NAVIS-EX
Transcription
NAVIS-EX
IMAGE FILING SOFTWARE NAVIS-EX (for AFC-330) OPERATOR’S MANUAL Original instructions NIDEK CO., LTD. (Manufacturer) NIDEK CO., LTD (Tokyo Office) NIDEK INCORPORATED (United States Agent) NIDEK S.A. (EU Authorized Representative) : 34-14, Maehama, Hiroishi-cho, Gamagori, Aichi 443-0038, Japan Telephone: +81-533-67-6611 Facsimile: +81-533-67-6610 : 3F Sumitomo Fudosan Hongo Bldg., 3-22-5, Hongo, Bunkyo-Ku, Tokyo 113-0033, Japan Telephone: +81-3-5844-2641 Facsimile: +81-3-5844-2642 : 47651 Westinghouse Drive, Fremont, California 94539, U. S. A. Telephone: +1-510-226-5700 Facsimile: +1-510-226-5750 : Europarc 13, rue Auguste Perret, 94042 Créteil, France Telephone: +33-1-49 80 97 97 Facsimile: +33-1-49 80 32 08 April 2012 19702-P9C2A Printed in Japan CAUTION The contained NAVIS-EX software (hereafter referred to as Software) and related explanatory written materials may be used only when you agree with the "SOFTWARE LICENSE AGREEMENT" below. Before using the Software, thoroughly read "SOFTWARE LICENSE AGREEMENT". SOFTWARE LICENSE AGREEMENT This NAVIS-EX SOFTWARE LICENSE AGREEMENT (hereafter referred to as The Agreement) is a legal contract of the software, the attached medium, printed matter, and an electronic document (hereafter referred to as the Software) between you (regardless of private users or corporate users) and NIDEK (hereafter referred to as NIDEK). You must consent to being restricted by this Agreement when you install, copy or download this Software or when you use the Software in any ways. If you don't agree with the terms and conditions of this Agreement, return the disc package and the instruction manual to the location where you obtained them. [1] GENERAL This Agreement takes effect from the date of reception of the Software product. This License Agreement will be terminated if you fail to comply with any terms or conditions outlined in this Agreement. The Software and Operator's Manuals are subject to change without notice for improvement. [2] GRANT OF LICENSE NIDEK grants the following license regarding the purchased Software to you based on this License Agreement. You may install and use this software in a single location on a hard disk of a computer. "Use" of the Software means reading the Software to a temporary memory such as RAM of a computer, or installing the Software on a fixed memory such as a hard disk. When the Software is used on multiple computers, you must obtain the same number of the Licenses as the number of computers where the Software will be used even if the Software will not be used concurrently on multiple computers. Installing the Software into a fixed memory such as a hard disk of a computer from the server doesn’t mean, "Using" the Software as long as the the network server runs only for installing the Software into anther computer. In such cases, once another computer has the software installed from the server, that computer needs the License. [3] COPYRIGHT OF THE SOFTWARE The Software and all the duplications related to the Software rights and copyright are owned by NIDEK. The Software is protected by copyright laws, other intellectual property rights including the agreement concerning the copyrights and international treaties. You may not duplicate or divert the Software without NIDEK's agreement. You may not copy any documents accompanying this Software. I [4] PROHIBITION You only acquire the right of the use of the Software based on this Agreement. You may not use any NIDEK trademarks, trade names or logos without NIDEK's agreement. You may not reverse engineer, reverse compile or reverse assemble the Software. You may not alter the Software. All similar acts besides the rental, the lease and the transfer to the third person without NIDEK agreement are prohibited. You are prohibited to distribute the Software and the duplications to the third party without NIDEK's agreement. [5] WARRANTY You may ask for repair or replacement when finding any physical damage to the CD-ROM or printed materials within 30 days from the receipt of the Software. [6] LIMITATION OF RESPONSIBILITY NIDEK warrants the Software by replacing it with a functionally equivalent one when a significant error hinders you from achieving your objectives within the performance specifications of the Software. [7] EXCLUSION NIDEK assumes no responsibility for the following: a) Accidental or indirect damages to the Software caused by the use or unuse of the Software. b) Accidental or indirect damages of the Software caused by providing or no-function of the support service. c) Accidental or indirect damages of the Software caused by the loss of expected support, the loss of future expected profits. d) Any other damages that result from usage of the Software. Despite any types of lawsuits, and even if NIDEK is informed of a possibility of such damages, the limitation mentioned above works the same for the law of the product liability, illegal profit, illegal act, or any revised cause of actions. NIDEK assumes no responsibility for Software failure or damages to the Software caused by natural disasters such as earthquakes, fires, other accident acts by third person, your intentional acts, negligence, misuse, or under other abnormal conditions. NIDEK assumes no responsibility for any trouble that occurs due to installation or other setting operations of this software by persons other than NIDEK personnel or those specified by NIDEK. [8] GOVERNING LAW This Agreement shall be governed by and construed in accordance with the laws of Japan. In the event there is a dispute concerning the subject matter of this Agreement, the parties submit to the exclusive jurisdiction of the Nagoya District Court of Japan as the court of first instance. * If you have any questions about this Agreement, contact NIDEK. II : Use this instrument properly and safely. BEFORE USE, READ THIS MANUAL. This operator's manual contains information necessary for operation and safety precautions of the NIDEK NAVIS-EX IMAGE FILING SOFTWARE. For correct use, this manual is needed. Especially, the cautions for safety and operating procedures must be thoroughly understood before using the instrument. Keep this manual handy to verify use whenever necessary. If you encounter any problems or have questions about the software, please contact your authorized distributor. “CAUTION! Federal Law (US) restricts this device to sale by or on the order of a properly licensed practitioner.” Safety precautions In this manual, a signal word is used to designate the degree or level of safety alerting. The definition is as follows. CAUTION • Indicates a potentially hazardous situation which, if not avoided, may result in minor or moderate injury or property damage accident. Even situations that are labeled CAUTION may result in serious injury under certain conditions. Safety must be followed strictly at all times. III : Use precautions Before Use CAUTION • Do not use the unit for other than its intended purpose. NIDEK will not be responsible for accidents or malfunction caused by such carelessness. • The following environment conditions must be maintained during use. Conditions in use Temperature: 10 to 35ºC (50 to 95ºF) Humidity: 30 to 75% (non-condensing) Pressure: 800 to 1060 hPa No hazardous dust or smoke Moreover maintain the environmental conditions described on the manual of your PC during use. • For connection, configuration, and installation of NAVIS-EX, see the NAVIS-EX Installation Manual. • Connect a cable to the interface connector securely, maintaining a correct orientation of a connector of the cable. Data transmission will not be performed properly. During Use CAUTION • For correct use, this manual is needed. Especially, the cautions for safety and operating procedures must be thoroughly understood before using the software. By using the software outside of the Operator's Manual, unexpected failure or adverse event may occur. • A license is necessary for use of this software. Purchase the quantity needed. • If no communication or communication failure occurs on a network, check the network condition. • When the network is connected with equipment other than NAVIS-EX, virus infection or falsified data may occur. Ensure that it is proper operation condition under an administrator. • If improper network settings are made, network failure may occur. Ensure that proper settings are made under an administrator. • The measurement function of this software offers reference information of the distance conversion based on pixel measurement. • Read the instruction manuals for your computer or Windows, and observe the general rules. • There is some part that is different in operatability with the standard Windows. So please be sure. IV : CAUTION • Change the patient with a device other than the capture terminal. If the patient is changed with the image capture terminal, an unexpected operation may result. • Do not change the patient or exit NAVIS-EX when acquiring images, reading files or processing images. It may cause unexpected errors or corrupt the image data. • Adjust the brightness and contrast of the display monitor to the best ones. • The tone of printouts produced from printers may vary according to the used monitor and printer. • After turning-on of the device, do not remove the communication cable. Connecting error occurs and reinstallation following to the procedure is required to continue the use. • Do not set the PC standby mode (power off). In standby mode, capturing by the connected device is not possible. After recovering from standby mode, data transmission cannot be performed properly. • Be sure to use the password lock function for the screen saver. The function preents operation by unauthorized people by requiring input of the user name and the password when resuming operation after a long period of idle time. • Do not change the set language. • When using multiple terminals, upgrade all terminals to the same version. If different versions are used, the database file may be corrupted. • If the examination data of a patient that is already displayed on other terminal(s) is to be opened, the image may not be displayed. In such a case, return to the Image List screen and retry to display the examination data. • When a USB device is added, drive assignment is changed and backup or restoration may not be performed correctly. Check the location for storage or restoration before performing the operation. • Even if backup is set to be performed, if the power is not turned on or if the backup location cannot be found, backup is not performed. • When the network is connected to the device other than NAVIS-EX, check the status of operation under network administrator as there is a threat of virus infection or falsification of data. • For NAVIS-EX, even if patient data and image data are deleted, the data remains recognized as deleted data and disk space does not free up. • When using NAVIS-EX, the NAVIS-EX folder automatically created on the drive where NAVIS-EX is installed must have write authority. Confirm the user is logged in with authority to use NAVIS-EX. • The user is responsible for ensuring that appropriate safegaurds are employed for protecting the network against viruses, unauthorized access, malicious intent, and cyber-security threats to which the NAVIS-EX PC and devices are connected to. Failure to do so could cause potential data loss and/or corruption. V : After Use CAUTION • Maintain the surrounding temperature and humidity at the following ranges during transport and storage of the instrument. Environmental conditions Temperature: -10 to 55ºC (14 to 131ºF) Humidity: 10 to 95% (Non-condensing) Pressure: 700 to 1060 hPa A place with low dust A place not exposed to direct sunlight • Be sure to back up data to an external memory such as a USB hard disk. If the NAVIS-EX software or the hard disk drive is corrupted, the stored data will be unusable. • Operators should be responsible for managing their data. NIDEK assumes no responsibility for a loss of data. • Never shut off the personal computer before shutting down Windows. The programs or data in the computer may be corrupted. Maintenance and Check CAUTION • This application needs no regular maintenance. • For data protection, to make a backup to USB hard disk etc. on a daily basis is recommended. Disposal CAUTION • Follow the local ordinances and recycling regulations regarding disposal or recycling of the components. It is recommended to commission the disposal to a designated industrial waste disposal contractor. Inappropriate disposal may contaminate the environment. • When disposing of packing materials, sort them by material and follow local ordinances and recycling regulations. Inappropriate disposal may contaminate the environment. VI Table of Contents 1. ACQUIRING IMAGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1.1 Outline of Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 1.2 Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 1.3 Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 1.4 Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 1.5 Starting and Exiting NAVIS-EX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 1.5.1 1.5.2 1.5.3 1.5.4 Starting NAVIS-EX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Starting NAVIS-EX (when no imaging device is connected). . . . . . . . . . . . . . . . . . .7 Exiting NAVIS-EX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Displaying messages at the time of start-up/exit . . . . . . . . . . . . . . . . . . . . . . . . . . .9 1.6 Setting and Executing Automatic Backup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 1.6.1 1.6.2 1.6.3 1.6.4 1.6.5 Archive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Manual backup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 Restoration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 Required initial settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 1.7 Patient List Screen Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 1.7.1 1.7.2 1.7.3 1.7.4 Menu bar. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 Toolbar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 Tree view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 Patient List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 1.8 Patient List Screen Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 1.8.1 1.8.2 1.8.3 1.8.4 1.8.5 Registering new patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Editing patient information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 Deleting patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32 Searching patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 When patient data being accessed by another PC is selected. . . . . . . . . . . . . . . .34 1.9 Acquiring Images (AFC-330) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 1.10 Acquiring Images (Import). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 1.10.1 Image Capture screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 1.10.2 Importing images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38 1.10.3 Checking settings of Importing Monitor Folder . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 1.11 Importing/Exporting Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 1.11.1 Patient import . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 1.11.2 Multiple patient import. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 1.11.3 Patient export . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 1.12 Recycle Manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 1.12.1 Recycle Manager screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 1.12.2 Saving images or examination data to patient's data . . . . . . . . . . . . . . . . . . . . . . .49 1.12.3 Deleting images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50 1.13 Patient List Screen Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51 VII : 1.13.1 System tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 1.13.2 Common tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 1.13.3 Language tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 1.13.4 Patient List tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 1.13.5 Tree tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 1.13.6 Image Select tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 1.13.7 Image Caption tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 1.13.8 Thumbnail tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 1.13.9 Export tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 1.13.10Samples tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 1.13.11Communication tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 1.13.12Patient Change tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 1.13.13Image Tool tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 1.14 AFC Image Followup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 1.14.1 1.14.2 1.14.3 1.14.4 1.14.5 1.14.6 1.14.7 Followup screen description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Specifying Baseline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Specifying Followup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 Releasing BaseLine and FollowUp images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 Switching the graphs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Displaying the right and left eye images. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 Setting the Followup screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 1.15 Patient Change Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 1.15.1 Using command line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 1.15.2 Using an observation folder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86 2. DISPLAYING IMAGES . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 2.1 Image List Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 2.1.1 2.1.2 2.1.3 2.1.4 2.1.5 2.1.6 2.1.7 2.1.8 2.1.9 2.1.10 2.1.11 Select image mode / Single display mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91 Scope display /Simple image processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Selecting or deselecting all images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 Displaying detailed information on images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 Displaying images at full screen size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Comment of image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102 Deleting images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 Selecting the patient’s eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 Classifying images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 Registering to Sample . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 Transferring images with the Communication function. . . . . . . . . . . . . . . . . . . . . 107 2.2 Displaying Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108 2.2.1 2.2.2 2.2.3 2.2.4 2.2.5 VIII Displaying the image list. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108 Displaying images with caption . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Markup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Displaying analyzed results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Capturing Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 : 2.3 Image Wizard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 2.3.1 2.3.2 Starting up the image wizard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Setting of image wizard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114 2.4 Printing Image Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 2.4.1 2.4.2 2.4.3 2.4.4 Image print preview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 Print from preview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 Printing from each screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 Setting printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 2.5 Export . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122 2.5.1 Exporting images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122 2.6 E-mail Sending Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 2.6.1 2.6.2 2.6.3 2.6.4 Setting e-mail sending . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 Sending e-mails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 Registering addresses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129 Registering templates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130 3. DRAWING FUNCTION . . . . . . . . . . . . . . . . . . . . . . . . . . 131 3.1 Image Drawing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131 3.2 Drawing Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 3.3 Functions of Each Tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 3.3.1 Editing drawn lines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142 3.4 Shape Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144 3.4.1 3.4.2 3.4.3 3.4.4 Drawing using pattern image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144 New addition of the reference shape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 Editing pattern images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 Deleting reference shape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148 3.5 Entering and Setting Comments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149 3.5.1 3.5.2 3.5.3 3.5.4 Entering comments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149 Adding comments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150 Editing comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152 Deleting items and comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154 3.6 Layer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155 3.6.1 3.6.2 3.6.3 3.6.4 3.6.5 Display or non-display of layer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155 Creating layers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155 Editing the layer name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156 Deleting layers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156 Changing layers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156 3.7 Displaying Analyzed Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157 4. IMAGE PROCESSING . . . . . . . . . . . . . . . . . . . . . . . . . . 159 4.1 Image Processing Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159 IX : 4.2 Image Processing Tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161 4.3 Editing Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163 4.3.1 4.3.2 4.3.3 4.3.4 4.3.5 Flip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163 Rotate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163 Changing the image size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164 Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164 Changing the color . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165 4.4 Saving Image Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168 5. IMAGE MEASUREMENT . . . . . . . . . . . . . . . . . . . . . . . . 169 5.1 Image Measurement Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169 5.2 Image Measurement Tool. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171 5.3 Measuring Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 5.3.1 5.3.2 5.3.3 5.3.4 5.3.5 5.3.6 5.3.7 5.3.8 Specifying tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 Selection tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174 Disc tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175 Cup tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 Line tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178 Circle tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179 Shape tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180 Free tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181 6. PANORAMA IMAGE FUNCTION . . . . . . . . . . . . . . . . . . 183 6.1 Outline of Panorama Image Creation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183 6.2 Toolbar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184 6.2.1 6.2.2 Selecting images to move . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189 Specifying the area to be stored. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190 6.3 Tool Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191 6.3.1 6.3.2 6.3.3 6.3.4 6.3.5 Thumbnail area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191 Navigator window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193 Color window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194 History window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195 Layer window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197 6.4 Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203 6.4.1 6.4.2 6.4.3 6.4.4 Panorama tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204 Lens calibration tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206 Mask tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207 Work space tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214 6.5 Automatic Panorama Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215 X : 7. STEREO VIEWING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219 7.1 Outline of the Stereo Viewing Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219 7.2 Toolbar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220 7.3 Stereo Image Creation and Observation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221 XI : XII 1. 1.1 ACQUIRING IMAGES Outline of Software 1 The NAVIS-EX image filing software is software that acquires data from the following NIDEK fundus photography devices and files it for easy transfer to external systems. • NAVIS-EX alone cannot acquire the data directly from the fundus photography device. • Capture text information can be added to images acquired from the following NIDEK fundus photography devices. However, the images must be saved with the XML information added. • For devices other than NIDEK fundus photography devices, jpeg and bitmap files can be acquired. However, capture text information cannot be acquired. Connectable devices: AFC-330 NON-MYDRIATIC AUTO FUNDUS CAMERA Image data can be transferred by network or e-mail. NAVIS-EX is equipped with functions for image drawing, image processing, image measurement, panorama image creation, stereo image observation, composite image creation, and followup. (According to the image, available functions are limited.) NAVIS-EX can construct a network among multiple terminals and refers to and edits data from the client PC. Server Client The server PC stores and manages data. Be sure the server is activated when referring to the data with client PCs. When using a PC in stand-alone mode, set the PC as server. Acquires (Captures) the data by connecting the fundus capturing devices. The client PC refers to and edits data. Four PCs at the maximum can be connected to the network at the same time. * The connecting devices can be increased by adding the license. • For changing and adding method of the connecting devices, see the Installation manual. 