture for OCT 1 Right click the OCTA image and select Mosaic from the menu The Select examination screen appears The same patient s examinations that have all the same information for the capture date right left eye and scan mode are displayed Information The examinations captured with an examination set for mosaic capturing on the same date are selected automatical...

Page 191: ...d Important The mosaic image is created by treating blood vessels as markers Therefore it is not suitable to create the mosaic image when the area in which the images are overlapped is small Change the examinations selected in step 2 Do not diagnose a patient from mosaic images alone Be sure to refer to the original images as well Information The mosaic image is created on the basis of the setting...

Page 192: ...Select and right click an image on the examination list and select Import Image from the menu The Open screen appears 2 Select an image file Image files with the bmp or jpg extension can be selected 3 Click Open The Image Import screen appears 4 Configure each setting Device Select a device from the list box L R Select Left Right or Both from the list box BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb...

Page 193: ... Viewing Images in the Screening Mode The patient list can be sorted in the order in which images were captured and images can be viewed in the selected view mode Information For details on settings for the screening mode see Screening Settings Tab in System Settings see page 204 Searching for a Patient by the Date when Images were Captured Select the Search condition for Screening Mode check box ...

Page 194: ... The images of the patient selected on the Screening List can be viewed in the selected view mode Click Previous or Next to display the previous or next image BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 194 10 26 2020 10 50 03 AM ...

Page 195: ...8 Settings This chapter describes the methods of setting various functions After another user logs out modify the settings BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 195 10 26 2020 10 50 03 AM ...

Page 196: ...istrator with which the privileges have been set to the Administrator and click Initial Settings The Initial Settings screen appears 2 Click the item for which you want to perform settings The screen to set the selected item opens BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 196 10 26 2020 10 50 04 AM ...

Page 197: ...8 Settings 197 3 Perform settings and then click OK The Initial Settings screen reappears 4 Click Close The login screen appears BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 197 10 26 2020 10 50 04 AM ...

Page 198: ...ion Name Input the station name Location Input the location Institutional Department Name Input the institutional department name Be sure to input the value Institution Name Input the institution name Be sure to input the value Database Select Local or Remote in RX Capture for OCT The database for RX Viewer is Remote and for RX Server it is Local Server Name Specify the server as the database to s...

Page 199: ... Compute Capability 3 0 or later graphics cards with a higher performance than Quadro K2200 and a video memory of 4 GB or more must be installed CUDA10 must also be installed Information When you select Remote on Database the examination data is saved temporarily to the local hard disk if a failure occurs in the server specified as the database or the network When you log in after recovering from ...

Page 200: ...use the file cache Cache Folder Click Browse and then select the destination for the cache file Cache Size Input the cache file size 1 to 999 GB Expiration Time Input the expiration date 1 to 999 days for the cache file BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 200 10 26 2020 10 50 04 AM ...

Page 201: ...hen select the destination for the auto export file Folder Maximum Size Input the auto export folder size 1 to 999 GB Expiration Time Input the expiration date 1 to 999 days for the auto export file Important In order to change the settings of this function please contact your sales representative or local Canon dealer BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 201 10 26 2020 10 50 04 AM ...

Page 202: ...er name to Button label Be sure to enter a name 2 Click Browse to select an application you want to register Be sure to select an application 3 Select Minimize RX Software to minimize the software and to execute the registered application 4 Fill in Parameters as needed 3 Click OK The System Settings screen reappears and the registered launcher appears BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 202...

Page 203: ...laucoma 3D Disc 3D and RC Capture modes Layout 2 Layout for optic disc analysis It can be enabled in the Glaucoma 3D Disc 3D and RC Capture modes Layout 3 Layout for optic disc analysis It can be enabled in the Glaucoma 3D Disc 3D and RC Capture modes Default Map Select a RFNL map from the list box to be displayed in the Layout 1 layout Default Report View Mode Select a view mode to be displayed o...

Page 204: ...tween the 5th and 95th percentiles of the thickness of NDB the reports are displayed in the Layout 1 layout Otherwise they are displayed in the Layout 2 layout Specified Select a layout from the list box Default Map Select a map to be displayed when the Combined tab is selected Default Report View Mode Select a view mode for the Report screen from the list box ONH Measurement Supports NDB Select i...

Page 205: ...at is converted randomly Replaced with Replace the patient ID with a specified text string Enter the text string with which the patient ID is replaced Important When examination data for the same patient are output multiple times When you select New ID for the method for anonymization the patient ID which is anonymized is converted into the same value every time When you select Random ID for the m...