1 ACQUIRING IMAGES: Outline of Software NAVIS-EX runs on PCs using Windows XP, Windows Vista or Windows 7*1 OS. System requirements English version: Windows XP Professional (32 bit) (SP2 or later) English version: Windows Vista (32 bit) Business Edition (SP1 or later) English version: Windows 7 Professional (32 bit/64 bit) (SP1 or later) OS CPU Pentium 4 3.0 GHz or higher RAM Windows XP: 1 GB or more recommended Windows Vista, Windows 7: 1 GB or more (2 GB or more recommended) HDD Client: 80 GB or more Server: 160 GB or more Display Drive SXGA (1280 x 1024 pixels) or higher CD-ROM drive Others USB 2.0 port x 3 or more (except for mouse/keyboard/external HDD) Ethernet port (100 Base-T or higher) x 1 or more Keyboard, mouse Internet Protocol Version 4 (TCP/IPv4) • Operate NAVIS-EX by pressing the button. • For NAVIS-EX, icons displayed in the toolbar can be changed with the “Customize Toolbar”. Functions of shortcut button that is not displayed can be executed from the menu. When an image is displayed, some functions can be executed from the pop-up file menu. • When using the PDF file, use the Acrobat Reader accompanied to the NAVIS-EX. For the other version, the PDF file may not be started normally. • Note that a maximum of ten PCs can be connected simultaneously. • The terminal running the aquisition software must have PC specifications that satisfy the operating environment conditions. • When operating NAVIS-EX connecting with AFC-330, license setting is not necessary. However, the number of PCs connected simultaneously is counted. Confirm that the proper number of licences is provided before use. *1. 2 Microsoft and Windows are registered trademarks or trademarks of Microsoft Corp. in the United States and/or other countries. The corporate names and product names described in this Operator's Manual are registered trademarks or trademarks of each manufacturer. ACQUIRING IMAGES: Outline of Software { Note for date setting Before using, check that the date is correct. When the date is different depending on the terminal connected, “History” may be deleted. 1 { Note for date format For the numeric PC date format, select a format that consists of numbers (0 to 9), slashes (/), periods (.), or hyphens (-). Be sure to select four-digit display of the year. The date of birth input format for patient registration is the same as the PC date format. In the following tables, usable and unusable date formats (numeric format) for each language setting are indicated. English (British) Usable format Date format Unusable format Input example Date format Input example dd/MM/yyyy 01/01/1950 dd/MM/yy 01/01/50 yyyy-MM-dd 1950-01-01 d/M/yy 1/1/50 d.m.yy 1.1.50 English (American) Usable format Unusable format Date format Input example Date format Input example M/d/yyyy 1/1/1950 M/d/yy 1/1/50 M/d/yyyy 10/10/1950 MM/dd/yy 01/01/50 MM/dd/yyyy 01/01/1950 yy/MM/dd 50/01/01 yyyy-MM-dd 1950-01-01 dd-MMM-yy 07-Jul-09 { Note for decimal point For the OS using comma instead of period for decimal point (ex. French OS), NAVIS-EX does not operate properly. Use the English OS. { Network setting If the server is specified with the PC name, operation may become slow. If the server is specified with the IP address, operation speed may become improved. 3 ACQUIRING IMAGES: Classification { Various functions Acquiring images 1.2 "1.9 Acquiring Images (AFC-330)" (page 35) "1.10 Acquiring Images (Import)" (page 36) Image reference "2.1 Image List Screen" (page 87) Printing image data "2.4 Printing Image Data" (page 115) Exporting image data "2.5 Export" (page 122) Sending image data by email "2.6 E-mail Sending Function" (page 125) Drawing to image "3 DRAWING FUNCTION" (page 131) Processing images "4 IMAGE PROCESSING" (page 159) Measuring image distance and dimension "5 IMAGE MEASUREMENT" (page 169) Creating panorama composite images "6 PANORAMA IMAGE FUNCTION" (page 183) Stereo image creation and observation "7 STEREO VIEWING" (page 219) Followup "1.14 AFC Image Followup" (page 72) Classification Classification under the provision of 93/42/EEC (MDD): Class IIa NAVIS-EX is classified as Class IIa. 1.3 Intended Use NAVIS-EX is file management software for images captured with the NIDEK Non-Mydriatic Auto Fundus Camera AFC-330. The NAVIS-EX software is equipped with functions for image review, image processing, and exporting. The images filed with NAVIS-EX provide information for reference purposes. 4 ACQUIRING IMAGES: Labels 1.4 Labels +/#)'(+.+0)51(69#4' 1 .1)+%+'.&')'56+10&'(+%*+'45 51(69#4'&+#4%*+8+#<+10'+//#)+0+ $+.&&1-7/'06#6+10551(69#4' 51(69#4'2#4#4'..'01&'+/)'0'5 /# +/#)'(+.+0)51(69#4' .1)+%+'.&')'56+10&'(+%*+'45 51(69#4'&+#4%*+8+#<+10'+//#)+0+ $+.&&1-7/'06#6+10551(69#4' 51(69#4'2#4#4'..'01&'+/)'0'5 /# The displayed CE mark applies only to NAVIS-EX. The CE mark that applies to the AFC-330 main body is the CE mark displayed on the main body. Therefore, CE mark that applies to the system is the combination of the NAVIS-EX CE mark and the CE mark displayed on the main body. 5 ACQUIRING IMAGES: Starting and Exiting NAVIS-EX 1.5 Starting and Exiting NAVIS-EX 1.5.1 Starting NAVIS-EX • When connecting multiple PCs, start the PC to be a server at first. • Turn on the the AFC-330 power when capturing. Be sure to confirm that NAVIS-EX is activated before performing capture. 1 2 Check that PC and the AFC-330 are properly connected with the LAN cable. On the Windows desktop, double-click the NAVIS-EX icon . The NAVIS-EX Login dialog box appears. 3 Enter a user name and a password. The login name entered previously is displayed in the Login Name field. At initial start-up, "nidek" is displayed in the login name field. Enter "nidek" into the password field. 4 Click the Login button to start NAVIS-EX. The Patient List screen appears. • When NAVIS-EX is installed, sample patient data and images can be selected and added. 6 ACQUIRING IMAGES: Starting and Exiting NAVIS-EX 1.5.2 Starting NAVIS-EX (when no imaging device is connected) Use the following procedures to start NAVIS-EX alone (for Import license and viewing exclusive use). If the procedures are not performed properly, the equipment may not be recognized or perform correctly. 1 • When connecting multiple PCs, start the PC to be the server in advance. 1 Turn on the power of peripheral devices. 2 3 Turn on the PC power to display the desktop screen. Double-click the NAVIS-EX icon the Windows desktop. on The NAVIS-EX Login dialog box appears. 4 Enter a user name and a password. The login name entered previously is displayed in the Login Name field. At initial start-up, “nidek” is displayed in the login name field. Enter “nidek” into the password field. 5 Click the Login button to start NAVIS-EX. The Patient List screen appears. • When NAVIS-EX is installed, sample patient data and images can be selected and added. • When NAVIS-EX is for viewing exclusive use, “Grab” is used instead of “Import”. 7 ACQUIRING IMAGES: Starting and Exiting NAVIS-EX { When NAVIS-EX is not started Nothing happens even though NAVIS-EX is executed. NAVIS-EX may be waiting to connect to the database. A possible cause is that the firewall of the server blocks the connection. Turn the firewall off. "Data folder does not exist" is displayed. It is possible that the server does not start or sharing is not set up correctly. Should the wrong computer name of the server have been entered at installation, resister the correct name in the server name entry dialog box displayed after the warning dialog box. When manually setting the shared folder, check the NAVIS-EX server setting to the administrator to set the shared name. 1.5.3 Exiting NAVIS-EX 1 From the File menu, select the Close menu item. Or click the close button on the upper right of the screen. A confirmation message is displayed. 2 Click the OK button to shut down NAVIS-EX. • When logging in as administrator, select logout in the file menu temporarily to display Login dialog to login as administrator. 8 ACQUIRING IMAGES: Starting and Exiting NAVIS-EX 1.5.4 Displaying messages at the time of start-up/exit Whether to display the login screen at the time of NAVIS-EX start-up or to display a confirmation message at the time of exit can be set. This can be set only when logged in as administrator. 1 1 Select [Setup] - [Administrator Setting] from the menu. The Administrator Setting dialog box appears. • When logged in as other than administrator, the Administrator Setting option is not displayed in the Setting menu. Select Logout from the File menu to log in as administrator. 2 Change the setting and click the Save button. The Administrator Setting dialog box closes and this setting becomes enabled. Set whether to display the login screen at the time of start-up. Login Screen Display Setting When “Hide” is selected, the computer is logged in as user administrator with the login name of “No body”. Close Massage Display Setting Set whether to display the message “Exit NAVIS-EX?” at the time of exit. 9 ACQUIRING IMAGES: Setting and Executing Automatic Backup 1.6 Setting and Executing Automatic Backup Manage backup on user’s responsibility. • When using backup, restore, and archive, connecting NAVIS-EX must be exited. Before using, confirm that NAVIS-EX is exited. • When a USB device is added, drive assignment is changed and backup or restoration may not be performed correctly. Check the location for storage or restoration before performing the operation. • Even if backup is set to be performed, if the power is not turned on or if the backup location cannot be found, backup is not performed. • Backup capacity is set based on the available free space. • If an image is captured during automatic backup, the progress bar in the Backup screen may exceed 100%. • Backup, restore, and archive are the dedicated functions of the server. • Create a folder in the backup location and backup the data in the folder. 10 1 2 3 Connect an external hard disk drive to the server PC. 4 5 Enter Login Name and Password and click the Login button. Start the server PC and double-click the Server Manager icon on the desktop. The Login dialog box appears. The Maintenance dialog box appears. ACQUIRING IMAGES: Setting and Executing Automatic Backup 6 7 8 Select the checked ID in the Data Folder List. Click the Change button in the Data Folder Backup field. The Backup target setting dialog box appears. 1 9 Set the Folder Path and Capacity Limitation. CAUTION • The backup location cannot be set to the same drive of the Folder Path. • When a file is existed in the backup location, a confirmation dialog box is displayed for the several times. • For the Capacity Limitation, high limit setting of the data space to be used is necessary. When setting the Capacity Limitation, the capacity can be selected from among %, TB, GB, and MB. 10 Click the OK button. 11 The Maintenance screen is displayed. 12 Check Automatic Backup in the Data Folder Backup. 13 Set Interval. (minute or hour) 14 Click the Close button. • When the backup for each interval is successful, the Success message is displayed from the icon on the right bottom of the screen. • When the capacity of the specified folder exceeds the limitation of the % value, a warning message is displayed when backing up. However, when a warning message is displayed, backup processing is continued. or • If the error message is displayed even the sufficient free space exists, set the Capacity Limitation again. 11 ACQUIRING IMAGES: Setting and Executing Automatic Backup { When the confirmation dialog box is displayed When Automatic Backup is not checked, the following confirmation dialog box is displayed. When not setting the automatic backup, select the Yes button. When setting the automatic backup, select the No button and set again. 1.6.1 Archive 1 2 3 4 Double-click the Server Manager icon on the desktop of the server PC. 5 6 Set the location to be saved in the folder path and click the OK button. 7 Enter Share Name and click the OK button. Log in to display the Maintenance dialog box. Click the Archive button. Backup starts and the Data path setting dialog box appears. The Share folder setting dialog box appears. CAUTION 12 • The same name cannot be entered for the shared folder name. When the same name shared folder is existed, change the name. ACQUIRING IMAGES: Setting and Executing Automatic Backup 8 The Backup target setting dialog box appears. 1 9 Set the folder specified in Step 5 as the backup location and click the OK button. CAUTION • When the archive location and backup location are the same drive, an error as shown to the right is displayed. Click the OK button. 10 Check that a folder is added to the data folder list on the Maintenance screen. CAUTION • The newly added data folder path cannot be reset. 13 ACQUIRING IMAGES: Setting and Executing Automatic Backup 1.6.2 Manual backup 1 Exit NAVIS-EX and start the Backup tool with the server PC. Select [Start] - [All Programs] - [NIDEK] - [NAVIS-EX] - [Backup tool]. 2 Click the DB Backup tab. 3 4 Set the DataBase Backup destination folder and click the Execute button. 5 6 Click the OK button. 7 8 Set the DataBase Backup destination folder and click the Execute button. When the backup is completed, the Success dialog box appears. Click the Data Backup tab. Backup is executed and when the backup is successful, the Success dialog box appears. 14 ACQUIRING IMAGES: Setting and Executing Automatic Backup When the backup is completed, “Success” dialog box is displayed. Press the OK button to close the dialog box. 1 When “Auto Shutdown after Data Backup” is checked, the Auto ShutDown dialog box is displayed. After 60 seconds countdown, the PC shuts down. CAUTION • Clicking the Termination button during backup displays the confirmation dialog box. Clicking the Yes button terminates backup and the backup data cannot be used. Perform backup again. Restoration cannot be performed until data is completely backed up. If restoration is performed with incomplete backup data, the NAVIS-EX data cannot be used. 1.6.3 Restoration • When restoring the data, a license key may be requested again. Be sure not to lost the license key. * When the license key is lost, it is necessary to buy again. • Do not put another file into the license key. The file may be deleted. • When connecting the license key, connect it with the key unlocked. • For details of the license key, refer to the Installation Manual. • When restoring the same version data, data update is not necessary. 1 Exit NAVIS-EX and start the Backup tool with the server PC. Select [Start] - [All Programs] - [NIDEK] - [NAVIS-EX] - [Backup tool]. 2 Update the data. See "1.6.4 Update" (page 18) for details. 3 Click the DB Restore tab. 15 ACQUIRING IMAGES: Setting and Executing Automatic Backup 4 5 Set the DataBase Restore source folder and click the Execute button. 6 7 Click the OK button. 8 9 Set the DataBase Restore destination folder and click the Execute button. When restoration is completed, the Success dialog box appears. Click the Data Restore tab. A confirmation dialog box whether or not to delete the data in the restoration location is displayed. 10 Click the Yes button to perform restoration and when the restoration is completed, the Success dialog box appears. CAUTION • When the working environment is changed according to the PC replacement or such, changes such as DB reading location is necessary. In this case, perform the following procedure. 1) Start the Server PC and double-click the Server Manager tool on the desktop. 16 ACQUIRING IMAGES: Setting and Executing Automatic Backup 2) The Login dialog box appears. 3) Enter Login name and Password and click the Login button. 4) The Maintenance dialog box appears. 1 When the shared folder name and the folder path is different, it is displayed in the data folder list in red. 5) Select the checked ID in the Data Folder List. 6) Click the Change button in the Data Folder information. 7) The Data path setting dialog box appears. 8) Reset the folder path and click the OK button. 17 ACQUIRING IMAGES: Setting and Executing Automatic Backup 9) The Data Folder List in the Maintenance dialog box is changed to the new value. 10) Click the License button to change the License. • When the PC is replaced, the license is registered for the previous PC. Change the license to the new PC (See the Installation Manual). 11) Set the data folder backup location to the new saving location. 12) Click the Close button. When the folder not existed in the backup is set, a confirmation dialog box appears. 13) Start NAVIS-EX and confirm that the data is restored. 1.6.4 Update Update the database of the NAVIS-EX previous version to the latest format before restoring data from the previous version. 1 Exit NAVIS-EX and start the Backup Tool with the server PC. Select [Start] - [All programs] - [NIDEK] - [NAVIS-EX] - [Backup Tool]. 2 18 Click the Data Update tab. ACQUIRING IMAGES: Setting and Executing Automatic Backup 1 3 Set Data Folder Destination Path and click the Execute button. The specified data is updated to the latest format. 4 When the update is completed, the Success dialog box appears. 5 Click the OK button. 19 ACQUIRING IMAGES: Setting and Executing Automatic Backup 1.6.5 Required initial settings Before first use of NAVIS-EX, perform the required settings. Common settings Either English or Japanese is available for NAVIS-EX. Language When connecting the multiple PCs, set the OS and NAVIS-EX to the same language. For details, see "1.13.3 Language tab" (page 53). Note for use language Set the Windows Control Panel “Regional and Language Options". Note for date display For the setting of the Windows date display format, set by referring “{ Note for date format (page 3)”. Screen Saver Turn ON the screen saver in the Screen setting of the Windows Control Panel. Display setting Set the Windows Control Panel “Display Properties”, set the Color Quality to “Highest (32 bit)” in the Settings tab. Power setting Set the Windows Control Panel “Power Options”, set Standby to None. Security Set the Windows Control Panel “Security Center“, remove the settings for Firewall. Automatic backup Set whether to perform automatic backup of NAVIS-EX. Data save location Set the destinations to save or export the NAVIS-EX images and Video images. • Perform various settings according to the status of use. • For details, see the Installation Manual. Settings when the AFC-330 is connected When connecting to the AFC-330, external device parameters must be set with the AFC330. Set the parameter to “LAN”. Transfer to Set the “Auto transfer” parameter (ON/OFF) as necessary. Connect LAN to (NAVIS. File) Press the EX button to set the IP address and Port No. • For the AFC-330 settings, refer to the AFC-330 operator’s manual. 20 ACQUIRING IMAGES: Patient List Screen Description 1.7 Patient List Screen Description The Patient List screen is the initial screen providing a menu for acquiring images by selecting patient, image reference, registering/editing patient information, or system setting. Menu bar Tree view 1 Toolbar Patient search form Patient list 21 ACQUIRING IMAGES: Patient List Screen Description 1.7.1 Menu bar The menu bar includes the File, Edit, View, Setup and Help menus. Clicking a menu displays a pull-down menu. Logout Close File Edit Logouts from NAVIS-EX and display the Login dialog box. Exits NAVIS-EX. The confirmation dialog to exit the application appears. Clicking the Yes button exits NAVIS-EX. Export Outputs the selected image as the specified format. Patient Import Imports the patient information and image data. Patient Export Exports the patient information and image data of the specified patient. Multiple patient import Imports the multiple patient information and image data at the same time. Preview Displays the preview of the image print result. Print Prints the image. New Displays the Patient information dialog box registering new patient. Edit Displays the Patient information dialog box editing patient information. Restore Restores the patient moved to Recycle Bin to Patient List. Delete Deletes the selected patient from the Patient List and Recycle Bin. All/Deselect Selects or deselects all the images displayed as thumbnails by one operation. When performing all select, an image desired to be selected must be selected. Screen Capture Renewal Search View Setup Saves the displaying image as Screen Capture. Refreshes the patient information and the image data. Displays the Patient Search form. Enabled when the Patient Search form is closed. Import Displays the Image Capture screen performing importing (When the device is not connected). Grab The Capture screen cannot be opened as the license is set for Viewing only. Recycle Displays the Recycle Manager screen. Followup Performs followup compared to the BaseLine image. ImageWizard Starts the image wizard. Back Displays the previous screen. Forward Displays the next screen. Detail/Normal Displays/undisplays the detail information with the thumbnail. FullScreen Displays the selected image with full screen. Size Switches the image display size between large/middle/small. Comment Displays the Image Comment dialog box for the selected image to enter/edit the comment to be attached to the image. Multi/Single Switches the image between multiple display and single display. Double-clicking the image or clicking the Forward button displayed the image in the currently displayed status. Setting Displays the Configuration dialog box for performing NAVIS-EX setting. Administrator Setting Toggles display of the confirmation dialog box at the time of starting or exiting. Customize Toolbar Displays the setting dialog box performing the toolbar button display setting. To not display the login screen, log in as user administrator. 22 ACQUIRING IMAGES: Patient List Screen Description Displays the version information of NAVIS-EX. Help About 1 23 ACQUIRING IMAGES: Patient List Screen Description 1.7.2 Toolbar The toolbar includes shortcut buttons to which frequently-used functions are assigned. Buttons to be displayed can be changed with the Customize Toolbar. The functions that is not displayed can be executed from the menu. When an image is displayed, some functions can be executed from the pop-up menu displayed by right-clicking. Close Exits NAVIS-EX. Setting Displays the Configuration dialog box. Renewal Refreshes the patient information and the image data. New Displays Patient information dialog box registering new patient. Edit Displays Patient information dialog box editing patient information. Restore Restores the patient moved to Recycle Bin to Patient List. Delete Deletes the selected patient. Search Displays the Patient Search form. Displays the acquiring screen performing the importing (Image Capture). Import This is displayed when the Import is set in the license setting. Grab This button is displayed when the license is not set for Viewing only. Recycle Displays the Recycle Manager screen. Followup Performs followup compared to the BaseLine image. ImageWizard Starts the image wizard. Back Displays the previous image. Forward Displays the next image. Detail/ Normal FullScreen Deselect Export Preview 24 Displays the selected image with full screen. "2.1.5 Displaying images at full screen size" (page 100) Switches the image display size between large/middle/small. Size All/ Displays/undisplays the detail information with the thumbnail. Selects or deselects all the images displayed as thumbnails by one operation. Exports the selected image as a file. Displays the preview of the image print result. "2.4.1 Image print preview" (page 115) Print Prints the image. Comment Displays the Image Comment dialog box to enter/edit the comment to be attached to the image. "2.1.6 Comment of image" (page 102) ACQUIRING IMAGES: Patient List Screen Description Single/ Multi Screen Capture Switches the image display between multiple display and single display. Saves the displaying image as screen capture. { Setting the Toolbar Button 1 Buttons to be displayed in the toolbar can be customized. 1) Select Setup and select Customize Toolbar. The Customize dialog box appears. 2) Change the settings of the toolbar buttons. Displays the hidden toolbar buttons. a. Select the button to be added from the "Available toolbar buttons” field. b. Select the position of the button to be added with the "Current toolbar buttons” Add button field. c. Click the "Add->" button. d. The selected button moves from “Available toolbar buttons” field to "Current toolbar buttons" field. Hides the displayed toolbar buttons. a. Select the button to be deleted from the "Current toolbar buttons” field. Delete button b. Click the “<-Remove" button. c. The selected button moves from "Current toolbar buttons” field to “Available toolbar buttons" field. Move the button display position Selects the button to be moved in the "Current toolbar buttons” field. Display / non display of the button name Sets display or non display of the button name displayed under the button icon. Icon size Click the Move Up button and Move Down button to move the button. Select “No text labels” or ”Show text labels” from the drop-down list of the "Text options". Select “Large icons” or “Small icons” from the drop-down list of the "Icon options". When “Small icons” is selected, "Text options” becomes disabled. When the Reset button is clicked, the display returns to the default display. Reset display Be careful that resetting cannot be cancelled. However, when the × button is clicked, the input settings in the Customize dialog box are all cancelled. 25 ACQUIRING IMAGES: Patient List Screen Description 1.7.3 Tree view The displayed data can be changed by the tree view in the left side of the screen. And the display can be switched among “List”, “Draw”, “Process”, and “Measure" by tabs. Display / non display button Changes the tree view display between close and open. List tab By clicking + and - at the left side of each item in the tree view, the layers of each item can be extended and closed. Display / non display button By selecting each item in the tree view, the displayed data in the data display area can be changed. When selecting an item in the tree view, the data of the selected tree item is displayed in the data display area. [Sort by Item] / [Sort by Date] switches alternately. Sort Switches the data classification to be displayed in the tree between item order and date order. Expand all Expands all the tree contents. Collapse all Collapses all the expanded tree contents. Draw tab Displays the Drawing tool. For details of the Drawing function, see "3 DRAWING FUNCTION" (page 131). Process tab Displays the Image Processing tool. For details of the Image Processing function, see "4 IMAGE PROCESSING" (page 159). Measure tab Displays the Image Measurement tool. For details of the Image Measurement tool, see "5 IMAGE MEASUREMENT" (page 169). • With the Draw, Process, or Measure tabs are selected, when the Back button in the Toolbar is clicked to return to the Image List screen, the List tab (normal tree view) is displayed. 26 ACQUIRING IMAGES: Patient List Screen Description 1.7.4 Patient List Displays the patient list of Patient List/Recycle Bin/Search Results selected from the tree view. 1 The display sequence of the item can be set by the Patient List tab in the setting dialog box. For the setting method, see "1.13.4 Patient List tab" (page 54). Expand display of the patient information Clicking the Expand button displays the history and comment of the patient information. Expand button • Expand display of the patient information can be performed in the patient information displayed screen. • In the Patient list screen, the patient information field is displayed with the patient undefined. Sorting of the patient list Clicking each item of Patient ID, Name, Age, Sex, Comment, History, and Race sorts the order between ascending order and descending order alternately. • When sorting by Race, the patient list is sorted in the order registered in the Server Manager. Change of the item field display width The display size of each item is changed by dragging the border of item name. 27 ACQUIRING IMAGES: Patient List Screen Operation 1.8 Patient List Screen Operation 1.8.1 Registering new patients • Patients can be registered by command line or file. • Only one patient can be registered at a time with any operation. 1 Click the New button the Patient List screen. in the toolbar on The Patient Information - New dialog box appears. 2 Enter the required data of the patient. Patient ID is a required input item. The duplicate patient IDs cannot be registered. Retrieve button Retrieves and displays the saved patient information corresponding to the input patient ID. Enter patient ID to enable the Retrieve button. When Patient ID input mode is “Date + Input”, the date information is added to the head of the patient ID in the Patient information dialog box. Refer to "1.13.2 Common tab" (page 52) for the setting method. • Race default setting is possible in the Server Manager. 28 ACQUIRING IMAGES: Patient List Screen Operation Input date of birth Clicking the drop down button of the date of birth column displays a calender. Direct input is possible in the entry field. 1 Input with the increase and decrease buttons displayed on the right and left of the year column. Year / :1 year step, / :10 years step It can be input directly to the column. Select from the drop down list displayed by clicking the month column button. Month After inputting the year and the month, click the date of the calender to input. The blue marked date is a selected date. Day Clear button Clears the date of birth. It can be deleted the value in the date of birth column directly to clear. 29 ACQUIRING IMAGES: Patient List Screen Operation Entering history After entering, click the Add button to add the history entered in the History dialog box. Select the history to be registered in the patient information. Click the OK button to display the history in the History field of the Patient List. When the Cancel button is clicked, the History dialog box closes without entering the history to the patient information. However, changes performed for the History dialog box become enabled. Click to select the history to be specified from the history list. Select Multiple histories can be selected. Enter a history in the text box and click the Add button. Add The entered history is added to the history list. Select the history to be deleted from the history list and click the Delete button. Delete 3 A confirmation message is displayed. Click the OK button to delete from the list. Update Select the history whose name is changed from the history list. Change the name displayed in the text box and click the Update button. Change of display order Select the history whose display order is changed. Change the position by clicking the ▲ and ▼ buttons. The history displayed in the history list is overwrote. When the multiple histories are selected, the Update button becomes disabled. The history displayed in the history list is overwrote. Select race. Select from the drop-down menu. • Race default setting is possible in the Server Manager. 4 Click the Save button to save the patient information. Close the Patient information dialog box and return to the Patient List screen. When the Import button is clicked, Import (Image Capture) screen is displayed and performs image capturing. • Omission of input information can be prevented by specifying the item of patient information required to be input. Refer to "1.13.2 Common tab" (page 52) for the setting method. 30 ACQUIRING IMAGES: Patient List Screen Operation 1.8.2 Editing patient information Edit the registered patient information (Name, Sex, Date of Birth, History, Race, and Comment). • The patient data being referred to on the other PC cannot be edited and deleted. 1 Do not change the patient ID as it may cause an error to the data. When prompting to change the patient ID, a warning message appears. 1 Select the patient to be edited on the Patient List screen. 2 Click the Edit button . The Patient information dialog box appears. When Patient ID input mode is “Date + Input”, the date information is added to the head of the patient ID in the Patient information dialog box. Refer to "1.13.2 Common tab" (page 52) for the setting method. 3 Edit the patient information. Edit in the same manner as with New registration. 4 Clicking the Save button saves the edited contents. 31 ACQUIRING IMAGES: Patient List Screen Operation 1.8.3 Deleting patients Delete unnecessary patient from the patient list. • The patient data being referred to on the other PC cannot be edited and deleted. • For NAVIS-EX, even if patient data and image data are deleted, the data remains recognized as deleted data and disk space does not free up. 1 2 Select the patient to be deleted on the Patient List screen. Select [Edit] - [Delete] from the menu. A confirmation message is displayed. 3 Click the OK button. From the Patient List screen, the selected patient is deleted. At this time, the deleted patient is only moved to the Recycle Bin and not completely deleted from the system. The patient moved to the Recycle Bin cannot be a target for patient search. To delete the patient from the system completely, perform the following procedure. 4 Select the Recycle Bin from the tree to display the Recycle Bin screen. The patient deleted from the patient list is displayed. 5 To delete from the system completely, select the patient and select [Edit] - [Delete] from the menu. A confirmation message is displayed. 6 Click the OK button. The patient is deleted from the system. The patient data and the image data are deleted. By performing this operation, the patient data cannot be restored. { Restoring from the Recycle Bin The patient saved on the Recycle Bin screen can be moved to the Patient List screen. 1 2 32 Select the patient to be restored from the Recycle Bin screen. Select [Edit] - [Restore] from the menu to move the selected patient from the Recycle Bin to the Patient List. ACQUIRING IMAGES: Patient List Screen Operation 1.8.4 Searching patients When the number of patients saved in the Patient List becomes large, it is possible to search the intended patient. 1 On the Patient List screen, when the Patient Search form is not displayed, select [View] - [Search] from the menu. 1 The Patient Search form appears. 2 Input conditions to search the target patient. Specify any items such as Patient ID, Name, Comment and History. While entering conditions, real-time searching is performed and the tree view moves to the Search Result screen to display patients that meet the conditions in the list. Specify any items of Race, Sex, Age, Registered Date, and Examination Date. Patient ID and Name are searched by prefix search. Comment and History may be searched by including the relevant search characters. As the searching method uses the AND search, the more items input, the narrower the search becomes. The previous search conditions are displayed as search conditions. When the Clear button is clicked, Patient ID, Name, Comment, History, and Race fields are cleared and Sex, Age, Registration Date, and Examination Date becomes “Not Specified”. • When the examination date is specified, patients including the examination date and the examination time are displayed. 3 Clicking the Execute button performs searching. Search results are displayed on the Search Results screen. 4 Select a patient on the Search Results screen and perform the desired operation. When the patient selected on the Search Result screen is double-clicked, the Image List screen appears. • The Patient Search form can be displayed in any position by dragging. When the Patient Search form in floating status is dragged under the tree view, the form is integrated. However, the form cannot be integrated other than on the Patient List screen and Image List screen. 33 ACQUIRING IMAGES: Patient List Screen Operation 1.8.5 When patient data being accessed by another PC is selected When patient data is selected that is being accessed by another PC, a warning dialog box appears and data cannot be added or edited. The warning dialog box displays the PC name and IP address of the PC that accesses patient data at the moment. The title bars of all open NAVIS-EX software turn yellow if use is continued. The data cannot be added or edited under such condition. • When patient data is selected that is being accessed by another PC, the communication function may not be used. 34 ACQUIRING IMAGES: Acquiring Images (AFC-330) 1.9 Acquiring Images (AFC-330) When the image is captured with the AFC-330, the image automatically acquired to NAVIS-EX. • The AFC-330 can be used without setting the NAVIS-EX licence. 1 However, the number of PCs connected simultaneously is counted. Confirm that the proper number of licences is provided before use. The AFC-330 images can be aquired for all license settings (SLO movie, OCT capture (RS-3000), OCT capture (RS-3000 Advance), OCT capture (RS-3000 Lite), AFC capture (AFC-230/210), import). • The images are registered in the order of transferred from the AFC-330. 1 When the image is captured with NAVIS-EX is started, the image is acquired to NAVISEX automatically. When any patient is selected with NAVIS-EX, the image can be acquired with any screen is displayed. The patient ID must be specified before capturing with the AFC-330. New patient can be registered with the AFC-330 while the registered patient information cannot be edited. • The patient list registered in NAVIS-EX is displayed in the AFC-330 Patient Selection screen. • For details of AFC-330 new patient registration, refer to the AFC-330 operator’s manual. 2 When checking the acquired image, select the patient in the Patient List screen to display the Image List screen. When the Image List screen of the patient to be captured is displayed, the NAVIS-EX screen is not updated even when captured with the AFC-330. Click the Update button to renew the screen. 35 ACQUIRING IMAGES: Acquiring Images (Import) 1.10 Acquiring Images (Import) Acquires the external image data to NAVIS-EX. Acquisition of the image can be performed only when the license setting is Import. • The images are registered in the saved order. • When the Monitor Folder is not specified, the setting dialog box for setting the monitor location is displayed. For the setting procedures of Monitor Folder, see "1.10.3 Checking settings of Importing Monitor Folder" (page 40). • When images are acquired before starting the import function, the acquired images move to the specified folder of the confirmation dialog box. 1.10.1 Image Capture screen Image control bar Image information setting field Display switching tool { Image control bar Used to return to the previous screen. Return Save Saves the selected images. Save All Saves all images in the Image Capture screen. To Recycle Moves the selected image to Recycle Manager. Delete 36 When there is an unsaved image, the image is saved in the patient data. When the patient is deselected, saved in the Recycle Manager. Deletes the selected image. A confirmation message is displayed and clicking the OK button deletes the image. ACQUIRING IMAGES: Acquiring Images (Import) Comment Preview Displays the Image Comment dialog box and adds comments on the image. Displays the Print Manager screen. For details of the Print Manager screen, see "2.4 Printing Image Data" (page 115). Print Executes printing. Setting Displays the setting dialog box for setting the Monitor Folder of the afcCapture. 1 { Display switching tool [View] button Switches image display between Single display and List display. [Select] button In Single display mode, displays thumbnail button on the lower part of the screen. [Detail] button In List display mode, displays the detail information on the image. [All] button In List display mode, selects all images. [Deselect] button In List display mode, clears selection of all images. [Full SCR] button In List display mode, displays the image with full-screen. For the operation with full-screen, see "2.1.5 Displaying images at full screen size" (page 100). First image Displays first image when acquiring multiple images. Last image Displays last image when acquiring multiple images. Previous image Displays previous image when acquiring multiple images. Next image Displays next image when acquiring multiple images. Magnifies the image. Zoom in Clicking the left mouse button magnifies the image and clicking the right mouse button reduces the image. Reduces the image. Zoom out Magnification drop-down list Clicking the left mouse button reduces the image and clicking the right mouse button magnifies the image. Selects display magnification from the drop-down list. 37 ACQUIRING IMAGES: Acquiring Images (Import) 1.10.2 Importing images After selecting the patient with NAVIS-EX, save the image in the Importing Monitor Folder to import the image data. 1 Select patient on the Patient List screen. When the patient is new, register the patient. For the new patient registering procedure, see "1.8.1 Registering new patients" (page 28). 2 Click the Import button Image Capture screen. 3 Enter the image information in the image information setting field. to display the Date Select the date from the calender displayed by clicking the ▼ button. Eye Click the right eye or left eye button to select the patient eye. Right or left eye is not set for default setting. When the data is imported without specifying the eye, the image is acquired as “Not specified”. Object Select the types of the image data by clicking the list. ScreenShot Data that the displayed image is captured Fundus (Color) Image captured by the AFC-330. Slitlamp Image captured with the slitlamp • Check the information of the image to be imported and set properly. After the image is imported, the image information cannot be changed. 38 ACQUIRING IMAGES: Acquiring Images (Import) 4 Save (or move) the image file to be imported to the Monitor Folder. Save (or move) by operating the file on the Windows. For the image jpeg file and XML file is in pair, save the files together. • When the original data folder and Monitor Folder is in the same drive, if the file is moved by dragging, the file is acquired to NAVIS-EX and deleted from the original data folder. To save the original data, copy and paste the file to save in the Monitor Folder. 5 After import is finished, click the Save All button to save the image. In addition, the following operations can be performed. Save Saves the selected image. Save All Saves all images in the Image Capture screen. To Recycle Moves the selected image to Recycle Manager. Deletes the selected image. A confirmation message is displayed and clicking the OK button deletes the image. Delete Comment Preview Displays the Print Manager screen. This button is enabled when the printer is set. Executes the printing. Print 6 Displays the Image Comment dialog box and adds comments on the image. This button is enabled when the printer is set. Click the Return button to return to the previous screen. When there is an unsaved image in the Image Capture screen, the image is saved in the patient data. • With the image acquiring in communication mode, export the image data and save in the specified folder. In the Communication tab of the setting dialog box, "Communicates with the external system" must be enabled. For the setting method, see "1.13.11 Communication tab" (page 65) on "1.13 Patient List Screen Settings" (page 51). 39 1 ACQUIRING IMAGES: Acquiring Images (Import) 1.10.3 Checking settings of Importing Monitor Folder Set the Importing Monitor Folder with the setting dialog box displayed by clicking the Setting in the Setting menu. • When the Monitor Folder is not specified, the setting dialog box is automatically displayed after moving to the Import. • When the Cancel button is pressed without specifying the Monitor Folder, Image Capture is exited. Specify the Importing Monitor Folder with the Choose Folder dialog box displayed by clicking the Folder Reference button. For the default settings of the import, the saving location is set to “C:NAVIS-EX\Import”. If the importing folder does not exist in the installation location of the NAVIS-EX, the folder must be created. If the folder is not set properly, the image cannot be acquired normally. 40 ACQUIRING IMAGES: Importing/Exporting Patients 1.11 Importing/Exporting Patients All image data can be imported or exported for each patient. This allows data to be passed between NAVIS-EX in other facilities. 1 • Only patient data exported by NAVIS-EX can be imported. 1.11.1 Patient import • For the patient import, only one patient can be imported. 1 Click Patient Import from the File menu. The Choose Folder dialog box appears. 2 Select the folder in which the patient data to be imported is saved and click the OK button. Data is saved in a folder for each patient (patient ID_patient name). 3 The patient data in the folder is imported and displayed on the Patient List screen. When patient ID is duplicated, a confirmation message to overwrite the data appears. Clicking the Yes button overwrites the data. Clicking the No button displays the Patient information dialog box appears. Change the patient information and click the Save button to import the data. When patient ID is duplicated and the FollowUp image is also duplicated, a confirmation dialog to replace the FollowUp image appears. When patient ID is duplicated, a confirmation dialog to overwrite the the examination data is displayed. Pressing the Yes button to overwrite the same examination data and pressing No saves as the other examination data for the same examination data. 4 To import data of multiple patients, repeat Steps 1 and 2. • Patient data in a folder is not erased by importing. If necessary, erase the data manually. 41 ACQUIRING IMAGES: Importing/Exporting Patients 1.11.2 Multiple patient import Imports multiple patient information and all image data at the same time. 1 Click Multiple patient import from the File menu. The Choose Folder dialog box appears. 2 Select the folder in which the patient data to be imported is saved and click the OK button. To import multiple patients, select the folder one level above the individual patient folder. 42 3 The patient data in the folder is displayed in the Multiple patient import screen. Check the patients to be imported and for any patients not to be imported, remove the check in the patient ID field. Confirm the patients to be imported and click the Next button. 4 The Duplicate Patient list is displayed. ACQUIRING IMAGES: Importing/Exporting Patients When there are no duplicated patients, the Duplicate Patient List is blank. 1 5 When there is a patient duplicated, select the patient and select the processing method. Select the processing method from “Save” or “Save as”. When aborting import, click the Abort button. To remove a duplicated patient from import, click the Back button to return to the Step 3 screen and remove the check in the Patient ID field. 1) Select patient in the Duplicate Patient list and click the Edit button. All Selects all patients in the Duplicate Patient list. Deselect Selects and clears all patients in the Duplicate Patient list. 2) Select Save or Save as and click the OK button. For Save as, input a new patient ID. When multiple patients are selected, Save as cannot be selected. Duplicate patient IDs are not allowed. 43 ACQUIRING IMAGES: Importing/Exporting Patients 6 Click the Next button. Duplicate followup list is displayed. When importing patients, patient duplicated the followup baseline setting is displayed. 7 When there is a duplicated followup, select the Processing method. Select processing method from Save or Without saving. Set with the same procedure as Step 5. 8 Save The existing baseline image is abandoned and the baseline image of the data to be imported will be applied. Without saving Abandons the baseline and followup information of the data to be imported and imports as normal image. Click the Next button to start import. When there is a duplicated patient, select the examination data overwrite processing method. Select processing method from Save or New registration. Set by the same procedure as Step 5. Save The imported data (for the same patient) overwrites the examination data. New registration The imported data is registered as new data. A window indicating progress is displayed. Wait until the screen is changed. 44 ACQUIRING IMAGES: Importing/Exporting Patients 9 A message indicating completion of import is displayed. Click the OK button. 1 10 Click the OK button to close the Progress screen. 11 The imported patient is displayed in the Patient List screen. • Though importing is complete, the patient data in the folder is not deleted. Delete the patient data manually as necessary. 1.11.3 Patient export 1 2 Select a patient to be exported on the Patient List screen. Click Patient Export from the File menu. The Choose Folder dialog box appears. 3 Select the folder to which the patient data to be exported is saved and click the OK button. Data is saved in a folder for each patient (patient ID_patient name). If data with the same patient ID or patient name is in the folder, the data is overwritten. 4 To export data of multiple patients, repeat Steps 1 to 3. 45 ACQUIRING IMAGES: Recycle Manager 1.12 Recycle Manager 1.12.1 Recycle Manager screen The deleted image is saved in the Recycle Manager. The image saved in the Recycle Manager is saved as the image for each patient. The Recycle Manager screen is displayed by selecting View and selecting Recycle from the menu. { Recycle manager screen (image data) Control bar Data checkbox Data display area • No inspection data is displayed in the Inspection Data tab. 46 ACQUIRING IMAGES: Recycle Manager { Control bar 1 Return Returns to the patient list screen. Update Updates the data displayed on the Recycle Manager screen. Sort Sorts the data order. All select/ All deselect Selects or deselects all the data. Image size Switches the thumbnail image display size between Large/Middle/ Small. To patient Saves the selected (or displayed) data as selected patient data. Delete Deletes the selected data. Preview Displays the Print Manager screen. Print Executes the printing. Single/ Normal/ List Detail Selects Single display or Multiple display of data. Switches the data display between Normal display and Detail display. • When the title bar is displayed in yellow, To patient and Delete buttons are disabled. Data checkbox For the image data containing drawing data, analyzed result and caption, check and set whether to display those data together with the image. Two or more images can be selected. • Caption is displayed only in Single display mode. 47 ACQUIRING IMAGES: Recycle Manager { Data area Clicking each image data selects the image. Click the selected image again to clear the selection. Single display Select the thumbnail image and click the Single button to display the selected image. Zooming in or out the displayed image Changeover of the image 48 Animation display ACQUIRING IMAGES: Recycle Manager Zooms in the image Zoom in Clicking the left mouse button zooms in the image and clicking the right mouse button zooms out the image. Zooms out the image Zoom out Clicking the left mouse button zooms out the image and clicking the right mouse button zooms in the image. Reset Resets the image to the initial state. Full image Displays the entire image in the Single view. Original Size Displays the image in original size in Single display mode. Magnification drop-down list 1 Selects magnification from the drop-down list. First image Displays the first image when multiple images are selected. Last image Displays the last image when multiple images are selected. Previous image Displays the previous image when multiple images are selected. Next image Displays the next image when multiple images are selected. Play Starts the slide show of the images when multiple images are selected. Stop Stops the slide show of the images when multiple images are selected. 1.12.2 Saving images or examination data to patient's data Save the Recycle Manager image to patient's data. 1 2 3 On the Patient List screen, select the destination patient to be saved. Select View and select Recycle from the menu to display the Recycle Manager screen. Select data to be saved. Two or more images can be selected. 4 Click the To patient button . A confirmation message is displayed. 5 After confirming that the data is the patient data to be saved, click the Yes button. The selected data is saved in the specified patient and deleted from the Recycle Manager screen. When changing the patient, click the No button to delete the registration and change the patient selected on the Patient List screen. 49 ACQUIRING IMAGES: Recycle Manager 1.12.3 Deleting images Delete an image data from the Recycle Manager. The deleted image cannot be restored. 1 Select data to be deleted. In single image display mode, display data to be deleted. 2 Click the Delete button bar. on the control A confirmation message is displayed. 3 Click the Yes button. The selected and displayed data is deleted from the Recycle Manager. 50 ACQUIRING IMAGES: Patient List Screen Settings 1.13 Patient List Screen Settings In the Configuration dialog box displayed by selecting “Setting” from the file menu and select “Setting”, perform setting related to the Patient List screen and the software. 1 • The item to be displayed depends on the license setting. 1.13.1 System tab For the System tab, Mode and Server Name are displayed as System Information. The Mode is always displayed as Client. • Setup button is displayed only when logged in as administrator. • For the terminal used as server, the server name is displayed as “localhost”. Display the Input Server Name dialog box to input Server name or IP address. Setup button 51 ACQUIRING IMAGES: Patient List Screen Settings 1.13.2 Common tab Patients Tree History Patients Tree History Set the number of patient list lately accessed to be displayed when clicking the Patient menu. Clear button Clears the saved contents of the Patients Tree. The Last Size Starts with the same size of the main screen displayed last time. Maximization Always starts the main screen with the maximum size. The number can be set from 10 to 200. This number setting is reflected on the next day. Window Mandatory item of registration Check and specify the required input items during Patient Registration and Editing. When the specified input item is not input, an alert message is displayed and the patient cannot be registered. 