Page 206: ...ut data with the Age information blank Disease Select it to output data with the Disease information blank Comment Select it to output data with the Comment information blank Accession No Select it to output data with the Accession No information blank Anonymization Target Set whether to anonymize each function for Print Export Save as XML and Save As You can make the following settings from the l...

Page 207: ...pture for OCT User Patient Name format Select the display order of the patient name Application Colors Select the background color of the software Information Restart the software whenever you change the Application Colors setting Default view mode for RC report Select the default view mode for the retinal image report Progression for OCTA Examination Select it to display the examination done in O...

Page 208: ...on set 5 examination sets have been registered in the OCT by default These examination sets can be edited and deleted but they cannot be returned to their default once they are edited and deleted Information For details on the examination sets which are registered by default see Types of Examination Sets see page 49 Creating New Examination Set 1 Click Add The Examination Set Settings screen appea...

Page 209: ... mode after taking the image To edit the setting of the scan mode see Editing An Examination Set Information The name of the examination set can be input up to 16 characters 3 Click OK The Examination Settings screen reappears The created examination set appears Information You can select from two types of C Gate positions Normal Captures an image emphasizing the vitreous Inverse Captures an image...

Page 210: ...xamination set Select an examination set and then click Delete To change the display order of examination sets Select an examination set and then click or 2 Change the settings of the examination set To add a scan mode Select the scan mode from the list box and then click Add To change the order of scan modes to be executed Select a registered scan mode and then click or To delete a scan mode Sele...

Page 211: ...ck OK The Examination Settings screen reappears Information The scan patterns Medium Square Large Square Horizontal Wide and Vertical Wide are additional functionalities and require the optional OCTA 2 license Using larger scan patterns than Small Square may cause more artifacts on the captured image due to the extended duration of the capturing process For details consult your sales representativ...

Page 212: ...ange each content item to be displayed 3 Click OK The Examination Set Settings screen reappears Information The thickness between ILM and RPE is calculated as the retinal thickness The setting can be changed to calculate the thickness between ILM and BM On the Report screen default display items screen of the Macula 3D mode select ILM BM on the Full Retinal Definition setting BT8 1794 E01_RX OCT A...

Page 213: ... method suitable for rendering CNV choroidal neovascularization are set in CNV However CNV is not always detected Creating a New OCTA Image Definition 1 Click OCTA Image Definitions The OCTA Image Definitions screen appears 2 Click Add A new item is added to the list 3 Set the contents of the OCTA image definition 1 Enter the name of the OCTA image definition to Name 2 Set 1st Boundary Offset and ...

Page 214: ...CTA image definition is added Editing an OCTA Image Definition Select an OCTA image definition and set each item For details on setting each item see Creating a New OCTA Image Definition Information To delete an OCTA image definition Select an OCTA image definition and then click Delete To change the display order of OCTA image definitions Select an OCTA image definition and then click or BT8 1794...

Page 215: ...o be entered Input a value from 1 to 64 for Patient ID and from 1 to 16 for Accession No Constraint Select each item as the input mandatory item or the input prohibited item Character Limitations Select the usable character to input into each item numeric only or alphanumeric only On Disease and Comment however you can select whether to use alphanumeric only BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS i...

Page 216: ...thnic group identifiers used in the CSV files Sex Identifiers Input the sex identifiers used in the CSV files Separator Select the separator character used in the CSV file Birth date format Select a data format used for birth date Birth date delimiter Select the separator character to separate year date and month BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 216 10 26 2020 10 50 07 AM ...

Page 217: ...nic Group setting on the Patient screen the setting on Default ethnic group is applied On the Report screen it is shown distinctively as follows whether ethnic group is set Ethnic Group is set Asian Ethnic Group is not set Asian BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 217 10 26 2020 10 50 07 AM ...

Page 218: ...s and imported images Outputs report File Names of the Output Data To Output Tomogram Images File names AAA_BBB_CCC_DDD_EEE_Images_X0 xxx AAA Patient ID BBB Photography date yyyymmdd CCC Photography time hhmmss DDD Scan mode name EEE Right or left eye X0 OCT image type and the number of scanning H OCT image horizontal scan V OCT image vertical scan R Optic disc OCT image or OCT image radial scan C...

Page 219: ...CCC_DDD_EEE_FFF xxx FFF View mode name Example 123456_20120101_153030_Macula3D_R_Single jpg To Output Captured Images File names AAA_BBB_CCC_GGG_EEE_HHH xxx GGG Retinal camera mode name HHH Image type RetinalImage Captured image OtherImage Imported image Example 123456_20150130_101637_Color_R_RetinalImage jpg 654321_20130302_092933_Import_L_OtherImage jpg BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb...