52 ACQUIRING IMAGES: Patient List Screen Settings Input patient ID mode Input Only All patient ID is input from the key board. Date + Input The patient ID is automatically set by date with alphanumeric characters input from the key board. (Accession No.) This is convenient for when patients are organized by the order of visitation for each day instead of by patient ID. 1 When Patient ID input mode is “Date + Input”, the date information is added to the head of the patient ID in the Patient information dialog box. 1.13.3 Language tab Language Switches the language between Japanese/English. Format Selects the Last name/First name order to display. 53 ACQUIRING IMAGES: Patient List Screen Settings 1.13.4 Patient List tab Specifies the order to display on the main screen from Patient ID, Sorting Preference of Items Name, Age, Sex, Comment, History, and Race. Highlight the item and transfer with the Up/Down button. 1.13.5 Tree tab Perform setting related to the Tree display. Order of Tree select item and Sort of item when switching a patient Select displaying items and order in the tree to be displayed. Tree Sorting of Startup Select the tree sorting of startup from “Sort of Date”, “Sort of Item” and “Preservation of the order of sorting”. 54 ACQUIRING IMAGES: Patient List Screen Settings Display Mode of Image List Select the image sorting of image list window from “The Latest Date” and “The Latest Image Right/Left”. Expand/Collapse Select whether to expand the tree from “Does not Expanded”, “All are Expanded” and “Only Today (only the newest data)”. 1.13.6 Image Select tab Set whether to enable the function of "When the areas other than the image are clicked, all the image selections are released." • This function is enabled only on the Image List screen. 55 1 ACQUIRING IMAGES: Patient List Screen Settings 1.13.7 Image Caption tab Check the checkbox of Caption tab and set the Item and Position when displaying the caption on the image. • The Image Caption is not set in the default. Perform settings as necessary. 1 Check the box on the left. The captions cannot be set unless the box is checked. 2 Select the Item to be displayed from the drop down list. Select the item from “Patient name”, “Code”, “Age (now)”, “Age (picture)”, “Eye”, “Date”, “Elapsed time”, “Comment”, “Remarks”, and “Race”. 3 Select the display position. Select the display position from “Left-Top”, “Left-Bottom”, “Right-Top”, and “Right-Bottom”. 56 ACQUIRING IMAGES: Patient List Screen Settings 1 4 Set the caption color. Select from the Color Setting dialog box displayed by clicking the button. Click the OK button on the setting dialog box. • When the caption settings are changed, the change may not be reflected immediately. In this case, restart NAVIS-EX. 57 ACQUIRING IMAGES: Patient List Screen Settings 1.13.8 Thumbnail tab Sets the Background Color and Font Color of the thumbnail of the title bar to be displayed on the Image List. Change the color in the date or item order of the image data to be easily recognized. The color can be set for each of Normal display and Detail display. Standard Set the Background Color and Font Color of the Date and Sample title bar under the thumbnail. The color is displayed in the set color for each date or item. Add Select the color with the Color Setting dialog box displayed by clicking the ▼ button of Background Color and Font Color and click the Add button. A new combination is added to the list. Delete Select the combination to be deleted from the list and click the Delete button. Update Select the combination to be changed and after selecting the new Background Color and Font Color, click the Update button. The selected combination is updated in the list. Sort Select the combination whose order is changed from the list and click the ▲ or ▼ button under the list to change the order. Detail Set the display method (Type1 to Type3) and display color. The color is displayed in the set color for each date or item. Background Color Font Color Type1 Lower part of the thumbnail image Letters other than the object name Type2 Letters of the object name Letters other than the object name Type3 Background of the detail display part Letters other than the object name The method of Add, Delete, Update, and Sort are the same as the Standard. 58 ACQUIRING IMAGES: Patient List Screen Settings 1.13.9 Export tab Perform setting when exporting the image from NAVIS-EX in the specified format. 1 { Creating export module 1 Click the New button. The dialog box becomes registrable. 2 3 Enter the export module title in the Function name field. Select the export module from the drop-down list. The available export modules are as follows: Export Application(s) Start and display the application software whose data is specified as Bitmap format or JPEG format. Export bitmap file(s) Image data is exported in the Bitmap format. Export ClipBoard(s) Save the image data in the PC clipboard. Export jpeg file(s) Export image file(s) Image data is exported in the JPEG format. Export the image data with the same file format saved in NAVIS-EX. 59 ACQUIRING IMAGES: Patient List Screen Settings Export Report file(s) Output the Image data, Patient information, Capture information and comment with the report format. Before saving, preview is displayed and comment can be entered. • For the Application and Clipboard, when the multiple images are selected, exporting may not performed normally. 4 Click the Detail button to display the Report Export dialog box. Set details for each output format. When "Export Application(s)" is selected Specify each of the "BMP" and "JPG" tabs. External application start failed The specified format data is not started with the external application software. System related application start Start with the application software of the file format (extension) associated with the PC. Designated application start Start with the specified application software. Specify the application software with the Open File dialog box displayed by pressing the Open File button. • For the Application started, select the exe format file. Detailed setting of the Bitmap format (Export bitmap file) Folder box File name box Specifies the output folder Sets the rule in the file naming. The exported file name becomes "(Set file name) + (No).bmp". Checking "Open save dialog when exporting a picture" displays the save dialog every time data is exported. 60 ACQUIRING IMAGES: Patient List Screen Settings Checking “Save patient data when exporting a picture” exports the patient information XML file with the image file. When "Export ClipBoard(s)" is selected 1 When “Export ClipBoard(s)" is selected, there is no detail setting. The image data can be pasted with the external application software such as Paint during saving to the ClipBoard. Detailed settings of an image (Export image file(s)) Folder box File name box Specifies the output folder Sets the rule in the file naming. The exported file name becomes "(Set file name) + (No).extension". Checking "Open save dialog when exporting a picture" displays the save dialog every time data is exported. Checking “Save patient data when exporting a picture” exports the patient information XML file with the image file. Detailed setting of the JPEG format (Export jpeg file) Folder box File name box Specifies the output folder Sets the rule in the file naming. The exported file name becomes "(Set file name) + (No).jpg". Checking “Open save dialog when exporting a picture” displays the save dialog every time data is exported. Checking “Save patient data when exporting a picture” exports the patient information XML file with the image file. 61 ACQUIRING IMAGES: Patient List Screen Settings Besides, the image quality of JPEG file can be specified in the 1 to 100 (%) range. Be aware that increasing the image quality increases the file size. Detailed settings of a Report file (Export Report file) Folder box File name box Mail Setting Specifies the output folder Sets the rule in the file naming. The exporting file name is "(Set file name) +(Date of creation). extension”. Sends the file format data by e-mail. Clicking the Mail button displays the Server Setting dialog box and perform setting related to the e-mail sending. Folder box Click the Browse button to display Browse for Folder dialog box and specify the destination of the exporting data to be saved. After specifying the destination, click the OK button. File name box Enter the file name. 5 6 Click the OK button to close the dialog box. Set Output Caption, Output Title, and Erase Mask as necessary. Multiple items can be selected. 62 ACQUIRING IMAGES: Patient List Screen Settings Output Caption Outputs images with the image caption added. 1 Outputs images with the title added on the upper part of the image. Output Title Set the title item, character color, and background color in the Title Setting dialog box displayed by clicking the Setting button on the side of the Output Title checkbox. When “Output Title” is set with the “Erase Mask” function, be sure not to select black for Font Color and Background Color. If black color is selected, the title output disappears. Title area when the title is output Setting in the Title Setting dialog box Check the item to be output. Select the Font Color and Background Color with the Title Setting dialog box displayed by clicking the [ ▼ ] button. Outputs images with the mask erased. For the images captured with the AFC-330 whose mask type Erase Mask is “Hardware”, mask is not erased. According to the color setting of Caption, characters in title and caption may become hard to see when the mask is erased. 7 Click the OK button on the Export tab box. The new exporting module is added to the list. 8 Click the OK button on the setting dialog box. 63 ACQUIRING IMAGES: Patient List Screen Settings { Editing an export module 1 2 Select the module to edit from the Export module list. 3 4 5 6 7 8 9 Enter the export module title in the Function name field. Click the Edit button on the Export tab box. Click the Detail button and enter the output folder and file names. Click the OK button in the dialog box in which the output folder name is entered. Click the OK button to close the dialog box. As necessary, perform the Output Caption settings. Click the OK button in the Export tab box. Click the OK button in the setting dialog box. • The module name of the export module already set cannot be changed. { Deleting an export module 1 2 Select the module to delete from the Export module list. Click the Delete button in the Export tab box. The export module is deleted from the list. 3 64 Click the OK button in the setting dialog box. ACQUIRING IMAGES: Patient List Screen Settings 1.13.10 Samples tab Sets the title (item) to be displayed in the tree view sample. 1 Add Enter the title field and click the ADD button. Delete Select the title to be deleted from the title list and click the Delete button. Update Select the title to be changed from the title list and click the Update button after changing the title. Sort Select the title whose position is changed from the title list and click the ▲ or ▼ button to change the order. 1.13.11 Communication tab Perform setting that automatically save the image file to the folder other than those in NAVIS-EX simultaneously with the image capturing. Communicates with the external system Enables the data automatic external saving function. File transfer Automatically saves the data to the specified folder. 65 ACQUIRING IMAGES: Patient List Screen Settings NAVIS-HP Obtain the data from the NAVIS-HP and automatically saves the data to the specified folder. NAVIS-CL Obtain the data from the NAVIS-CL and automatically saves the data to the specified folder. Setup button Displays the Communication detail setting dialog box. It is enabled only when "Communicates with the external system" is checked. • To use the Communication function between multiple terminals, unify the saving location. • When the output folder is changed, restart the PC. • To perform the Communication function with NAVIS-HP or NAVIS-CL, installation of additional specialized software for the NAVIS-HP or NAVIS-CL is necessary. • The Communication function can be selected from the menu displayed by right-clicking the selected image on the Image List screen. {File transfer Clicking the Setup button displays the Communication detail setting dialog box. The transferring folder Specifies the folder to which data is transferred. Selects the file format of output data. The transferring data “Jpeg Image file” transfers only image data and communication information. "Jpeg Image and XML files" outputs image data, capturing information, patient information, and communication information. • Communication information of the output data is the data necessary for starting NAVIS-EX to be used as a viewer from the host system. 66 ACQUIRING IMAGES: Patient List Screen Settings {NAVIS-HP Clicking the Setup button displays the Communication detail setting dialog box. 1 The transferring folder Specifies the folder to which data is transferred. When obtaining the data to NAVIS-HP, specify this folder. Fixes the transferring data to “Jpeg Image and XML files”. The transferring data NAVIS Server Connect button When “Image file” is selected, the capturing information cannot be obtained. “Jpeg Image and XML files” is used to transfer image data, capturing information and patient information. Enters the NAVIS-HP Server access information (user, password, IP address and port No.). Performs NAVIS-HP Server connection test. When the connection succeeded.” appears. is successful, the message “Connection {NAVIS-CL Clicking the Setup button displays the Communication detail setting dialog box. The transferring folder Specifies the folder to which data is transferred. When obtaining the data to NAVIS-CL, specify this folder. 67 ACQUIRING IMAGES: Patient List Screen Settings Fixes the transferring data to “Jpeg Image and XML files”. The transferring data NAVIS Server Connect button When “Image file” is selected, the capturing information cannot be obtained. “Jpeg Image and XML files” is used to transfer image data, capturing information and patient information. Enters the NAVIS-CL Server access information (user, password, IP address and port No.). Performs connection test of the NAVIS-CL Server. When the connection succeeded.“ appears. is successful, the message “Connection 1.13.12 Patient Change tab Sets the Patient Change function to allow patient selection in NAVIS-EX from external devices. The Patient Change function can select the patient using the Windows Command Prompt or by saving the specified patient file to the observation folder. Change the patient with a device other than the capture terminal. If the patient is changed with a device other than the image capture terminal, an unexpected operation may result. Use patient change Checked when using the Patient Change function. Patient change setup Patient Change Format Performs settings in the Data tab in the setting dialog box displayed by clicking the Setup button. Sets the observation folder used for the File Watch function. Target Specify the observation folder with the Reference dialog box displayed by clicking the Reference button. Or input the path directly. When a file in the observation folder is loaded, the file is deleted. Sets the file name of the text file containing the patient information specified in the Field tab to be saved in the observation folder. File Name 68 Only one patient can be registered in one file. When multiple patients are input, only the first patient is captured. For the contents of the text file, see "1.15.2 Using an observation folder" (page 86). ACQUIRING IMAGES: Patient List Screen Settings Patient change message Sets whether to display a confirmation message when changing a patient. Save confirmation message Sets whether to display a confirmation message when saving the changed file. { Patient Change Format Setting 1 2 1 Check “Use patient change”. Click the Setup button of the Patient change format. The Setting dialog box appears. 3 Set the Sex code and Race in the General tab. Sex Code Date Race Specify Male and Female codes with single alphanumeric character. Do not repeat the same character. The date format of the PC is displayed. The date format cannot be changed in the Setting dialog box. Sets the race code with alphanumeric character. Do not repeat the same character. If the incorrect value is set, default setting is registered. 4 Perform Data format setting in the Data tab. 1) Click the Data tab. 2) Select the type from the drop-down list. 3) Specify the field. When there are items already input in the field, be careful not to duplicate the field value. 4) Click the Add button. A new item is added to the Field List. 5) Repeat Steps 2) to 4) to input items. For the command line and patient change file for each item in the Field List, refer to the following list. 69 ACQUIRING IMAGES: Patient List Screen Settings No. Type 1 (No set) *1 2 Last Name Input example LAST 3 First Name FIRST 4 Middle Name MIDDLE 5 AutoName *2 "FIRST MIDDLE LAST" 6 reserve1 - 7 reserve2 - 8 reserve3 - 9 reserve4 - 10 reserve5 - 11 reserve6 - 12 reserve7 - 13 reserve8 - 14 reserve9 - 15 Patient ID 90001 16 reserve10 - 17 Birthday *3 1950/01/30 18 Sex 1 19 Comment *2 "This is a test patient" 20 History 21 Race Undefined *1 Used when the blank field is desired to be blank. *2 Encloses the information in quotations ( " ). Input a space between the first name, middle name, and last name. The order of first name / middle name / last name is according to the Format setting in the Configuration dialog box (Language tab). *3 When the short date format of PC is “yyyy/MM/dd” (varies with the date format of PC) • Be sure to include “Patient ID” or “Accession No.” in the Field List. • The Reservation fields (1 to 8) cannot be used. • Duplicated items cannot be set at the same time such as “last name and full name” or “first name and full name”. Editing items 1) Click the item to be edited from the Field List. 2) Input changes into the Type field and Field field. 3) Click the Edit button. The item in the Field List is overwritten. Deleting items 1) Click the item to be deleted from the Field List. 2) Click the Delete button. The selected item is deleted from the list. Changing the item order 1) Click the item whose order is to be changed from the Field List. 2) Click the [S] or [T] button. The order of the item in the Field List moves. 70 ACQUIRING IMAGES: Patient List Screen Settings 1.13.13 Image Tool tab Sets whether or not to display a confirmation message when operating the image tool. 1 All messages are displayed. The confirmation dialog box is displayed. No messages are displayed. The confirmation dialog box is not displayed. 71 ACQUIRING IMAGES: AFC Image Followup 1.14 AFC Image Followup Follows up the image by performing comparative display and differential display of the standard-registered image and time passed image. For followup, the BaseLine and FollowUp image are required. BaseLine: Image as a base of followup FollowUp: Image being compared with the baseline image • Followup function cannot be used for the patient data being used (locked) in the other terminal. • Only images containing the information specified by NIDEK can be specified as the BaseLine or FollowUp images. If the information specified by NIDEK is not contained in the selected image, the error message as shown below appears. Images of an undefined eye cannot be specified as the BaseLine or the FollowUp images. For each of the right and left eyes, one BaseLine image can be specified. If multiple Baseline images are specified for one eye, the previous Baseline and FollowUp images are released. The dialog box as shown to the right appears to call attention. Up to three FollowUp images of each type can be specified for each of the right and left eyes. The dialog box as shown to the right appears to call attention. 72 ACQUIRING IMAGES: AFC Image Followup 1.14.1 Followup screen description Image control bar Setting graph Toolbar Setting analysis 1 Thumbnail list The thumbnails of the images specified as Baseline and Followup and selected images are displayed. Using the tabs at the top, the display can be selected. Graph display { Image control bar Return Returns to the Image List screen. Setup Displays the Setup dialog box for the followup. Diagram Changes the type of the graph that shows the followup result. R/L B/F Toggles between the L/R screen and the B/F screen. B/F screen: Displays the BaseLine and FollowUp images for one eye. R/L screen: The right and left eye images are displayed at the same time. Disc Copy Copies the disc of the Baseline. This function is used when adding FollowUp images. 73 ACQUIRING IMAGES: AFC Image Followup { Toolbar Reload Reloads saved image. Clear Clears the measurement data. Undo Undoes the previous action. Redo Cancels the previous Undo. Move Moves the position to display. Select Selects the object. Disc Specifies a disc and calculates disc parameters. Cup Specifies a cup and calculates cup parameters. Erase Erases the selected object. Original Size Displays the image in original size in Single display mode. Full image Displays the image in original size in Single display mode. Color Selects the color assigned to the measuring tool. Pen style Line width Selects the line width assigned to the measuring tool. Next image Displays the next FollowUp image when multiple images are selected. Play Starts the slide show of the FollowUp images when multiple images are selected. Stop Stops the slide show of the FollowUp images when multiple images are selected. Slide show speed 74 Selects the pen style assigned to the measuring tool. Changes the speed of the slide show of the FollowUp images. ACQUIRING IMAGES: AFC Image Followup 1.14.2 Specifying Baseline 1 Select an image to be followed up on the Image List screen. Click the Followup button to open the pop-up menu and select “Followup”. 2 Select the desired image to be the Baseline used in the followup from the list. 1 The selected image can be enlarged by clicking. Pan window A pan window appears when the image is enlarged. Select the desired display position and magnification. Dragging the image can also change the display position. 3 Click the Disc button to specify the disc area. Click the left mouse button to enter four or more points over an edge of disc. The starting point is displayed with points are displayed with . and the other 75 ACQUIRING IMAGES: AFC Image Followup Clicking the starting point again finalizes the disc edge and outlines a disc line with a spline curve 4 Click the Cup button to specify the cup area. Click the left mouse button to enter four or more points over an edge of disc. The starting point is displayed with are displayed with . and other points Clicking the starting point again finalizes the cup edge and outlines a cup line with a spline curve. 5 Select the image selected as Baseline from the list and open the pop-up menu by rightclicking. Select “Set BaseLine”. It is possible to register the image to the Baseline before specifying the disc and cup. 76 ACQUIRING IMAGES: AFC Image Followup 6 The selected image becomes the Baseline, and the graph is displayed. 1 • The graph does not appear if the cup area is larger than the disc area. • The graph does not appear, either, if the cup area does not contain the center of the TSNIT axes. 77 ACQUIRING IMAGES: AFC Image Followup 1.14.3 Specifying Followup • During conducting the followup, the image may be distorted. In this case, set followup again. 1 Select an image to be followed up from the thumbnail list. When an image is selected from the list, the selected image is displayed on the right side of the screen, and the Baseline is displayed on the left side of the screen. Pan window 2 Click the selected image to enlarge it. A pan window appears when the image is enlarged. Select the desired display position and magnification. Dragging the image can also change the display position. 3 Click the Disc Copy button to select the Baseline, the selected image, and the disc area, in that order. Click the four points on the edge of the disc to specify them as a mark of the edge. 78 ACQUIRING IMAGES: AFC Image Followup • For the disc copy, the disc area is specified by four points. The measurement area and the order of the selection need to be consistent between the Baseline and the FollowUp images. 4 When the fourth point is clicked, the message “Do you copy the disc?” appears. Click the Yes button. 1 The disc area is displayed on the selected image and the image becomes the Followup. 5 Click the Cup button to specify the cup area. The graph of the selected image is added on the screen. 79 ACQUIRING IMAGES: AFC Image Followup 1.14.4 Releasing BaseLine and FollowUp images 1 Select the image to cancel its selection as the BaseLine or the FollowUp from the thumbnail list 2 Open the pop-up menu by right-clicking the thumbnail. Select “Release Baseline”. For the FollowUp image, select “Release Followup". • When the BaseLine setting is canceled, the related FollowUp setting is also canceled. • The BaseLine or FollowUp images can be canceled on the Image List screen as well. 80 ACQUIRING IMAGES: AFC Image Followup 1.14.5 Switching the graphs The types of graph that shows the followup results can be changed. Each time the Diagram button is clicked, the graph type can be changed in the following order: { TSNIT graph 1 The graph when the Followup is compared with the Baseline is displayed. Numeric values in the specified direction can be displayed by moving the indication lines for vector angle (VA). Right-clicking the image or clicking the graph moves the indication line to the cursor position. Aligning the cursor to the circle on the indication line of the graph displays the numeric value at that position. Display/non-display of the C/D, R/D, and RIM graphs, and the cross line showing TSNIT of the image can be selected with the checkbox at the top of the image. Indication lines for vector angle 81 ACQUIRING IMAGES: AFC Image Followup { Serial graph The graph when all Followups (up to three images) are compared with the Baseline is displayed. Display/non-display of the C/D, R/D, and RIM graphs, and the cross line showing TSNIT of the image can be selected with the checkbox at the top of the image. { Numeric table The C/D, R/D, and RIM values of all images on the Followup screen are indicated with the T, S, N, I, T values and average value. Select the numeric value to be displayed with the radio buttons to the upper left. Graph colors Graph colors can be changed with the Color Setting dialog box that is displayed when the colored area on the graph is clicked. The colors of Line and RIM can be specified respectively. Clicking the Default button returns to the factory setting. 82 ACQUIRING IMAGES: AFC Image Followup 1.14.6 Displaying the right and left eye images The followup results of the left eye and that of the right eye can be displayed respectively. 1 Immediately after the screen is switched, the Baseline is displayed on the left side of the screen, and the latest FollowUp image is displayed on the right side of the screen. Clicking the R/L button displays the right eye image on the left side of the screen, and the left eye image on the right side of the screen. For the TSNIT graph, the left and right eye graphs are displayed. If the image data of both eyes captured on the same day is not in the thumbnail list, the image of one eye is displayed. Each time the R/L button or B/F button is clicked, the followup comparison display and the left/right eye comparison display are switched. Graph colors Graph colors can be changed with the Color Setting dialog box that is displayed when the colored area on the graph is clicked. The colors of Line and RIM can be specified respectively. Clicking the Default button returns to the factory setting. The graph colors for the right and left eyes can be set with “Graph Color” in the Setting dialog box as well. 83 ACQUIRING IMAGES: AFC Image Followup 1.14.7 Setting the Followup screen Set the Followup screen in the Setting dialog box that is displayed when “Setup” is clicked in the Setup menu. Display Image as Followup when starting Select an image to be displayed first when the Followup screen is displayed from among “Followup image”, “Acquired image”, and “Does not display”. The order of image display Select the order of the images displayed in the thumbnail list on the Followup screen from either “Ascending order of date” or “Descending order of date”. Threshold Set a threshold value for each of “C/D (V)”, “C/D (H)”, and “R/D” on the numeric display. Numeric values which exceed the threshold are displayed in red. Confirmation message box Sets whether or not the confirmation message box is displayed. Graph display when starting Select the graph to be displayed first when the Followup screen is displayed from among “TSNIT graph”, “Serial graph”, and “Numeric table”. Graph Color Sets colors to be used for the TSNIT graph when the left and right eye images are displayed. Clicking the Default button in the “Graph Color” field returns only the color setting to the factory setting. Default setting Clicking the Default button at the bottom of the setting dialog box returns all settings to the factory settings. 84 ACQUIRING IMAGES: Patient Change Function 1.15 Patient Change Function The Patient Change function allows patient selection in NAVIS-EX from external devices. Without operating NAVIS-EX, selection of the patient information and registration of the new patient can be 1 performed. The Patient Change function can select the patient using the Windows Command Prompt or by saving the specified patient file to the observation folder. For the setting method of the Patient Change function, see "1.13.12 Patient Change tab" (page 68). 1.15.1 Using command line Selects the patient using the Windows Command Prompt. 1 Open the Windows Command Prompt. 2 Change the NAVIS-EX installation destination NAVIS-EX/Navigator directory. Open the Navigator.exe current folder. 3 Input the command line. For the command description, use the “Patient change format” set in "1.13.12 Patient Change tab" (page 68). ex) Navigator.exe 90001,TEST,PATIENT,1,1950/01/30 • The input format of the command line is comma-deliminated. • For the patient ID, only the alphabetic characters, A to Z (upper case), and numeric characters, 0 to 9 can be used. Be sure not to use commas or spaces in the patient ID. This may recognized as delimiters. If any other characters are used for the ID, the ID may be registered to NAVIS-EX but might pose a problem for operations such as Retrieve function. • A Field input in an improper format or values cannot be registered. • Be sure not to include commas in the comment. 4 Press the Enter key on the keyboard to select or newly register the patient in the Patient List screen of NAVIS-EX. The Patient List screen comes to the front. When the input command line is for a new patient, the patient information is newly registered and the Patient List screen is displayed. If NAVIS-EX is not started, the Login screen is displayed. 85 ACQUIRING IMAGES: Patient Change Function 1.15.2 Using an observation folder Selects the patient by saving the specified patient file to the observation folder. 1 Create the patient change file. Use the file name set in “FileName” in "1.13.12 Patient Change tab" (page 68). For the text description, use the “Patient change format” set in "1.13.12 Patient Change tab" (page 68). ex) 90001,TEST,PATIENT,01,1950/01/30 • Create one text file for one patient ID. (Be sure not to describe multiple patient IDs.) • The input format of the command line is comma-deliminated. • For the patient ID, only the alphabetic characters, A to Z (upper case), and numeric characters, 0 to 9 can be used. Be sure not to use commas or spaces in the patient ID. This may recognized as delimiters. If any other characters are used for the ID, the ID may be registered to NAVIS-EX but might pose a problem for operations such as Retrieve function. • A Field input in an improper format or values cannot be registered. • Be sure not to include commas in the comment. 2 If the created patient change file is stored in the observation folder set in "1.13.12 Patient Change tab" (page 68), the patient is selected or newly registered in the NAVIS-EX Patient List screen. The Patient List screen comes to the front. If the input patient information is for a new patient, newly register the patient information and display the Patient List screen. If NAVIS-EX is not started, the patient change file observation function is not operated. • Do not set the observation folder to the same location of others. 3 86 The patient change file is deleted from the observation folder. 2. 2.1 DISPLAYING IMAGES Image List Screen On the Image List screen, image reference, image processing, image printing are performed. Select patient on the Patient List screen and click the Forward button Menu bar Toolbar Tree view to display. 2 Patient information Data area { Menu bar The menu bar includes the File, Edit, View, Setup and Help menus. Clicking a menu displays a pull-down menu. For details, see "1.7.1 Menu bar" (page 22). 87 DISPLAYING IMAGES: Image List Screen { Toolbar The toolbar includes shortcut buttons to which frequently-used functions are assigned. The functions that are not displayed can be executed from the menu. When an image is displayed, some functions can be executed from the pop-up menu displayed by right-clicking. For details, see "1.7.2 Toolbar" (page 24). • When the title bar is displayed in yellow, addition and editing of the patient data cannot be performed and Comment and Image Wizard button cannot be used. { Displaying Patient Information Displays the selected patient ID, Name, Sex, and Age. Clicking the Expand button displays the History and Comment of the patient information. Expand button • According to the Server Manager setting, Race can be displayed. { Tree view The displayed data can be changed by the tree view in the left side of the screen. The tree view shows the selected patient data sorted by item or date. By clicking + or - on the left side of each item in the tree view, the layers of each item can be expanded or closed. { Sort order in the tree view The first level of the tree view shows a date of the selected image. The second level and the followings show the data items The sort button is between the toolbar and the tree view. Clicking this button change the sorting between "Sort by date" and "Sort by item". Sort by item Displays the data items in the first level and the dates in the second level. Sort by date Displays the dates items in the first level and the data in the second level. Expand Expands the entire tree. Collapse Collapses the entire tree. • When date is selected, all date is displayed and scroll the screen to display the selected date on the screen. 88 DISPLAYING IMAGES: Image List Screen { Changing displaying data using the tree view When switching to the Image List screen, items of the data are displayed as icons. When a tree view item or icon is selected, the corresponding data are displayed. When there are further items under the selected item in the tree view The tree items under the selected tree items are shown as icons in the data display area. When the selected item is on the bottom layer in the tree view The data of the selected item in the tree view is displayed in the data display area. 2 { Data area In the data display area, image thumbnail is displayed. The display size of the thumbnail image can be switched between large/middle/small with the Size button. An icon indicating image type is displayed on the right bottom of the thumbnail image. Edited image Image processed by image wizard Scope image Image processed by scope simple processing or image processing Exported image Image export processed in Communication mode BaseLine image Image set as baseline FollowUp image Image set as followup Selecting or Canceling selection of image Click a thumbnail image. Selecting an image The clicked thumbnails are selected and their frames turn green. Clicking thumbnails while pressing the Shift key can select a series of thumbnails. Canceling the selection of an image Click the selected thumbnail. The frame of the clicked thumbnail turns black. Selection of patient eye / classification Patient eye / classification can be selected and displayed. For details, see "2.1.9 Classifying images" (page 105). 89 DISPLAYING IMAGES: Image List Screen Display of sample Display the sample image in the data display area. Clicking the Expand button switches the display and non display of the sample image. Expand button 90 Sample image DISPLAYING IMAGES: Image List Screen 2.1.1 Select image mode / Single display mode The Select Image mode displays only the selected images. • To display data in Select Image mode, Multi must be selected from Multi/Single in the menu bar. 1 Click a thumbnail image. The clicked thumbnails are selected and their frames turn green. 2 2 Click the Forward button in the image control bar. The selected images are displayed in select image mode. • With the Select Image mode, caption and image list can be displayed. 3 Click the Forward button in the image control bar. Selected images are displayed in Single display mode. 91 DISPLAYING IMAGES: Image List Screen Clicking the Back button in the image control bar returns the mode from Single display mode to Select display mode, and List display mode. • In List display mode, the thumbnail size can be changed from among large/middle/small by clicking the Image size from the Display menu. • In List display image mode, the thumbnail image size can be changed between large/ middle/small with the Size button. In Select Image mode, icons are displayed in the upper part of the image. Image type Switches the image editing Cancels the image selection • Even if the image editing is disabled in Select Image mode, when the mode is moved to Single display mode, image editing becomes possible. 92 DISPLAYING IMAGES: Image List Screen 2.1.2 Scope display /Simple image processing In Single display mode, magnifying the selected image or referring image using simple image processing can be performed. In addition, the image which is processed result can be saved. For the simple image processing, RGB display and red free imaging can be performed. • In drawing, processing, and measurement, the simple image processing function cannot be used. • When using the Simple image processing tool, image display may require noticeable time. 2 • If the displayed image become white, refresh the display with the Renewal button. 1 2 Select the desired image. Click the Forward button or Single display mode. in the image control bar to display in Select display mode Scope display tool and Simple image processing tool are displayed. Display switching button Simple image data processing Scope setting tool 93 DISPLAYING IMAGES: Image List Screen 3 If necessary, change the Brightness, Contrast, and Magnification in the Scope setting tool. Drag the slider or use the Up/Down button to change. The image in the image display area changes as the setting is changed. Brightness Contrast Contrast (R) The Navigator displays the range displayed in the Image Display area and dragging the Image Display area can move the display of Image Display area. Contrast (G) Contrast (B) Navigator Zoom • Navigator of the Scope Setting tool can be displayed only when in Single display mode. Control bar The following operations can be performed with the Display Switching button. Interlock checkbox When this box is checked, the same operations are performed for all images selected and displayed. This is enabled in Select display mode. When interlocking again, the unsaved edited image may be cleared. Reset Resets the setting to the initial state. Fit Fits and displays the image to the size of the display area. Original size Displays the image in the original size. Displays the slider for setting the animation image switching speed. Speed Save Saves the changed image in the image display area. The image is saved with the same date as the original image. The following buttons are enabled only in Single display mode. First image Displays the first image when multiple images are selected. Previous image Displays the previous image when multiple images are selected. Next image Displays the next image when multiple images are selected. Last image Displays the last image when multiple images are selected. Play Stop 94 Starts the slide show of the images when multiple images are selected. During the animation display, simple image processing is released. Stops the slide show of the images when multiple images are selected. DISPLAYING IMAGES: Image List Screen 4 If necessary, select “No process”, “RGB”, “Red free”, or “Emboss” from the drop-down list on the image control bar. The selected image processing is executed. No process RGB Displays the image as it is without executing image processing. Displays the image separately according to the Red, Green, and Blue channels. Red free Displays the image without red channel. Emboss Displays the image embossed. 2 After RGB/Red free/Emboss imaging is performed, select “No process”. RGB Red free 95 DISPLAYING IMAGES: Image List Screen Emboss • The RGB processed image is saved as a single image. When dividing the channel with the Image Processing function of the Image Wizard, the image is saved with each image of R, G and B. • Performing Scope Processing and Simple Image Processing to one image at the same time is not possible. Simple Image Processing is performed to the original image. It is possible to perform Scope Processing or Simple Image Processing to saved scope images. • Emboss imaging of exceptionally large image files may fail due to lack of memory space. If emboss imaging fails, reduce the image size or lower the digital camera image quality setting. 5 When saving the image in the Image displaying area, click the Save button . When saving the Scope processed image, a Scope Image icon is displayed on the Image List thumbnail. Scope image icon • When saving the image in the Image display area, click the Save button. When changing the patient without clicking the Save button or changing from Single display mode, the displayed image is not saved. 96 DISPLAYING IMAGES: Image List Screen ○ Enlarging, reducing, and moving the image In Select display mode and Single display mode, an image can be enlarged, reduced, partially enlarged, or moved using a mouse. Enlarge/Reduce Partially enlarge An image can be enlarged or reduced using a mouse wheel. When an image is displayed at less than 100% magnification, clicking the mouse left button displays the mouse pointer area with a loupe at 100% magnification. To move the loupe, drag it. Move 2 Pressing and dragging the mouse right button or pressing and dragging the mouse left button while pressing the [Shift] key can move an image. When an image is displayed at 100% or more magnification, dragging the mouse left button moves the image. An image is movable when it is displayed larger than the Zoom Fit size. Partially enlarged area with a loupe • An image can be enlarged, reduced, or moved while the drawing function, image processing, or image measurement function is activated. The above is not possible on the Image Wizard screen. 97 DISPLAYING IMAGES: Image List Screen 2.1.3 Selecting or deselecting all images All the images displayed as thumbnails can be selected or deselected by one operation. 1 2 Display the thumbnails in List mode. Click All from the Edit menu. The thumbnails are selected. 3 Click Deselect from the Edit menu. The thumbnails are deselected. • When no image is selected, All is disabled. • Clicking thumbnails while pressing the Shift key can select a series of thumbnails. 2.1.4 Displaying detailed information on images The detailed information of the images can be displayed along with the thumbnail. 1 2 Display the thumbnails in the List mode (or single mode). Click the Detail item from the View menu. The detailed information is displayed on the right of the thumbnail. To not to display the detailed information, click the Normal item from the View menu. • For the images, shutter speed, capture light intensity, and ISO sensitivity are indicated in Remarks of the detailed information. 98 DISPLAYING IMAGES: Image List Screen Display example of Single display mode 2 Dragging the triangle on the upper-right of the detailed information changes the display position. 99 DISPLAYING IMAGES: Image List Screen 2.1.5 Displaying images at full screen size An image can be displayed at the full screen size. Multiple images can be selected to see them simultaneously as thumbnail or alternately in the full-size screen. Full-screen display (Single view) 1 Select the thumbnails in the Image List screen. The thumbnail can be selected in each mode of Thumbnail List display/Select display/Single display. 2 Click the FullScreen item from the View menu. The image is displayed at full screen. When the image is displayed at full screen from Select display mode, the image can be displayed at full screen with the multiple images are displayed. (Multi View) The control bar is displayed when the mouse cursor is aligned on the lower part of the screen. Control bar The following displays can be performed with the control bar on the Full Screen display. Return Single view 100 Displays the view previous to the full size screen. Displays only an image. DISPLAYING IMAGES: Image List Screen Displays multiple images. Multi view Changes display and non-display of the drawing data. Markup For details, see "2.2.3 Markup" (page 109) Changes display and non-display of the analysis result. Analysis For details, see "2.2.4 Displaying analyzed results" (page 110) Changes display and non-display of the caption. Caption For details, see "2.2.2 Displaying images with caption" (page 109) Interlock Checking this box expands or collapses the all images as with the selected image. First image Displays the first image in the Single view. Previous image Displays the previous image in the Single view. Next image Displays the next image in the Single view. Last image Displays the last image in the Single view. 2 Starts the slide show of the images in the Single view. Play During the animation display, simple image processing is released. Stop Stops the slide show of the images in the Single view. Reset Resets the image to the initial state. Page size Displays the entire image in the Single view. Original size When the image is displayed in Single display mode, the image is displayed in the original size. Magnificat ion drop-down list Speed slider Selects the magnification from drop-down list. Sets the animation image switching speed. • The control bar display position can be changed by dragging. { Mouse operation in enlarging or reducing the image Enlarge/Reduce Partially enlarge An image can be enlarged or reduced using a mouse wheel. When an image is displayed at less than 100% magnification, clicking the mouse left button displays the mouse pointer area with a loupe at 100% magnification. To move the loupe, drag it. Pressing and dragging the mouse right button or pressing and dragging the Move mouse left button while pressing the [Shift] key can move an image. An image is movable when it is displayed larger than the Zoom Fit size. 101 DISPLAYING IMAGES: Image List Screen 2.1.6 Comment of image The comment of the image selected in the image display area can be changed. 1 Click the thumbnail to set the comment. Multiple comments can be set at the same time by clicking the multiple thumbnail. 2 Click the Comment item from the View menu. The Image Comment dialog box appears. Edit button 3 Enter comments. Enter comments directly into the Editing box. Or select the registered comment from the tree of the drop-down list. 102 DISPLAYING IMAGES: Image List Screen Registration of item and comment Edit with the Image Comment dialog box displayed by clicking the Edit button. Register in a tree format of Classification-Item-Comment. 2 To add a new item or comment a. Select an item (classification) to which a comment (item) is added and click the Comment button (Item button). When adding a comment, specify the class in advance. New Addition b. Enter a comment directly in the editing box in the displayed Comment dialog box and click the OK button. c. Click the Close button. To delete an item or comment Deletion a. Designate the comment (or item) from the list box and click the Delete button. When deleting the item, all the comments registered in the item are deleted. b. Click the Close button. To modify an item or comment a. Select a comment (item) to be changed and click the Update button. Change b. Change the contents of editing box of the displayed Comment dialog box and click the OK button. c. Click the Close button. • According to the item of the image, enter the comments for each. 4 Click the Update button. The comment is saved. 103 DISPLAYING IMAGES: Image List Screen 2.1.7 Deleting images Click the thumbnails to select them. Multiple images can be deleted at a time by selecting multiple images. 1 Click the Delete button on the image control bar. Then the Confirmation dialog box appears. Click the Yes button. The selected image is deleted. As the deleted image is saved in the Recycle Manager temporarily, the image can be restored later. For the details of the Recycle Manager, see "1.12 Recycle Manager" (page 46) 2.1.8 Selecting the patient’s eye 1 2 Display the thumbnails in List display mode. Select the patient’s eye with the patient eye radio button (All Eye/OD/OS) in the image control bar. The images of the selected eye are displayed. 104 DISPLAYING IMAGES: Image List Screen 2.1.9 Classifying images 1 2 Displays the thumbnail in List display mode. Select the thumbnail and select “Group1” to “Group3” from the menu displayed by right-clicking. 2 A classification icon is displayed in the right bottom of the thumbnail of the selected image. When cancelling the classification, select “No Group” from the menu displayed by right-clicking. Classification icon { Sorting the classified image Switches display and non-display of the image classified with the Toolbar classification icon. When the icon is clicked and opened, only the image thumbnail of the group is displayed. When the multiple classification is displayed, the group order can be sort in ascending order and descending order with the Sorting icon. Displays all groups. Displays the Group 1 images. Sort in descending order. Sort in ascending order. Displays the No Group images. Displays the Group 2 images. Displays the Group 3 images. 105 DISPLAYING IMAGES: Image List Screen 2.1.10 Registering to Sample • For display or non display of the sample, see “Display of sample” in "2.1 Image List Screen" (page 87). { Adding the Sample title 1 On the Image List screen, click to select the thumbnail of the image to be added to the sample. 2 From the menu displayed by right-clicking the thumbnail, select Add to Sample and select New. The Sample dialog box appears. 3 Enter the sample title name and click the OK button. The entered title is added to the Sample of the tree view. The registered sample image thumbnail is displayed in the Image Display area. { Adding the Sample 1 2 On the Image List screen, click to select the image to be added to the sample. From the menu displayed by right-clicking the thumbnail, select Add to Sample and select [title]. The selected image is added to the selected title. { Deleting the Sample 1 On the Sample List screen, click to select the thumbnail to be deleted from the Sample List screen. 2 From the menu displayed by right-clicking the thumbnail, select Delete from Sample. The selected image is added to the selected title. • Settings of sample can be performed with the Sample tab in the Setting dialog box. Sorting of the title can be performed in the Setting dialog. • New creation, deletion, and updating of the Sample title can be also performed by rightclicking the sample item in the tree view in the same way. 106 DISPLAYING IMAGES: Image List Screen 2.1.11 Transferring images with the Communication function Specifying the Communication function enables transferring the images selected on the Image List screen. • For the specification of the Communication function, see "1.13.11 Communication tab" (page 65). ○ Image transfer with the Communication function 2 1 On the Image List screen, click and select the desired thumbnail to be transferred with the Communication function. 2 Right-click the thumbnail to open the menu. Select "Communicate". 3 Select the output method which is specified in the Communication function. The number of successful outputs is indicated. Output with the Communication function is not possible according to the output form due to inconsistency of the specified contents or such. 107 DISPLAYING IMAGES: Displaying Images 2.2 Displaying Images 2.2.1 Displaying the image list The image to display can be selected from the image list. 1 Select a thumbnail from the image list and click the Forward button . The image is displayed in Select image mode. 2 Check "Image List" in the image control bar. The image list is created under the image display area. Image list 3 The images can be selected or deselected by dragging and dropping the images between the image display area and the image list. • The image can be added to the displayed image by dragging to the free space of the image. 108 DISPLAYING IMAGES: Displaying Images 2.2.2 Displaying images with caption 1 Select a thumbnail from the image list and click the Forward button . The image is displayed in Select image mode. 2 Check “Caption” in the image control bar. The set caption is displayed on the image. For the setting of the Caption, see "1.13.7 Image Caption tab" (page 56) 2 2.2.3 Markup 1 Select a thumbnail from the image list and click the Forward button . The image is displayed in Select image mode. 2 Check “Markup” on the image control bar. Drawn data is displayed on the image. The drawn data must be created previously to be displayed by this operation. For details, see "3 DRAWING FUNCTION" (page 131). 