Page 220: ...ch item Set Name Input the name of the output destination Be sure to input the value Contents Select the contents of data to be output Image Outputs captured images Report Outputs reports Type Select DICOM Network Host Name Enter the host name or the IP address IPv4 Be sure to input the value Port Number Enter the port number Be sure to input the value BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 22...

Page 221: ...t it to anonymize the output contents and output them Background Color Select report background color when selecting Report Connection check Check the connection Information For details on acceptable characters of each item see Acceptable Characters see page 261 3 Click OK The Output Settings screen reappears Information If the number of images you transmit exceeds the upper limit of the DICOM sta...

Page 222: ... Name Input the name of output destination Be sure to input the value Contents Select the contents of data to be output Image Outputs captured images Report Outputs reports Type Select the type of data to be output DICOM File DICOM format JPEG File JPEG format BMP File BMP format Output Folder Click Browse and then select the folder of output destination BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb ...

Page 223: ... Report OCT Settings Tab SOP class Select the SOP class for the model to be configured when DICOM Network or DICOM files is selected with SLO image Select it to select OCT SLO images as output contents Image Rescaling Select whether or not to change the ratio of OCT images to be output when JPEG files or BMP files is selected Don t rescale Outputs an image having the same number of pixels as the s...

Page 224: ...ges or reports automatically after taking them Automatic Output can be set in RX Capture for OCT Other Device Settings Tab SOP class Select the SOP class for the model to be configured when DICOM Network or DICOM files is selected Annotation Same as the RC Settings tab Information For details on acceptable characters of each item see Acceptable Characters see page 261 3 Click OK The Output Setting...

Page 225: ...ns Select the check box of the report you want to print in portrait orientation from Single Report and or Both Eyes Report Apply white mask to Print Image menu You can reduce the consumption of black ink during printing by changing the black area around the captured image to white Select it to apply the white mask Information Regarding operations to print portrait report of RC capture see the oper...

Page 226: ...ress IPv4 Be sure to input the value Port Number Enter the port number Be sure to input the value Server AE Title Enter the server AE title Be sure to input the value Specific Character Set Select the specific character set Maximum No of Worklist Input the maximum number of worklists 1 to 999 to be acquired Be sure to input the value Connection check Check the connection BT8 1794 E01_RX OCT A1_HS1...

Page 227: ...ch Condition The MWL Search Condition screen appears 2 Select items as needed and enter dates and names 3 Click OK The Worklist Settings screen reappears Information For details on acceptable characters of each item see Acceptable Characters see page 261 BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 227 10 26 2020 10 50 08 AM ...

Page 228: ...t the value Port Number Enter the port number Be sure to input the value Server AE Title Enter the server AE title Be sure to input the value Specific Character Set Select the specific character set Connection check Check the connection Information For details on acceptable characters of each item see Acceptable Characters see page 261 BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 228 10 26 2020 10 5...

Page 229: ... bar Cooperate with Select an application to be used for importing images Device Select a retinal camera to be used Connection check Check the connection Folder Select a save destination of the images captured with a retinal camera Be sure to select a destination Stereo Capture Target Except Digital Filter Image default Select when not transferring digital filtered images All Images Select when tr...

Page 230: ...en Patient Information cooperation Select it to share the patient information with the Rics On Save study file to be sure to select a save destination to which the patient information is transferred Start Rics automatically Select it to display the main screen of the Rics after the patient information is transferred On Folder be sure to select the path where the Rics is installed to start up the R...

Page 231: ...ation you can operate the software using the user information already registered in the domain User Management can be set when you select Local on Database Adding a User 1 Click Add The Add new user screen appears 2 Enter the user information 1 Input the user ID in User ID Be sure to input User ID BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 231 10 26 2020 10 50 08 AM ...

Page 232: ...ion examinations and images transferring examination data and editing patient information and examinations Information For details on acceptable characters of each item see Acceptable Characters see page 261 3 Click OK The User Management screen reappears The added user appears Changing the User Information 1 Select a user and then click Edit The User properties screen appears Information To delet...

Page 233: ...mation To change a password Click after you log in Clicking Password Settings allows you to change a password see page 243 Using the User Information Registered in the Domain 1 Click LDAP Settings The LDAP Settings screen appears BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 233 10 26 2020 10 50 08 AM ...