109 DISPLAYING IMAGES: Displaying Images 2.2.4 Displaying analyzed results The analyzed data by the optional analysis tool is displayed over the thumbnails. • Distance conversion is not performed when the saving format is other than Jpeg+XML. 1 Select a thumbnail from the image list and click the Forward button . The image is displayed in the Select image mode. 2 Check “Analysis” in the image control bar. The result of the image analysis is displayed. The analyzed result must be created previously to be displayed by this operation. For the detail, see "5 IMAGE MEASUREMENT" (page 169). 2.2.5 Capturing Screen Saves the images displayed in the Image Display area with the Select display mode and Single display mode as another data. The multiple images compared status can be saved. 1 Display the image to be saved and click Screen Capture from the Edit menu. The message "Saving image has been normally completed.” is displayed. The data is classified as “Screen Capture” of the day and saved. 110 DISPLAYING IMAGES: Image Wizard 2.3 Image Wizard For the selected and displayed image, Panorama image creation, Stereo image creation, AF Composite, and Color composite can be performed. 2.3.1 Starting up the image wizard 1 Select the image to be processed for Image Wizard on the Image List screen. 2 Click [ImageWizard] - [Normal] from the [View] menu. 2 Various Processing function buttons and tools corresponding to each processing function are displayed in the image control bar. The processing function initially displayed can be selected in the Setup dialog box. For the setting method, see "2.3.2 Setting of image wizard" (page 114) • Instead of normal startup, selecting Panorama, Stereo view, AF composition, or Color composition can activate each of them respectively. 3 Click the destination Processing Function button. Panorama Refer to "6 PANORAMA IMAGE FUNCTION" (page 183) for details of the operation. Stereo view Refer to "7 STEREO VIEWING" (page 219) for details of the operation. 111 DISPLAYING IMAGES: Image Wizard { Image Wizard screen Image control bar Thumbnail area Toolbar and workspace { Image control bar The following buttons are common to each processing function. Return Exits the Image Wizard. Save Saves the image data. Remove Setup Removes the displayed image from the target to be processed in the Image Wizard. Setup dialog is displayed and the message can be displayed and the startup screen can be set. The following are the buttons to select the Processing function. Panorama Displays the tool and workspace of the panorama function. Displays the tool and workspace of the Stereo Viewing function. Stereo view The image captured by Stereo Viewing function of fundus camera is required. And for the Stereo Viewing, optional stereo viewer is required. On the right side of the Processing function button, the button specialized corresponding to the selected processing function is displayed. 112 DISPLAYING IMAGES: Image Wizard Panorama Navigator/ Stereo view Navigator Color/ History/ Layer Icons in the image control bar can be customized. Select Setup and select Customize toolbar from the menu to display the Customize dialog box. 2 For the setting procedure, see “{ Setting the Toolbar Button (page 25)” Select the data to be displayed by overlaying on the image. Draw Data Check box Displays the drawing data overlaid on the displayed data. Result Check box Displays the analysis result overlaid on the displayed image. { Thumbnail area The thumbnail of image selected on the Image List screen is displayed and click to select the image to be processed. { Toolbar and workspace The tool corresponding to the selected function is displayed. 113 DISPLAYING IMAGES: Image Wizard 2.3.2 Setting of image wizard Perform setting of Image Wizard screen. It is a common setting for the Panorama function, Stereo Viewing function, AF Composite function, and Color Composite function. 1 Click the Setting button in the image control bar. The Setup dialog box appears. 2 Set the message and the function at the time of start-up. Messages All messages are displayed. The confirmation dialog is displayed. No messages are displayed. The confirmation dialog is not displayed. Start-up function Set the screen displayed when the Image Wizard button is clicked. The function selected at the end The selected function 3 114 Displays the last displayed screen of Image Wizard function. Displays the set functions every time starting up. Select the function from the drop down list. Click the OK button to close the Setup dialog box. DISPLAYING IMAGES: Printing Image Data 2.4 Printing Image Data The print preview function allows the user to easily select the data to be printed and to confirm the layout of the printout. • When the printer is not set, this function cannot be used. • Important point to note related to printouts The tone of printouts produced from printers may vary according to the used monitor and printer. 2.4.1 Image print preview { Starting and exiting 1 Select an image data to print on the Image List screen. It can be also performed on the Recycle Manager screen. 2 Click [File] - [Preview] from the menu. The print preview is activated and the print preview is displayed on the screen. • The captured date is displayed under the image. • The image caption is displayed under the image. 3 4 Set the printing layout. To exit from the Print Manager screen, click the Return button in the toolbar. The print preview is closed and the previous screen appears. 115 2 DISPLAYING IMAGES: Printing Image Data { Arranging images Select the image layout from the image layout drop-down list. 1x1 Lays out an image on a page. 1x2 Lays out images in a row and two columns. 2x1 Lays out images in two rows and a column. 2x2 Lays out images in two rows and two columns. 3x3 Lays out images in three rows and three columns. User Lays out images according to the layout set in the Default page setup dialog box. For the Default page setup dialog box, see "2.4.4 Setting printing" (page 119). { Navigate buttons To print two or more pages, the displayed page is changed with the navigate button. Displays the first page. Displays the previous page. Displays the next page. Displays the last page. { Magnification drop-down list Magnification of the print preview is changed. 75%, 100%, 150%, 200% Page Width Page Fit Displays the print preview in the selected magnification. Displays the print preview so that the full width of the page occupies the full width of the window. Displays the frame for the image list. { Magnification button Full Image Full width Displays the frame for the image list. The effect is the same as "Page Fit" of the drop-down list. Displays the print preview so that the full width of the page occupies the full width of the window. The effect is the same as "Page Width" of the drop-down list. 116 DISPLAYING IMAGES: Printing Image Data { Image list Using the image list, the images are selected and replaced. Image list Displays the frame for the image list. 2 Image list By dragging an image in the print preview and dropping it on the image list, the image is removed from the preview temporarily. By dragging and dropping the thumbnails in the image list, they can be placed at desired areas. { Displayed information checkbox Patient Displays the header that includes "Name", "Code", "BD (date of birth)", "Date (of print)", and "Sex". Markup Displays the drawing created with the Draw tool. Caption Analysis Displays the caption. For setting the displayed caption, see "1.13.7 Image Caption tab" (page 56) Displays the result of the analysis by the analysis tool. • The status before transition is applied to the setting of the checkbox. { Clear Clear Moves all the images to the image list. 117 DISPLAYING IMAGES: Printing Image Data 2.4.2 Print from preview 1 Click [File] - [Print] from the menu. The data is printed with the layout as displayed on the preview window. 2.4.3 Printing from each screen When [File] - [Print] from the menu is clicked on each screen, the selected image is printed following the printing default setting. It can be performed on Image List screen, Recycle Manager screen, and Image Capture screen. 1 Select images on each screen. In Single display mode, only the displayed image is printed. To print multiple images, select the Multi view and select the thumbnails. 2 Click [File] - [Print] from the menu. Printing is performed according to “{ Default page setup (page 119)”. 118 DISPLAYING IMAGES: Printing Image Data 2.4.4 Setting printing { Default page setup The default setting for the direct print and initial state of the print preview is selected. 1) Click [Default] from the Setting menu. The Default page setup dialog box appears. 2 • The default page setup is reflected only when the image arrangement is set value in the preview screen. 2) Enter a title in the Title field. When setting the size, font, and position of the title, perform setting in the Setting dialog box displayed by clicking the Setting button. For detailed setting of the font, set with the Font dialog box displayed by clicking the Setting button in the Font field. 3) Set the number of the rows and columns in the Image layout frame. 4) Set the space of the image and space of the page. 5) Select the settings for the printer in the Printer setup frame. Set “Printer”, “Paper size”, “Orientation”, and “Page range”. 6) Select the information to print in the Selects print items. Select from "Patient", "Markup", "Caption", and "Analysis". 7) Select Mask trimming to be performed. By checking “Trim the mask data.”, printing is conducted with the captured image background mask trimmed. Trimming is not performed for the Edited image, Scope image, and Anterior segment image. 8) Click the OK button. 119 DISPLAYING IMAGES: Printing Image Data { Current Page Setup In the Current setting, the image layout in the print preview and printer conditions are set. 1) Click [Current] from the Setting menu. The Current Page Setup dialog box appears. 2) Perform setting as with the Default setting. { Header/Footer Setup Set the contents indicated at the header and footer. • The positions where the header and footer are printed can be set in the Page Margins field on the Default Page Setup or Current Page Setup dialog box. 1) Click [Header/Footer] from the Setting menu. The Header/Footer Setup dialog box appears. Reload button Font setting tool Master button 2) Enter the contents to be indicated in the Header or Footer field. Clicking each field displays a text cursor. Enter the desired characters from a keyboard. To enter the Master items, click the Master button to display the menu. In the entry fields, variables corresponding to each Master item are indicated. 120 DISPLAYING IMAGES: Printing Image Data 2 Type, style, or color of the font can be set with the Font setting tool to the upper left on the dialog box. The tool functions the same as Text Editor. Clicking the Reload button returns to the initial state. 3) Click the OK button on the Header/Footer Setup dialog box. Use the Preview button to confirm the display without closing the dialog box. 121 DISPLAYING IMAGES: Export 2.5 Export 2.5.1 Exporting images The image data can be exported (converted into the file format readable in the other systems). The available export modules are as follows: Export Application(s) Starts the application software specifying the bitmap format and JPEG format data. Export bitmap file(s) Image data is exported in the Bitmap format. Export ClipBoard(s) Saves the image data into the clipboard of the PC. Export image file(s) Outputs the image data as the file format saved in the NAVIS-EX. Export jpeg file(s) Export Report file(s) Image data is exported in the JPEG format. Outputs the image data, patient information, photographing information and comment with report format. Preview is displayed before saving and the comment can be entered. To use Exporting function, export module setting is required. For the setting of the export module, see "1.13.9 Export tab" (page 59). The procedures in the following is the case when exporting the Still images from the Image List screen. 1 Display or select the image to be exported. * Exporting can be performed for both Single display and List display. * In List display mode, multiple images can be exported if multiple images are selected at the same time. 2 When the Export button is clicked, usable export modules are displayed on the lower part of the button. Click to select the export module to be used. Or from the pop-up menu displayed by right clicking of the image, click the export module to be used. When “Export Report file(s)” is selected, preview is displayed before export is performed. 122 DISPLAYING IMAGES: Export The images are exported. When "When exporting, the dialog to be saved is displayed." is checked, the Save As dialog box to be saved is displayed before exporting. Enter the file name and click the Save button to perform exporting. 2 123 DISPLAYING IMAGES: Export { Export Report file When “Export Report file” is selected, the preview is displayed. • According to the setting of Server Manager, Race can be displayed. Enter comments as necessary and click the Save button to perform exporting. Enter comment with keyboard or click the Comment button to select from the Comment dialog box. In the Comment dialog box, click the comment list to select and click the OK button to enter. To add a new class (or comment) to the list, enter a desired class (or comment) in the edit box under the Class (or Comment) list box, and click the Add button. When adding comments, specify the class in advance. To delete a class (or comment), designate the class (or comment) from the list box and click the Delete button. When deleting a class, all comments registered in the class are deleted. To modify a class (or comment), designate the class (or comment) from the list box, enter a new class (or comment) in the edit box and click the Edit button. To change the order in which classes (or comments) are listed in the box, designate a class (or comment) in the list box and click the Up and Down buttons. 124 DISPLAYING IMAGES: E-mail Sending Function 2.6 E-mail Sending Function The Export Report file is sent by e-mail. The file is zipped to send. CAUTION • If Japanese is used for the name of the address, title, or name of the sender, sent e-mails may not be properly displayed depending on the mail server or mail software of the receiver. In such a case, use alphabet for the name of the address, title, and name of the sender. Electric shock or fire may occur in the event of device malfunction or power leakage. 2.6.1 Setting e-mail sending To use e-mail sending function, perform e-mail address, server, and certification setting in advance. To perform setting, contract with provider is required. 1 On the Image List screen, select Setting from the Setup menu to display the Configuration dialog box. 2 3 Click the Export tab to display the Export dialog box. Select the Exporting name (Function Name) to use e-mail sending and click the Edit button. Export Report file must be used for Module Name. When registering newly, refer to "1.13.9 Export tab" (page 59). 4 5 Click the Detail button to display Report export dialog box. 6 Perform Mailer setting to send e-mail. Check the Mail Sending in the Setting Mail field and click the Mail button to display the Server Setup dialog box. SMTP Server Enter the contracted SMTP server (e-mail sending server) address. Port No. Enter the SMTP server Port. Mail Address Name Enter the sender e-mail address. The e-mail address connects to the SMTP server acquired by contract. Enter the sender name. 125 2 DISPLAYING IMAGES: E-mail Sending Function Setting SMTP Authentication Check when performing POP3 server authentication. POP before SMTP E-mail receiving setting is required. Receive tab is displayed and perform receiving setting. When the attached file exceeds regulation size, a Warning message appears before sending. It Warns About Attached File Size Exceeded SMTP Authentication Clicking the OK button stops sending e-mail and closes the message. Check when performing authentication when connecting to the SMTP server. The User ID is for connecting to the SMTP server acquired by contract. When the “SMTP Authentication” checkbox is checked, the User ID and Password entering field is displayed. When the “Save Password” checkbox is checked, the Password field becomes enterable. Enter password if skipping entering the password when connecting to the SMTP server. POP3 server authentication When sending e-mail, perform settings to connect to the POP3 server for authentication. When the "POP before SMTP" checkbox is checked, the Receive tab is displayed. Perform receiving settings. 126 DISPLAYING IMAGES: E-mail Sending Function POP3 Server Enter contracted POP3 server (receiving e-mail server) address. Port No. Enter the POP3 server Port. User ID Used for connecting POP3 server acquired by contract. Enter the password acquired by contract. When the “Save Password enables the password field imputable” is checked, the Password Password field becomes inputtable. When skipping entering the password when connecting to the POP3 server, enter the password. • For each setting related to Receive is a setting for POP3 server authentication. E-mail cannot be received with the NAVIS-EX. 2.6.2 Sending e-mails 1 Display or select the image to be exported. * The image can be export by both Single display and List display. * In List display mode, when selecting multiple thumbnail images, multiple images can be exported at the same time. 2 Clicking the Export button displays usable export module on the lower part of the button. Click and select the export module to be used. Select export module that Export Report file is set as use module. The preview is displayed. 127 2 DISPLAYING IMAGES: E-mail Sending Function 3 Enter comments in the comment field as necessary and click the Send Mail button to display the Send Mail dialog box. 4 Enter address, subject, and text. Clicking the Address button or Template button displays the entering support tool. Or enter each box directly. 5 Click the Send button. When the POP3 authentication is set, a screen entering password opens and enter the password. Enter a password and click the OK button. When SMTP authentication is set, a dialog entering password opens and enter the password. Enter a password and click the OK button. 128 DISPLAYING IMAGES: E-mail Sending Function 2.6.3 Registering addresses Enter e-mail address using Address button. It is registered when using the same address repeatedly. { New registration 1 In the Mail Send dialog box, click the address button to display the Mail Address Select/Edit dialog box. 2 Click the Add button to display the New dialog box. 3 Enter Name and Mail Address field and click the OK button. 2 The settings are added to the Mail Address List. { Selecting e-mail address 1 Check the e-mail address to be selected. Multiple e-mail selected. addresses can be E-mail address that may be set in the “To:” field of Send Mail dialog box are displayed in the preceding column of the Mail Address List field. Clicking the Clear Selection button clears selection of all the checked addresses. 2 Click the OK button to finalize. The selected address is entered in the To field of Send Mail dialog box. 129 DISPLAYING IMAGES: E-mail Sending Function { Other operations Edit or delete the e-mail address. Edit button Delete button 2.6.4 Displays the Name of selected address and editing dialog changing e-mail address. Deletes the selected address. A message to confirm the deletion appears. Click the Yes button to delete. Registering templates Enter template into the Subject or Body field using the Template button. It is registered when sending the same e-mail repeatedly. 130 1 In the Mail Send dialog box, click the Template button to display the Template dialog box. 2 Enter Subject, Header, Body and Footer and click the OK button. 3 From the next e-mail sending, the template registered in the Mail Send dialog box will be displayed. 3. 3.1 DRAWING FUNCTION Image Drawing Drawing on the selected image can be performed with this function. • Drawing data cannot be rotated. {Start-up 1 3 Select the image to be drawn on the Image List screen. Double-click the thumbnail of the selected image. Or click the Forward button. The Drawing tab becomes enabled. 2 3 Click the Drawing tab to display the Drawing tool in the tree view. Perform drawing with the Drawing tool. Drawing tools Function button 131 DRAWING FUNCTION: Image Drawing • Open the Configuration dialog box before saving the drawing data and click the OK button to close the Configuration dialog box abandons the drawing data. {Exiting 1 Click the Save button of the Display Switching buttons. The confirmation message "Save now?" is displayed. 2 3 Click the Yes button to save the Drawing data. Exit the Drawing function by switching the selected screen or the tree view. When there is unsaved image processing data, a confirmation message is displayed. In this case, click the No button to abandon the unsaved Drawing data and perform screen switching or such. • When "No messages are selected." is selected in the Image Tool tab in the Configuration dialog box, data is saved without displaying a confirmation message and then the screen changes. 132 DRAWING FUNCTION: Drawing Tools 3.2 Drawing Tools Drawing tools 3 Function buttons {Function button Function buttons displays the dedicated dialog box and operates the Drawing function. Shape Displays the Shape reference window and reference shape can be added on the image. Comment Displays the Comment reference window and comments can be added to the image. Perform various setting of the reference image from the shape reference dialog box. The various setting of comments is performed in the Comment reference dialog box. Layer Toggles display of the Layer window. The following checkboxes are used to select the data to be displayed overlaid on the image. Markup Check box Selected in the Drawing function. Analysis Check box Displays the analysis result overlaid on the displayed image. Caption Check box Displays the Caption overlaid on the displayed data. Image List Check box Displays the Image List under the Image Display area. • For the setting of the image caption display, see "1.13.7 Image Caption tab" (Page 56). 133 DRAWING FUNCTION: Drawing Tools {Drawing tools Reload Reloads the drawn data. Clears the drawn data. Clear Clear the once saved drawn data. The unsaved button is not deleted by Clear button. Undo Cancels the previous action. Maximum of ten previous actions can be cancelled. Redo Returns to the status before Undo. Line width Color palette Color selecting Allows selection of the line width. (Small, Middle, Large) Allows selection of color of the line. Displays Color Setting palette and specifies the drawing line color. (Detail) Trans The selected drawing color is displayed in translucent. Top Displays the selected drawn data in the foreground. Bottom Displays the selected drawn data at backmost. Pen Allows drawing of a line with the pen tool. Pencil Allows drawing of a line with the color pencil tool. Brush Allows drawing of a line with the brush tool. Water Allows drawing of a line with the water tool. Crayon Allows drawing of a line with the crayon tool. Select Allows selection of the drawn data. Straight line Draws a straight line. Arrow Allows drawing of a line with an arrow on an end Rectangle Allows drawing of a rectangle. Ellipse Draws an ellipse. Pen style Selects the line style. (H-V Line, H-V Arrow, Both-ends arrow, H-V Bothends arrow, Circle, Free line) Allows drawing the selected line. Attribute Erase Copy 134 Allows editing of the selected object or text. Erases the selected drawing date with the eraser. (Erase Small, Erase Middle, Erase Large) Copies the selected object or text. DRAWING FUNCTION: Functions of Each Tool 3.3 Functions of Each Tool {Reload Reload button Reloads the saved drawn data. 1) Draw on the image. 2) Click the Reload button. 3) The confirmation message "Reload now?" is displayed. 4) Click the Yes button. The saved drawn data is displayed. 3 {Clear Clear button Clears all drawn data. 1) Draw on the image. 2) Click the Clear button. 3) The confirmation message "Clear now?" is displayed. 4) Click the Yes button. The drawn data is cleared. {Undo Undo button Returns to the previous status. 1) Select any draw tool and make a drawing on the image. 2) Click the Undo button. The data drawn in step 1) disappears. {Redo Redo button Cancels the previous undo. 1) Select any draw tool and make a drawing on the image. 2) Click the Undo button. The data drawn in Step 1) disappears. 3) Click the Redo button. The data disappeared in Step 2) reappears 135 DRAWING FUNCTION: Functions of Each Tool {Line width Line selection drop down button Allows selection of the line width. 1) Click the Line selection drop down button. 2) Select any line width. Line width button The line width is changed. Line width button Displays the Line width set dialog box. 1) Click the Line width button. 2) Select a line (Large, Middle, or Small) from the drop down list. 3) Set the line with the line width up and down buttons. 4) Click the OK button. Simple line width set By clicking the Setting button, the Simple line width set dialog box appears. The widths of the Large, Middle, and Small lines can be set at once. 1) Click the Setting button in the Line width set dialog box. 2) The Simple line width set dialog box appears. Change the line widths with the up and down buttons. 3) Click the OK button in the Simple width set dialog box. 4) Click the OK button in the Line width set dialog box. {Color palette Color button Allows selection of color of the line. 1) Click a color from the color palette. The clicked color is selected. {Trans Trans button Allows drawing of a translucent drawing. 1) Select a drawing tool (pen or others). 2) Click the Trans button to set it pressed. 3) Draw lines. 136 DRAWING FUNCTION: Functions of Each Tool {Top Top button Displays the selected data on top of other data. 1) Select the data to display on top of other data with the Select tool. 2) Click the Top button. The selected data is displayed on top of other data. {Bottom Bottom button Displays the selected data at the bottom of other data. 1) Select the data to display at the bottom of other data with the Select tool. 3 2) Click the Bottom button. The selected data is displayed at the bottom of other data. {Pen Pen button Allows drawing of a line with the pen tool. 1) Click the Pen button. 2) Draw lines on the selected image. {Pencil Pencil button Allows drawing of a line with the color pencil tool. 1) Click the Pencil button. 2) Draw lines on the selected image • When using a mouse, drawing with Pencil, Brush, Water and Crayon is same as that for Pen. {Brush Brush button Allows drawing of a line with the brush tool. 1) Click the Brush button. 2) Draw lines on the selected image. {Water Water button Allows drawing of a line with the water tool. 1) Click the Water button. 2) Draw lines on the selected image. 137 DRAWING FUNCTION: Functions of Each Tool {Crayon Crayon button Allows drawing of a line with the crayon tool. 1) Click the Crayon button. 2) Draw lines on the selected image. {Select Select button Selects the drawing data. 1) Click the Select button. 2) The drawing data is clicked or a portion is selected by drag and drop. {Line Line button Allows drawing of a straight line. 1) Click the Line button. 2) Draw a rectangle on the selected image. Decide the start and end points of the diagonal line of the rectangle by dragging the mouse. {Arrow Arrow button Allows drawing of a line with an arrow on an end. 1) Click the Arrow button. 2) Draw a line with an arrow on an end on the selected image. Decide the start and end points by dragging the mouse. The arrow is on the end point. {Rectangle Rectangle button Allows drawing of a rectangle. 1) Click the Box button. 2) Draw a rectangle on the selected image. Decide the start and end points of the diagonal line of the rectangle by dragging the mouse. {Ellipse Ellipse button Allows drawing of an ellipse. 1) Click the Ellipse button. 2) Draw an ellipse on the selected image. Decide the distance from the focus of the ellipse by dragging the mouse. 138 DRAWING FUNCTION: Functions of Each Tool {Other line tools Line tool button Draws with the set line style. Drop down button Select the desired line. 1) Click the drop-down button. 2) Select the desired line. The line tool button changes to the selected line. 3) Drag the mouse to specify the start and end points. H-V Line Allows drawing of a horizontal or vertical line depending on the start and end points of dragging the mouse. H-V Arrow Allows drawing of a horizontal or vertical line with an arrow at an end depending on the start and end points of dragging the mouse. The arrow is at the end point. Both-ends arrow Allows drawing of a line with an arrow at each end between the start and end points of dragging the mouse. H-V Both-ends arrow Allows drawing of a horizontal or vertical line with an arrow at each end depending on the start and end points of dragging the mouse. Circle Allows drawing of a circle by specifying the radius with the start and end points of dragging the mouse. Free line Allows drawing of the same line as dragging of the mouse. {Attribute Attribute button Allows editing of the selected object or text. Editing lines and arrows 1) Select the desired drawn objects with the Select tool. 2) Click the Attr button. The Select arrow head dialog box appears. 3) Edit the lines or arrows. 4) Click the OK button on the dialog box. Select arrow head Style Select an arrow head. Direction Select the end of the line at which the arrow head is put on. Line width Select the line width from the drop-down list or with the up and down buttons. Line color Select the line color from the drop-down list or with the Change button. By clicking the Change button, the color setting dialog box appears. 139 3 DRAWING FUNCTION: Functions of Each Tool Line translucence Default Checking the box makes the line translucent. Click the Default button to set the current arrow head setting as the default. Editing rectangles and circles 1) Select the desired drawn objects with the Select tool. 2) Click the Attr button. The Brush selection dialog box appears. 3) Edit the brush settings. 4) Click the OK button on the dialog box. Brush selection Brush Select a brush. Color Select the color. Line width Select the line width from the drop-down list or with the up and down buttons. Line color Select the line color from the drop-down list or with the Change button. By clicking the Change button, the color setting dialog box appears. Line translucence Default 140 Checking the box makes the line translucent. Click the Default button to set the current arrow head setting as the default. DRAWING FUNCTION: Functions of Each Tool Edit text 1) Select the desired entered texts with the Select tool. 2) Click the Attr button. The Text edit dialog box appears. 3) Edit the text. 4) Click the OK button on the Text edit dialog box. 3 Text edit Text Edit the text in the field. The background color of the text can be changed by setting the Back color. Font Displays the font and the size being selected. Clicking the Change button shows the Font dialog box on which the font name, style, size, decoration, and script can be changed. Line Checking the “Use text line2 box allows the leader line to be drawn. Clicking the Change button shows the color setting dialog box. Back color Frame Checking the “Enable transparency” box sets the background color transparent. By clicking the Change button, the color setting dialog box appears. Frames the text when “Use text frame” is checked. By clicking the Change button, the color setting dialog box appears. 141 DRAWING FUNCTION: Functions of Each Tool {Erase Allows erasing of the drawn objects according to the size of the selected eraser. Erase button Drop down button Select the eraser size. 1) Click the drop-down button. 2) Select the eraser size. The selected eraser appears on the Eraser button. 3) Erase the drawn objects by dragging the mouse on them. • Other than the objects drawn with the pen, pencil, brush, water, or crayon tool, selecting the object with the Select tool and clicking the Erase button erases the object. {Copy Copy button Copies the selected object or text. 1) Select the desired drawn objects or texts with the Select tool. 2) Click the Copy button. 3) Click the mouse on the image. 4) The copied objects are pasted. 3.3.1 Editing drawn lines The positions and the types of the drawn lines can be changed. To change them, specify a drawn line first. Selecting a drawn line Selecting a drawn line 1) Click the Select button in the toolbar. 2) Click a part of the line to select. The clicked line is selected. The selected line is displayed as: 142 Straight line A small rectangle is displayed at the starting point and the end point of the line. The other drawn lines The drawn line is enclosed by a dotted rectangle. Eight small rectangles are shown on the dotted rectangle. DRAWING FUNCTION: Functions of Each Tool Selecting multiple drawn lines 1) Click the Select button in the toolbar. 2) Drag an area containing desired lines to select. All the lines circled by the dragging are selected. Moving a drawn line 1) Select the drawn line to be moved. 2) Drag the selected drawn line. The selected drawn line is moved to where it is dropped. Deleting a drawn line 1) Select a line to be deleted. 2) Click the Erase button 3 . 3) The confirmation message “Delete the selecting object?” is displayed. 4) Click the Yes button. The selected drawn line is deleted. Deleting the leader line for the text The leader line for the text can be deleted. 1) Select the leader line for the text to be deleted. 2) Click the Erase button . 3) The confirmation message “Delete the selecting object?” is displayed. 4) Click the Yes button. The selected leader line for the text is deleted. Changing the drawn line type 1) Select a line to be changed. 2) Select the type of the line. The type of the selected line is changed. 143 DRAWING FUNCTION: Shape Reference 3.4 Shape Reference The drawn image can be saved as a pattern image beforehand and used later for drawing easily. 3.4.1 Drawing using pattern image 1 2 Select the image. Click the Shape button on the tree view. The Shape reference window appears. 144 DRAWING FUNCTION: Shape Reference 3 Select the desired pattern image from the Shape reference window and drag and drop it on the image. The pattern image is drawn on the image. 3 4 Move or scale the reference shape. When moving, select and drag the reference shape. When scaling, select the reference shape and display the bundle to change the size. 3.4.2 New addition of the reference shape {Importing pattern images 1) Click the Shape button of the tree view. The Shape Reference dialog box appears. 145 DRAWING FUNCTION: Shape Reference 2) Click the Edit button in the Shape Reference dialog box. The Figure Set dialog box appears. 3) Click the Import button. The Open dialog box appears. 4) Specify the file location and file name of the reference shape (pattern image) and click the Open button. 5) The file name is displayed in the Title field. Change the file name as necessary. 6) Click the OK button. The reference shape of the set title is added to the list. 7) Click the OK button in the Figure set dialog box. {Registering pattern images from drawn object 1) Select the desired drawn object on the image with the Select tool. 2) Drag and drop the selected object in the Shape reference dialog box. The new pattern image is registered. 146 DRAWING FUNCTION: Shape Reference 3.4.3 Editing pattern images Edit the title of the pattern image. 1) Click the Shape reference button in the toolbar. The Figure set dialog box appears. 3 2) Click the Edit button in the Shape reference dialog box. 3) Select the title of the desired pattern image from the list in the dialog box. 4) Click the Edit button. 5) Change the title in the Title field. 6) Click the OK button. 7) When changing the sort order, select from the list and change with the up and down button. 8) Click the OK button in the Figure set dialog box. 147 DRAWING FUNCTION: Shape Reference 3.4.4 Deleting reference shape 1) Click the Shape reference button in the toolbar. The Shape reference dialog box appears. 2) Click the Edit button in the Shape reference dialog box. The Figure set dialog box appears. 3) Select the title of the desired pattern image from the list in the dialog box. 4) Click the Delete button. The selected shape is deleted. Be aware that no confirmation message is displayed. 5) Click the OK button in the Figure set dialog box. 148 DRAWING FUNCTION: Entering and Setting Comments 3.5 Entering and Setting Comments 3.5.1 Entering comments 1 Click the Comment Reference button in the tree view. The Comment reference window appears. 3 2 Select the desired comments and click the Put Center button. When entering comments which are not in the list, enter with the Attribute dialog displayed by clicking the Free Input button. The comments are input in the center of the image. 149 DRAWING FUNCTION: Entering and Setting Comments 3 Drag the arranged comments to change the position. The line position and length are also changeable by dragging. • Change the size, color and frame of the drawn comments with the Attribute dialog box displayed by selecting the comments and clicking the Attribute button (or double click the comments). 3.5.2 Adding comments Add comments to the Comment reference window. The comments are displayed in the Comment reference window displayed by clicking the Comment reference button with tree view format. Enter with item and comments. {Adding Item Item classifies comments. The item name cannot be added to the image as comments. 1) Click the Comment Reference button in the tree view. The Comment Reference dialog box appears. 150 DRAWING FUNCTION: Entering and Setting Comments 3 2) Click the Item button in the Comment Reference dialog box. The Comment title dialog box appears. 3) Input the title in the Title field. Checking the Sub item adds the item to the subclass of the item selecting now. Without checking, the item is added to the same class of the item selected at the moment. 4) Click the OK button. The new item is added to the tree view. 5) Change the added item sorting as necessary. Select and drag the item on the tree. 151 DRAWING FUNCTION: Entering and Setting Comments {Adding Comments 1) Click the Comment Reference button in the tree view. The Comment Reference dialog box appears. 2) Select the item to add comments. The comments are added to the subclass of the selected item. 3) Click the Comment button in the Comment reference dialog box. The Attribute dialog box appears. 4) Enter comments added to the text field. 5) Set the font, background color, line and frame as necessary. Clicking the Default button changes the present setting beck to default of when opening the Attribute dialog box. 6) Click the OK button. New comments are added to the subclass of the tree view item. 7) Change the added comment sorting as necessary. Select and drag the comments on the tree. 3.5.3 Editing comments Set the comment content, character size, font and color inserted to the image. 1) Click the Comment Reference button in the tree view. The Comment Reference dialog box appears. 2) Select comments to be edited. The Edit button and Delete button become enabled. 3) Click the Edit button in the Comment Reference dialog box. The Attribute dialog box appears. 152 DRAWING FUNCTION: Entering and Setting Comments 3 4) Change the setting in the Attribute dialog box. Text Edit the text in the field. The background color of the text can be changed by setting the Back color. Displays the font and the size being selected. Font Clicking the Change button shows the Font dialog box on which the font name, style, size, decoration, and script can be changed. Line Checking the “Use text line” box allows the leader line to be drawn. Select the line width with the up and down buttons By clicking the Color button, the Color dialog box appears. Back color Checking the “Enable transparency” box sets the background color transparent. By clicking the Color button, the Color dialog box appears. 153 DRAWING FUNCTION: Entering and Setting Comments Frame Frames the text when “Use text frame” is checked. Select the line width with the up and down buttons By clicking the Color button, the Color dialog box appears. 3.5.4 Deleting items and comments {Deleting items Delete the item. All comments included in the item are deleted. 1) Select the desired item other than the Common and Image items from the tree in the Comment Reference dialog box. 2) Click the Delete button in the Comment Reference dialog box. A confirmation dialog box confirming the item deletion is display 3) Click the Yes button to delete the item. {Deleting comments Delete the desired comments. 1) Select the desired comments from the tree in the Comment Reference dialog box. 2) Click the Delete button in the Comment Reference dialog box. The comments are deleted. 154 DRAWING FUNCTION: Layer 3.6 Layer By clicking the Layer button in the toolbar, the Layer dia- log box appears. The drawing data can be displayed or non-displayed for each layer. 3.6.1 Display or non-display of layer Display or non-display of the layers is selected by checking or unchecking the layer name in the Layer dialog box. Only the checked layers are displayed in the drawing area. The order of the selected layers is changed by clicking the up and down buttons above the Show Layer field. 1) Check the layer name. 2) Click the Up/Down button in the Layer dialog box. The order of the selected layer changes. 3.6.2 Creating layers Create a layer. 1) Click the Edit button in the Layer dialog box. The Layer edit dialog box appears. 2) Click the New button in the Layer edit dialog box. 3) Enter the title in the Title field. Then click the OK button. A layer is created. 4) Click the OK button in the Layer edit dialog box. The Layer edit dialog box closes and a new layer is displayed in the Layer dialog box. 155 3 DRAWING FUNCTION: Layer 3.6.3 Editing the layer name Edit the layer name. 1) Click the Edit button in the Layer dialog box. The Layer edit dialog box appears. 2) Select a layer to edit from the List field in the Layer edit dialog box. Then click the Edit button. 3) Change the layer name in the Title field. Then click the OK button. 3.6.4 Deleting layers Delete a layer. 1) Click the Edit button in the Layer dialog box. The Layer edit dialog box appears. 2) Select a layer to delete from the List field in the Layer edit dialog box. Then click the Delete button. 3) Click the OK button. 3.6.5 Changing layers Change the Write layer. 1) Select a layer to write on from the List field in the Layer dialog box. The Write layer changes. The order of the layers is changed by clicking the up and down buttons above the Show Layer field. 156 DRAWING FUNCTION: Displaying Analyzed Results 3.7 Displaying Analyzed Results For the image performing image measurement, the analyzed result can be displayed in the image wizard. As the analyzed result displaying position cannot be changed, perform drawing not to overlap to the analyzed result display. Add drawing and comments to the analyzed result. When the “Analysis” checkbox is checked, the analyzed result is displayed. 3 157 DRAWING FUNCTION: Displaying Analyzed Results 158 4. 4.1 IMAGE PROCESSING Image Processing Screen The Image processing function is a tool for processing an obtained image with various filters and effects. • Image processing is performed for images. Drawing or calculated results cannot be processed. { Start-up 1 Select an image to be processed from the Image List screen and display on the Image Selection screen. 4 Double-click the thumbnail of the selected image. Or click the Forward button. The Processing tab becomes enabled. 2 3 Click the Processing tab and display the Image Processing tool in the tree view. Perform Image Processing with the Image Processing tool. 159 IMAGE PROCESSING: Image Processing Screen • Open the Configuration dialog box before saving the image processing and click the OK button to close the Configuration dialog box abandons the image processing contents. { Exiting 1 Click the Save button of the Display Switching button. The confirmation message "Would you save?" is displayed. When the "Save with performed drawing data." checkbox is checked, drawing data is saved in the image edited with the Image Processing function. When the checkbox is not checked, drawing data is not saved in the image edited with the Image Processing function. 2 3 Click the Yes button to save the image data. Exit the Drawing function by switching the selected screen or the tree view. When there is unsaved image processing data, a confirmation message is displayed. In this case, click the No button to abandon the unsaved Drawing data and perform screen switching or such. • When "No messages are selected." is selected in the Image Tool tab in the Configuration dialog box, the drawing data is not saved. 160 IMAGE PROCESSING: Image Processing Tool 4.2 Image Processing Tool Image processing tool Function button { Image processing function button All buttons in the image control bar are common in Image Wizard screen except for the following buttons specialized for processing function. Histogram 4 Display or non-display the Histogram window. The color ingredients of brightness/red/green/blue are displayed as graph. { Image control bar The following checkboxes are used to select the data displaying overlapping the image. Markup Check box Displays the drawing data overlapping the displayed image. Analysis Check box Displays the analyzed result overlapping the displayed image. Caption Check box Displays the Caption overlaid on the displayed data. Image List Check box Displays the Image List under the Image Display area. • For the setting of the image caption display, see "1.13.7 Image Caption tab" (page 56). 161 IMAGE PROCESSING: Image Processing Tool { Image processing tool 162 Reload Reloads the original image and display it. Undo Undoes the previous action. Redo Cancels the previous Undo. Range of selection Specifies the range. Flip Reverses the top and bottom of the image. Mirror Reverses the right and left of the image. Rotate Rotates the image. Resize Resizes the image. Brightness (-) Lowers the brightness of an image. Brightness (+) Increases the brightness of an image. Contrast (-) Lowers the contrast. Contrast (+) Increases the contrast. Sharpen Sharpens the image. Blur Graduates the image. Color Changes the color. (Grayscale, Invert, Brightness, Contrast, Contrast RGB, Gamma correct, Intensity Detect and Red free) Filter Executes the filter processing. Dividing channels Displays the image that divides the channel. IMAGE PROCESSING: Editing Images 4.3 Editing Images 4.3.1 Flip 4.3.2 Flip Reverses the top and bottom of the image (vertical direction). Mirror Reverses the right and left of the image (horizontal direction). Rotate { Rotating an image 90 degree, 180 degree or 270 degree clockwise. In the toolbar, click the Rotation button and select 90-clockwise, 180-clockwise, or 270-clockwise. 4 The image rotates at the specified angle. { Rotating an image to a designated angle 1 In the toolbar, click the Rotation button and select Any Angle. The Rotation dialog box appears. Resize box 2 3 Enter an angle in the Angle entry box, or drag the angle designation bar. Click the OK button. The image rotates clockwise. The size of the image is adjusted automatically so that the whole image can just fit in the screen after rotation when the resize box is checked. 163 IMAGE PROCESSING: Editing Images 4.3.3 Changing the image size The image size (resolution) is changed. 1 Click the Resize button in the toolbar. The Resize dialog box opens. 2 Enter each item and click the OK button. "Width" and "Height" fields This is a size after the change. Directly input the size or drag the size designation bar. When the image resolution is higher than the screen, the image cannot be magnified. "Maintain Aspect-Ratio" checkbox When this box is checked, the aspect ratio (length-to-width ratio) is fixed. "Resample" checkbox When this box is checked, a high resolution image is produced by interpolation and equalization. • When the image size is changed, the image fitting may not be operated properly for the unsaved image. 4.3.4 Filter The edges can be extracted with six types of filters. In the toolbar, click the Filter button ter name Available filters: • Gradient (Differential Filter) • Laplacian • Sobel • Prewitt • Shift and Difference Operator • Line Segment Filter processing example (gradient) 164 and select the desired fil- IMAGE PROCESSING: Editing Images 4.3.5 Changing the color The color of an image is changed. { Gray scale This is an effect of changing a color image to a gray-scale image In the toolbar, click the Color button and select Gray scale. { Inverting color This is an effect of inverting the image mode between positive mode and negative mode. In the toolbar, click the Color button and select Invert. 4 { Brightness correction 1 In the toolbar, click the Color button select Brightness correction. and The Brightness dialog box appears. 2 Enter the correction level of the brightness and click the OK button. 165 IMAGE PROCESSING: Editing Images { Changing contrast The contrast is changed. 1 In the toolbar, click the Color button select Contrast correction. and The Contrast dialog box appears. 2 Enter the correction level of the contrast and click the OK button. { Contrast RGB Change the contrast for each color of red, green and blue. 1 In the toolbar, click the Color button select Contrast RGB. and The Contrast RGB dialog box appears. 2 Enter the correction level of the contrast and click the OK button. { Gamma correct The color is corrected by changing the gamma value. 1 In the toolbar, click the Color button select Gamma correct. and The Gamma Correct dialog box appears. 2 166 Enter 100 times of the gamma value to be corrected and click the OK button. IMAGE PROCESSING: Editing Images { Extracting intensity range designated Only the colors in the designated brightness range are extracted. 1 In the toolbar, click the Color button select Intensity Detect. and The Intensity Detect dialog box appears. 2 Enter the minimum intensity and maximum brightness and then click the OK button. 4 { Red free imaging Display the image in red free. 1 In the toolbar, click the Color button and select Red free. The image is displayed in red free. 167 IMAGE PROCESSING: Saving Image Data { Dividing channels This reproduces the mimic effect of applying single color filter during capturing. (The result of the effect is different from the actual-filter-applied result.) 1 Select the Channel Separation button in the toolbar. The Channel Separation window appears, and the original image and three images divided into three colors are displayed. { Displaying the histogram Click the Histogram button from the image control bar. The Histogram View window appears. The graph with the checkboxes for brightness/red/ green/blue checked is displayed. 4.4 Saving Image Data To save the image processed with the Image Processing function, save the image as new image. For the processed image, new image No. is assigned and saved. The original image remains. { Saving processed images 1 With the image processed is displayed, click the Save button . The processed image is saved with a new image number and two windows for each of the original image and the processed image are displayed. 168 5. 5.1 IMAGE MEASUREMENT Image Measurement Function The image measuring software calculates optic disc and cup of the fundus image. The software is also provided with the functions of measuring the distance and area in the image with pixels. Use the result of distance conversion as reference values. When performing the Distance Conversion with the AFC images, the image must be obtained in Jpeg+XML format. • Use the distance conversion result as a reference value. The error of the measured value varies significantly depending on the image capturing conditions. • The measurement result cannot be rotated. { Start-up 1 Select the image to be measured on the Image List screen and display it on the Image Selection screen. Double-click the thumbnail of the selected image. Or click the Forward button. 5 The Measurement tab becomes enabled. 2 3 Click the Measurement tab to display the Image Measurement tool in the tree view. Perform measurement with the Image Measurement tool. • For the image with no XML file, only the pixel value is displayed. • Open the Configuration dialog box before saving the image measurement data and click the OK button to close the Configuration dialog box abandons the measured data. 169 IMAGE MEASUREMENT: Image Measurement Function { Exiting 1 Click the Save button of the Display Switching button. The confirmation message "Save now?" is displayed. 2 3 Click the Yes button to save the drawing data. Exit the Drawing function by switching the selected screen or the tree view. When there is unsaved image processing data, a confirmation message is displayed. In this case, click the No button to abandon the unsaved Drawing data and perform screen switching or such. • When "No messages are selected." is selected in the Image Tool tab in the Configuration dialog box, data is saved without displaying a confirmation message and then the screen changes. 