Page 234: ...cation 1 Select Communication Enabled 2 Enter a server name or IP address for the directory service in Server 3 Add a user 1 Click Add The Access Account screen appears BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 234 10 26 2020 10 50 09 AM ...

Page 235: ...e software ID Enter the ID registered in the directory service Account Type Select User to grant the privilege to an individual or select Group to grant the privilege to a group Privilege Level Select a privilege level 4 Click OK The registered account is added to the list on the LDAP Settings screen BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 235 10 26 2020 10 50 09 AM ...

Page 236: ...Database Storage Management can be set You can set network storage as the current drive Adding a Drive Select a drive from the list box and then click Add The selected drive appears at the bottom of the list Important The drive to be added requires free space greater than 100 GB Changing the Current Drive Select Current of the drive to be set as a current drive Changing the Priority of Drive Selec...

Page 237: ...of the patient information and the examination data that were acquired with the OCT and restore them The backup can be performed either automatically or manually In the automatic backup the backup schedule can be set If a problem occurs to the database restore the patient information and examination data When you select Local on Database Backup and restore can be set Setting a Drive for the Backup...

Page 238: ...r succeeding to full backup check box Important The automatic backup is performed when you exit the software However the backup is performed only once a day Consequently if the software is started more than once a day data acquired from the second and subsequent startups will be backed up at the next scheduled backup time CAUTION Users who are logged in are notified to log out When you receive the...

Page 239: ...rts Click Cancel to cancel the backup Displaying the Backup Log When the Backup Logs tab is clicked the list of the backup log appears Information To delete a backup log Select a backup log and then click Delete BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 239 10 26 2020 10 50 09 AM ...

Page 240: ... date of the backup log and the contents of data 1 Select a backup log and then click Restore For example if restoring the backup log of 5 16 2012 the status returns to 5 16 2012 Therefore the patient information and examination data acquired on and after 5 17 2012 are deleted Restoring starts When the screen where the progress bar is indicated disappears restoring is finished BT8 1794 E01_RX OCT ...

Page 241: ...han XX months Data which are older than the number of months you enter are transferred Example If you enter 12 data which are older than a year are transferred Archive Click Archive button to transfer data to the archive destination Information The archive mark is displayed on examinations that have already been archived It may take time to show examinations that have already been archived BT8 179...

Page 242: ...tion screen appears 2 Enter the license key 3 Click OK The license is activated The status changes from Not Activated to Activated 4 Click Close The License Management screen closes Information Trial periods for optional licenses Select an application you want to try out and then click Start Trial to start trial use The trial period for the optional licenses is for 90 days from the day you start t...

Page 243: ...the log in user 1 Click on the menu bar The settings screen appears 2 Click Password Settings 3 Input the old password and then input the new password twice 4 Click OK The password is changed 5 Click Close The settings screen closes BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 243 10 26 2020 10 50 10 AM ...

Page 244: ...ttings screen appears 2 Click Disease Settings 3 Input a disease name in Disease and click Add The input disease name appears in the list Information To change the display order of the disease names Select a disease name and click Up or Down To delete a disease name Select a disease name and click Delete 4 Click OK 5 Click Close The settings screen closes BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb...

Page 245: ...ntenance This section describes the maintenance instructions for the OCT daily inspection cleaning disinfecting refilling chin rest paper BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 245 10 26 2020 10 50 10 AM ...

Page 246: ...ion is not torn 2 The power cord is fully and securely inserted into the AC connector on the OCT and the AC outlet 3 The exterior of the OCT is not damaged or loose 4 There are no scratches or dirt on the objective lens Clean the objective lens if it is dirty see page 247 5 There is no dirt on the computer monitor Clean the computer monitor if it is dirty Checks After Turning On the Power Turn on ...

Page 247: ...s dirty clean it according to the procedure below 1 Check for any dirt Illuminate the objective lens with a penlight to check for dirt 2 Blow away any dust or dirt Use a blower to blow away any dust or dirt on the lens Do not use a brush to dust off Important Do not allow the blower to touch the objective lens 3 Wipe the objective lens 1 Wipe the objective lens lightly with a lens cleaning paper m...

Page 248: ...rom the AC outlet Otherwise fire or electric shock may result Important Do not clean the exterior of the OCT with lens cleaner It may damage the material of the exterior of the OCT If the exterior of the OCT is dirty clean it according to the procedure below 1 Turn off the power to the OCT Turn off the power switch and unplug the power cord from the AC outlet 2 Wipe with a cloth soaked in cleanser...

Page 249: ... left of the chin rest paper 3 Attach the chin rest paper to the chin rest Important Insert the holding pins straight into the holes Information Chin rest paper is a consumable product optional product To purchase chin rest paper contact your sales representative or local Canon dealer BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 249 10 26 2020 10 50 11 AM ...

Page 250: ...the computer 4 Turn on the power to the OCT Move the measurement unit and the chin rest to the position for packing Measurement unit The center position in the movable range and the lowest position Chin rest The lowest position 5 Turn off the power to the OCT 6 Be sure to unplug the power plug from the AC outlet and disconnect any cables connected to other equipment 7 Move the OCT by at least two ...

Page 251: ...10 Troubleshooting BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 251 10 26 2020 10 50 11 AM ...

Page 252: ...data or add a drive For details please contact your sales representative or local Canon dealer There is not enough free disk space to continue The data storage hard disk drive has less than 1 GB of free space Add a drive immediately For details please contact your sales representative or local Canon dealer There are missing mandatory data Please add at least one HDD to store examination data You h...

Page 253: ...mit Database is not being modified or backup is not being performed Connection to server has been lost After checking the followings try to log in again LAN cable is connected A computer with the RX Capture for OCT installed has been started Communication with FileSync service took too much time BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 253 10 26 2020 10 50 11 AM ...

Page 254: ...254 10 Troubleshooting BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 254 10 26 2020 10 50 11 AM ...

Page 255: ...Appendix BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 255 10 26 2020 10 50 11 AM ...

Page 256: ... scan H 128 B scan Scanning area 10 10 mm Glaucoma 3D 1024 A scan V 128 B scan Scanning area 10 10 mm Disc 3D 512 A scan H 256 B scan Scanning area 6 6 mm Wide 3D 512 A scan V x 128 B scan 1024 A scan H x 1 B scan Scanning area 13 x 10 mm Custom 3D 1024 A scan H V 128 B scan Scanning area 3 to 10 mm adjustable range Multi Cross Horizontal 1024 A scan H 5 B scan Vertical 1024 A scan V 5 B scan Scan...

Page 257: ... area 3 to 10 mm adjustable range Number of averaging 1 5 10 sheets Number of averaging 1 5 10 20 30 50 sheets Anterior 3D 512 A scan H 256 B scan Scanning area 6 6 mm Anterior Cross Horizontal 1024 A scan H 1 B scan Vertical 1024 A scan V 1 B scan Scanning area 3 to 6 mm adjustable range Number of averaging 1 5 10 20 50 sheets Number of averaging 1 5 10 20 50 100 150 200 sheets Anterior Radial 10...

Page 258: ... 10 mm Number of averaging 2 3 4 6 sheets Large Square 696 A scan H 696 B scan Scanning area 6 6 mm 8 8 mm 9 9 mm 10 10 mm Number of averaging 2 3 4 sheets Horizontal Wide 232 A scan V 696 B scan Scanning area 9 3 mm 12 4 mm Number of averaging 2 3 4 6 sheets Vertical Wide 232 A scan H 696 B scan Scanning area 3 9 mm 4 10 mm Number of averaging 2 3 4 6 sheets When OCTA 2 is installed BT8 1794 E01_...

Page 259: ...n 18 to 15 D 1 D 1 m 1 Working distance Retinal tomography 35 mm Anterior segment tomography 20 mm Required pupil diameter 3 0 mm or more Range of motion Measurement unit Chin rest Up and down 30 mm Right and left 100 mm Back and forth 40 mm 60 mm Power supply rating AC 100 to 240 V 50 60 Hz 3 7 to 1 6 A Dimensions 387 W x 499 D x 474 H mm Weight 29 kg BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 25...

Page 260: ... Choroid Macula 3D 10 10 H 0 079 Macula 1 Choroid Single Multi Cross 10 10 H V 0 3 Macula 10 Choroid Single Anterior Anterior 3D 6 6 H 0 024 Center of SLO 1 Vitreous General Anterior Cross 6 6 H V Center of SLO 50 Vitreous Single Anterior Radial 6 12 directions Center of SLO 1 Vitreous Single General Custom 3D 10 10 H 0 079 Macula 1 Vitreous General Multi Cross 10 10 H V 0 3 Macula 10 Vitreous Sin...

Page 261: ...f character Description Patient ID 64 cannot be entered Patient Name 64 Up to 60 characters can be input to each item of the patient name A space is entered between the items and cannot be entered Accession Number 16 cannot be entered Disease name 4096 Comment 4096 System Settings Specific Character Set Items Tag value of specific character set Default None Latin 1 ISO_IR 100 Latin 2 ISO_IR 101 Cy...

Page 262: ...DICOM Settings Items Maximum number of character Description AE Title 16 Alphanumeric characters cannot be entered Station Name 16 cannot be entered Location 16 cannot be entered Institutional Department Name 64 cannot be entered Institution Name 64 cannot be entered Set Name 64 Output Folder 125 Host Name 64 Port Number 5 digit Range from 1 to 65535 Server AE Title 16 Alphanumeric characters cann...

Page 263: ...sed only as a guide Values vary depending on captured images Scan Mode File Size Macula 3D 100 MB Glaucoma 3D 100 MB Disc 3D 100 MB Wide 3D 50 MB Custom 3D 100 MB Cross 2 MB Multi Cross 10 MB Radial 12 MB Anterior 3D 100 MB Anterior Cross 2 MB Anterior Radial 12 MB OCTA Small Square 90 MB OCTA Medium Square 360 MB OCTA Large Square 720 MB OCTA Horizontal Wide 270 MB OCTA Vertical Wide 270 MB BT8 1...

Page 264: ...y contact the equipment including the connected devices or where the patient examiner may contact the person who touches the equipment including the connected devices is illustrated below Radius 1 5 m 1 5 m 1 5 m 2 5 m BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 264 10 26 2020 10 50 11 AM ...

Page 265: ...and is reflected by the retinal tissues Then the light returns to the beam splitter When the two reflected lights join and overlap a low interference wave with different amplitude is generated This wave is separated by diffraction grating and then it is converted into the electric signal by the detector A calculation is performed that enables this signal to photograph and record the retinal tomogr...

Page 266: ...t medical electrical equipment 3 Information regarding the cable affecting EMC is as follows To maintain the optimum EMC performance use only the designated cables Name Type Length Remarks AC Power Cord Non Shielded 3 0 m fixed length Supplied Synchronous Cable Shielded Max 2 0 m Supplied USB Cable Type AB connector plug supporting USB 2 0 Hi Speed Max 2 0 m Not supplied Data Cable Shielded Max 2 ...

Page 267: ...ore its RF emissions are very low and are not likely to cause any interference in nearby electromagnetic equipment RF emissions EN 55011 CISPR11 Class B The OCT is suitable for use in all establishments including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Harmonic emissions EN IEC 61000 3 2 ...

Page 268: ...uality should be that of a typical commercial or hospital environment Surge EN IEC 61000 4 5 1 kV line s to line s 2 kV line s to earth 1 kV line s to line s 2 kV line s to earth Mains power quality should be that of a typical commercial or hospital environment Voltage dips short interruptions and voltage variations on power supply input lines EN IEC 61000 4 11 0 UT 0 5 cycle at 0 45 90 135 180 22...

Page 269: ... 800 MHz to 2 7 GHz Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site surveya should be less than the compliance level in each frequency rangeb Interference may occur in the vicinity of equipmen...

Page 270: ...mer or the user of the OCT can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the OCT as recommended below according to the maximum output power of the communications equipment Rated maximum output power of transmitter W Separation distance according to frequency of transmitter m 150 kHz to 80 MHz...

Page 271: ... or local Canon dealer for repairs When requesting repair please provide the following information Name of the instrument OCT A1 or OCT HS100 Serial number 6 digit number on the rating label Description of malfunction Report as much detail as possible Time Limit for Supplying Performance Parts for Repair Performance parts parts for repairs to maintain performance will be stocked for eight years af...

Page 272: ...272 BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 272 10 26 2020 10 50 11 AM ...

Page 273: ...273 BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 273 10 26 2020 10 50 11 AM ...

Page 274: ...274 BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 274 10 26 2020 10 50 11 AM ...

Page 275: ...BT8 1794 E01_RX OCT A1_HS100 V4 6_CVS indb 275 10 26 2020 10 50 11 AM ...

Page 276: ...istributed by CANON SINGAPORE PTE LTD Medical Equipment Products Division 1 Fusionopolis Place 15 10 Galaxis Singapore 138522 Telephone 65 6799 8888 CANON AUSTRALIA PTY LTD Canon Specialised Imaging Division Building A The Park Estate 5 Talavera Road Macquarie Park N S W 2113 Australia Telephone 61 2 9805 2000 Revision Date 2020 11 BT8 1794 E01 1120P0 001 CANON INC 2015 2020 BT8 1794 E01_RX OCT A1...

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