170 IMAGE MEASUREMENT: Image Measurement Tool 5.2 Image Measurement Tool Image measurement tool { Image control bar The following checkboxes are used to select the data to be displayed overlapping the image. Markup Check box Displays the drawing data overlapping the displayed image. Analysis Check box Selected in Image measurement function. Caption Check box Displays the Caption overlaid on the displayed data. Image List Check box Displays the Image List under the Image Display area. 5 • For the setting of the image caption display, see "1.13.7 Image Caption tab" (page 56). { Image measurement tool Reload Reloads saved image. Clear Clears the measurement data. Undo Undoes the previous action. Redo Cancels the previous Undo. Select Selects the object. Disc Specifies a disc and calculates disc parameters. Cup Specifies a cup and calculates cup parameters. Line Measures a distance between two points in pixel units. Circle Measures an area of circle in pixel units. Box Measures an area of square in pixel units. 171 IMAGE MEASUREMENT: Image Measurement Tool Free Measures a desired area in pixel units. Erase Erases the selected object. Color Selects the color assigned to the measuring tool. Pen style Selects the pen style assigned to the measuring tool. Brush Selects the brush assigned to the measuring tool. Line width Font Selects the line width assigned to the measuring tool. Selects the font assigned to the measuring tool. The currently selected font color is displayed by the horizontal line. • Use the distance conversion result as a reference value. The error of the measured value varies significantly depending on the image capturing conditions. 172 IMAGE MEASUREMENT: Measuring Images 5.3 Measuring Images • Use the distance conversion result as a reference value. The error of the measured value varies significantly depending on the image capturing conditions. 5.3.1 Specifying tools The color, pen style, brush, and line width can be specified for each individual measuring tool (Disc, Cup, GLD, Line, Circle, Shape, and Free). { Color Clicking the Color button displays the dialog box. To change the color assigned to the drawing tool, select a color and click the OK button. 5 { Pen style Clicking the arrow in the box changes the pen style assigned to the drawing tool. { Brush Clicking the arrow in the box changes the brush style assigned to the drawing tool. 173 IMAGE MEASUREMENT: Measuring Images { Line width Clicking the up or down button changes the line width assigned to the drawing tool. { Font Clicking the Font button displays the Font dialog box. Selecting a font and clicking the OK button changes the font assigned to the drawing tool. 5.3.2 Selection tool Select 1) Click the Select button Selects the object. . 2) Click the object or select area by dragging. 174 IMAGE MEASUREMENT: Measuring Images 5.3.3 Disc tool Disc Specifies a disc and calculating disc parameters. Click the left mouse button to enter four or more points over an edge of disc. The starting point is displayed with points are displayed with . and the other Clicking the starting point again finalizes the disc edge and outlines a disc line with a spline curve The disc diameter (vertical), disc diameter (horizontal) and disc area are displayed in pixel units. When the cup edge has been finalized, Cup/Disc ratio (vertical), Cup/Disc ratio (horizontal) and Cup/Disc area ratio are displayed. When the finalized disk is selected with the Select tool, the disk edge has become possible to move. 5 Measurement result 175 IMAGE MEASUREMENT: Measuring Images • As the measurement result is calculated by those values of average eyes, handle the measurement result as reference value. • The display position of the measurement results can be moved by dragging the triangle mark on the upper left of the measurement results. However, when displaying the C/D ratio, do not display the caption on the left. For the setting of the Image caption, see “"1.13.7 Image Caption tab" (page 56)”. 176 IMAGE MEASUREMENT: Measuring Images 5.3.4 Cup tool Cup Specifies a cup and calculates cup parameters. Click the left mouse button to enter four or more points over an edge of disc. The starting point is displayed with are displayed with . and other points Clicking the starting point again finalizes the cup edge and outlines a cup line with a spline curve. The cup diameter (vertical), cup diameter (horizontal) and cup area are displayed in pixel units. When the disc edge has been finalized, Cup/Disc ratio (vertical), Cup/Disc ratio (horizontal) and Cup/Disc area ratio are displayed. When the finalized cup is selected with the Select tool, the cup edge has become possible to move. 5 177 IMAGE MEASUREMENT: Measuring Images 5.3.5 Line tool Line Measures the distance between two points in pixel units. Click the starting point and drag the mouse to the end point. The distance between two points is displayed in pixel units The measurement value is displayed under the line. 178 IMAGE MEASUREMENT: Measuring Images 5.3.6 Circle tool Circle Measures an area of circle in pixel units. Click the starting point and drag the mouse to the end point. The circle area is displayed in pixel units. The measurement value is displayed in the center of the circle. 5 179 IMAGE MEASUREMENT: Measuring Images 5.3.7 Shape tool Box Measures an area of square in pixel units. Click the starting point and drag the mouse to the end point. The area of square is displayed in pixel units The measurement value is displayed at a square center. 180 IMAGE MEASUREMENT: Measuring Images 5.3.8 Free tool Free Measuring the desired area in pixel units. Drag an outline of the area desired to be measured with the mouse. The desired area is displayed in pixel units. The measurement value is displayed at the starting point of the line. 5 181 IMAGE MEASUREMENT: Measuring Images 182 6. 6.1 PANORAMA IMAGE FUNCTION Outline of Panorama Image Creation The Panorama function produces simulated wide-angle fundus images by overlapping multiple fundus images captured at different angles. • The sample image cannot be performed the panorama composition. • The composite image may be changed the color tone compared with the original image. { Panorama screen Image control bar Toolbar 6 Thumbnail area Workspace 183 PANORAMA IMAGE FUNCTION: Toolbar 6.2 Toolbar Image control bar (Panorama function) Panorama function tool { Image control bar All buttons in the image control bar are common on the Image Wizard screen except for the following buttons specialized for the Panorama function. Toggles display of the Navigator window. Navigator The Navigator window is used for changing the workspace display area and size. Color History Toggles display of the Color window. The Color window is used for changing the hue of images. Toggles display of the History window. The History window is used for undo and redo the actions in the list. Toggles display of the Layer window. Layer The Layer window is used for managing the layer level of images on the workspace, changing the image transparency, and point alignment. The following buttons are used when selecting each multiple image. Multi select button Select All button Cannot be selected in Panorama function. Deselect button The following checkboxes are used to select the data to be displayed overlapping the image. Draw Data Check box Displays the drawing data overlapping the displayed image. Result Check box Displays the analyzed result overlapping the displayed image. • Drawing data and analyzed result are displayed on the thumbnail image and they are not displayed on the image in the workspace. • When the buttons specialized for the Panorama function are not displayed, change display or non display in the Customize dialog box. 184 PANORAMA IMAGE FUNCTION: Toolbar { Panorama function tool Clear All the data on the workspace is cleared. Undo Cancels the previous action. Redo Cancels the previous Undo. Panorama Setup Lens Calibration Displays the Panorama tab of the Fundus Panorama Image Setup dialog box. Displays the Lens calibration tab of the Fundus Panorama Image Setup dialog box. Mask setup Displays the Mask tab of the Fundus Panorama Image Setup dialog box. Work space Setup Displays the Work space tab of the Fundus Panorama Image Setup dialog box. Zoom in Magnifies the image. Zoom out Reduces the image. Original Image Displays the image in the original. Zoom Fit Fit displays the image. Return Cancels the previous panorama processing. Execute All the data on the workspace is cleared. Auto Aligns the image automatically and performs panorama processing. 6 1 Select images to be used for the Panorama composition on the Image List screen. Place all images in the selective state to use for composition. • A maximum of 25 images may be overlapped. Panorama processing using more than 25 images cannot be performed. • Panorama processing of exceptionally large image files may fail due to lack of memory space. If panorama image composite fails, reduce the image size or lower the digital camera image quality setting. 2 Click [ImageWizard] - [Normal] from the [View] menu. 185 PANORAMA IMAGE FUNCTION: Toolbar 3 Click the Panorama button in the image control bar. The Panorama function toolbar appears. 4 Drag and drop an image from the thumbnail area to the workspace. Images are arranged in the specified positions. • If mask processing is set, the mask processing is performed when arranging the image from thumbnail field to the workspace. After arranging the image to the workspace, changing the mask setting will not be reflected to the workspace image. 186 PANORAMA IMAGE FUNCTION: Toolbar • When the composite image size is large, composition may fail due to insufficiant memory space. 5 In the same manner, arrange all images to overlap on the workspace. 6 Make fine alignment of the images arranged on the workspace. 6 { Alignment by dragging the mouse 1) Select an image to move. * See "6.2.1 Selecting images to move" (page 189) for selecting the image. 2) Move the image to the desired position by dragging. { Alignment using a keyboard 1) Select an image to move. * See "6.2.1 Selecting images to move" (page 189) for selecting the image. 2) Move the image to the desired position with the arrow key (↑,↓,←,→) on the keyboard. ↑ key The image moves upward. ↓ key The image moves downward. ← key The image moves to the left. → key The image moves to the right. * Holding down the Shift key and arrow key simultaneously makes position alignment possible. 187 PANORAMA IMAGE FUNCTION: Toolbar 7 Click the Execute button in the toolbar. When creating a panorama composite image, a progress bar is displayed. 8 A panorama composite image is displayed. 9 Click the Save button in the toolbar. A message confirming the saving is displayed and clicking the Yes button saves the panorama composite image as a new image. 188 PANORAMA IMAGE FUNCTION: Toolbar 6.2.1 Selecting images to move Overlapped fundus images are layered, and each image is at a different level. The level can be checked with the Layer window. { Selecting images to move with the Layer window Click the thumbnail of an image on the Layer window. The clicked image becomes the selective state. { Moving the image level with the buttons in the Layer window 6 The buttons in the Layer window allow the user to move the image level. Move to top Moves the image that is being selected to the foreground level. Move to bottom Moves the image that is being selected to the bottom level. Move to front Moves the image that is being selected to the higher level. Move to back Moves the image that is being selected to the lower level. Next image Changes the image that is being selected in order of level by clicking. Changes the image that is being selected in the reverse order of level by Previous image Delete image clicking the button. Deletes the image that is being selected from the workspace and returns to the thumbnail column. 189 PANORAMA IMAGE FUNCTION: Toolbar 6.2.2 Specifying the area to be stored The area to be stored can be specified in the panorama composite image. • When the Save button is pressed without specifying the saving area, all images in the area are saved. 1 Select an area to store by dragging the mouse on the panorama image. 2 Click the Save button in the toolbar. A save confirmation message is displayed and click the Yes button to save the images in the specified area. 190 PANORAMA IMAGE FUNCTION: Tool Window 6.3 Tool Window The Panorama software has the tool windows, which help to align images arranged on the workspace. There are the tool windows as follows: Thumbnail area Navigator Window Color Window History Window Layer Window 1 Click the button of each tool window name in the toolbar. When the tool windows are not displayed, they are displayed. When the tool windows are displayed, they close. 6.3.1 Thumbnail area The thumbnail area is used when arranging the image to be overlapped. 6 Thumbnail area 191 PANORAMA IMAGE FUNCTION: Tool Window { Arranging images on the workspace Arrange images to overlap on the workspace. 1 Drag and drop the images from the thumbnail area to the workspace. Images are arranged in the specified positions. { Deleting images from the workspace Delete unnecessary image from the workspace. 1 Drag and drop the selected image from the workspace to the thumbnail area. The selected images are deleted from the workspace. 192 PANORAMA IMAGE FUNCTION: Tool Window 6.3.2 Navigator window The Navigator window is used for changing the workspace display area and size. Clicking the Navigator button displays the Navigator and the overall workspace is reduced displayed. The light blue frame on the thumbnail indicates the actual display area. { Moving workspace display area Move the workspace display area. 6 Specifying the display area by clicking Clicking any point outside the light blue frame on the thumbnail finalizes the center of the display area. The area whose center is the clicked coordinates is displayed. Changing the display area by dragging the mouse Dragging the light blue frame changes the display area. { Changing workspace display size Change the workspace display size. Changing the display size with the slider Dragging the △ mark of the slider to the left or right changes the workspace display size. Changing the display size by dragging the light blue frame Dragging any point on the light blue frame changes the frame size. The frame size change affects also the workspace display size. 193 PANORAMA IMAGE FUNCTION: Tool Window 6.3.3 Color window The hue of the image is changed. { Changing image hue 1 2 Select an image whose hue is changed. Drag each △ mark of the RGB sliders on the Color window to the left or right. The hue of the image becomes stronger when the value is set close to 255. The hue of the image becomes softer when the value is set close to 0. * When the value is 127, the hue of the image does not change. 194 R Changes the red hue of the image. G Changes the green hue of the image. B Changes the blue hue of the image. PANORAMA IMAGE FUNCTION: Tool Window 6.3.4 History window The History window contains a list of recently performed actions on the workspace. It is possible to undo and redo the actions in the list. The History window lists the last twenty actions that you have performed. { Undoing operations Undo operations on the workspace. 1 From the list of the History window, click an item (letters in black) that you want to back. The workspace goes back to the state by clicking the item in the list. The clicked item becomes the selective state (letters in blue). * In the following figure, the workspace goes back to the state of "Point Change". 195 6 PANORAMA IMAGE FUNCTION: Tool Window { Redoing operations Redo operations cancelled with the undo function. 1 From the list of the History window, click an item (letters in gray) that you want to redo. The workspace goes back to the state by clicking the item in the list. The clicked item becomes the selective state (letters in blue). * In the following figure, the workspace goes back to the state of "Color change". 196 PANORAMA IMAGE FUNCTION: Tool Window 6.3.5 Layer window The Layer window is used for managing the layer level of images on the workspace, changing the image transparency, and point alignment. 6 197 PANORAMA IMAGE FUNCTION: Tool Window { Selecting images Select images on the workspace from the Layer window. 1 Click a thumbnail on the Layer window. The image on the workspace corresponding to the clicked thumbnail becomes the selective state. { Image level Overlapped fundus images are layered, and each image is at a different level. Thumbnails in the Layer window are displayed in the order of level. The upper thumbnail is in the foreground level. Moving the image level with the buttons in the Layer window The buttons in the Layer window allow the user to move the image level. Move to top Moves the image that is being selected to the foreground level. Move to bottom Moves the image that is being selected to the bottom level. Move to front Moves the image that is being selected to the higher level. Move to back Moves the image that is being selected to the lower level. Next image Changes the image that is being selected in order of level by clicking. Changes the image that is being selected in the reverse order of level by Previous image clicking the button. Moving the image level by dragging the mouse The level can be moved by dragging a thumbnail on the Layer window to other thumbnail position. 198 PANORAMA IMAGE FUNCTION: Tool Window { Deleting Images Delete unnecessary images from the workspace with the Layer window. Deleting images with the button in the Layer window Clicking the [ ] button in the Layer window deletes the selected image. Deleting images by dragging the mouse Dragging a thumbnail in the Layer window to the Thumbnail window deletes the image. { Transparency Specify the transparency of images on the workspace. * The setting does not reflect on composite images. 1 2 Select an image whose transparency is changed. Click the [ ] button on the Transparency field of the Layer window. The slider appears. 6 3 Drag the mark of the slider to the left or right. The transparency becomes lower when the value is set close to 255. The transparency becomes higher when the value is set close to 0. { Displaying images Select whether images on the workspace are displayed or not. The image selected to not-display is not displayed also in the panorama composite image. The setting is with the [ ] checkbox in the left of thumbnails. The box is checked The box is not checked The image is displayed. The image is not displayed. 199 PANORAMA IMAGE FUNCTION: Tool Window { Operation lock Select whether the operation to images on the workspace is locked or not. The locked image does not accept the operations such as movement, hue change, transparency change, point alignment. The setting is with the [ ] checkbox in the left of thumbnails The box is checked The box is not checked The operation is locked. The operation is not locked. { Point alignment Align images on the workspace with points (characteristic points). 1 Select an image to perform point alignment. 2 Set the selected image in the Layer window to the point mode. The cross icon appears on the image of the workspace. The setting is with the [ The box is checked The box is not checked 200 ] checkbox in the left of thumbnails Point mode Normal mode PANORAMA IMAGE FUNCTION: Tool Window 3 Click a (characteristic) point of the image on the workspace. The cross icon moves to the clicked coordinates. 4 In the same manner, click the points of all images to perform point alignment. 6 201 PANORAMA IMAGE FUNCTION: Tool Window 5 Click the Execution button of Point align on the Layer window. The points are aligned. 202 PANORAMA IMAGE FUNCTION: Settings 6.4 Settings Each setting of the Panorama software is performed in the Fundus Panorama Image Setup dialog box. The following is set in the dialog box. • Setting panorama composite images • Setting lens calibration • Setting mask • Setting workspace size 1 Click the Setting button in the toolbar. The Fundus Panorama Image Setup dialog box appears. 6 203 PANORAMA IMAGE FUNCTION: Settings 6.4.1 Panorama tab Set the conditions of panorama composite images. { Picture size A panorama composite image is produced from multiple images so a PC with high specifications is required depending on the CCD camera to be used or the number of images to overlap. When the PC is heavily loaded at the time of panorama composite processing or processing takes time, changing the image size to overlap will lighten the load on the PC. Select the overlapped image size with any radio button in the Picture size field. 100% The size is not changed. 50% The size is reduced to 50%. 25% The size is reduced to 25%. { Result size A panorama composite image is produced from multiple images so the produced image will be relatively large in size. Thus, the overlapped image size can be changed. Select the image result size with any radio button in the Result size field. 204 100% The size is not changed. 50% The size is reduced to 50%. 25% The size is reduced to 25%. PANORAMA IMAGE FUNCTION: Settings { Blend Type Select a blend type to be produced the composite image. Blending overlapped images makes the produced image seamless between images. Select the blend type with any radio button in the Blend type field. Gradual Half Blend by gradually changing the entire overlapped area to make the images seamless. Blend by using the average of each pixel of the overlapped area. Steep Blend by changing the entire overlapped area to make the images seamless. The degree of the change is higher than Gradual. None No blend. Images are composed in the level of images. { Background Color Specify the color of the background of the panorama composite image. Clicking the button displays the Color Setting dialog box. Select the background color and click the OK button. 6 205 PANORAMA IMAGE FUNCTION: Settings 6.4.2 Lens calibration tab Sets calibration of the barrel and pin-cushion distortion. Therefore, set the correction factor (parameter) to “0”. { Output rect type Outer rect The image is extracted in the circumscribed rectangle after being corrected. Inner rect The image is extracted in the inscribed rectangle after being corrected. Source rect The image is extracted in the original size after being corrected. Source rect (Stretch) The image is extracted in the circumscribed rectangle after being corrected, and then reduced to the original size. { Parameter Adjust the calibration degree by specifying the correction factor to calibrate the lens distortion. * When the correction factor is set to 0, no calibration will be made. { Background Color The background color of the unproductive area produced after lens calibration can be specified. 206 PANORAMA IMAGE FUNCTION: Settings 6.4.3 Mask tab Specify the fundus area extracting (mask image extracting) method. { Enable mask Select whether fundus area extraction is performed or not when images to overlap are arranged on the workspace. The box is checked The box is not checked The fundus area is extracted. The fundus area is not extracted. 6 207 PANORAMA IMAGE FUNCTION: Settings { Mask selection Select a fundus area extraction method. The method is selected with the radio buttons in the Mask selection field. Mask pattern Specify a prepared fundus area pattern and extract the fundus area. Click the button to select the mask pattern from the drop-down list. * The fundus area cannot be extracted when the resolution pattern is different with that of the extracted image. Mask by luminosity is performed Extract the fundus area by the luminosity of the fundus image. When fundus area extraction is not successful (the fundus area is discarded or the periphery of the image remains), adjust the tolerance level (mask level) of luminosity. • When the fundus area is discarded, increase the mask level. • When the periphery of the image remains, decrease the mask level. * The mask level is selectable from 0 to 10. 208 PANORAMA IMAGE FUNCTION: Settings { Importing mask pattern Import a mask pattern. 1 Click the Mask tab in the Fundus Panorama Image Setup dialog box. 2 Check the Enable mask checkbox in the Fundus Panorama Image Setup dialog box, and click the Edit button. The Mask edit dialog box appears. 6 3 Click the Import button in the Mask edit dialog box. The Open dialog box appears. 4 Select the mask pattern to be imported in the Open dialog box and click the OK button. The Open dialog box closes. 209 PANORAMA IMAGE FUNCTION: Settings 5 Enter a mask pattern name in the Title box of the Mask edit dialog box and click the OK button. The mask pattern name is displayed in the List field. 6 Click the OK button in the Mask edit dialog box. The Mask edit dialog box closes and the mask pattern is added to the drop-down list. 210 PANORAMA IMAGE FUNCTION: Settings { Creating mask pattern Create an original mask pattern. 1 Arrange the image to create the mask pattern on the workspace. 2 Click the Mask Setup button in the toolbar. The Fundus Panorama Image Setup dialog box appears. 6 3 Check the Enable mask checkbox in the Fundus Panorama Image Setup dialog box and click the Edit button. The Mask edit dialog box appears. 211 PANORAMA IMAGE FUNCTION: Settings 4 Click the New button in the Mask edit dialog box. The Mask image dialog box appears. 5 6 Click the [ ] button in the Mask image dialog box. Drag the mouse on the image in the Mask image dialog box and select the fundus area. A circle is displayed as the drag starting point is center and finishing point is circumference. The inside of the circle (including the line) is masked. 7 8 9 Click the [ ] button in the Mask image dialog box. Drag the mouse on the image of the Mask image dialog box and move the circle. Click the [ ] button in the Mask image dialog box. 10 Drag the mouse on the image in the Mask image dialog box and select the fundus area. A rectangle is displayed as the drag starting point and finishing point are opposite angle The inside of the rectangle (including the line) is masked. When drawing both circle and rectangle, the overlapped part (including the lines) is masked. 212 PANORAMA IMAGE FUNCTION: Settings 11 Click the [ ] button in the Mask image dialog box. 12 Drag the mouse on the image in the Mask image dialog box and move the rectangle. 13 Click the OK button in the Mask image dialog box. The Mask image dialog box closes. 14 Enter a mask pattern name in the Title box of the Mask edit dialog box and click the OK button. The mask pattern name is displayed in the List field. 6 15 Click the OK button in the Mask edit dialog box. The Mask edit dialog box closes and the created mask pattern is added in the list. 213 PANORAMA IMAGE FUNCTION: Settings 6.4.4 Work space tab The workspace size is specified. Select the workspace size with any radio button in the Work space size field. The following sizes are selectable. 1600 X 1200 The workspace size is 1600 pixel (wide) X 1200 pixel (long). 3200 X 2400 The workspace size is 3200 pixel (wide) X 2400 pixel (long). 6400 X 4800 The workspace size is 6400 pixel (wide) X 4800 pixel (long). * Reduce the workspace size when starting the Panorama software. 214 PANORAMA IMAGE FUNCTION: Automatic Panorama Function 6.5 Automatic Panorama Function Aligns the image automatically and performs the Panorama Processing. 1 On the Image List screen, select the image to perform the Panorama Image Composite. Make all the images used for composite selected status. 2 3 Click [Setting] - [ImageWizard] from the menu to enter the Image Wizard screen. Click the Panorama button in the image control bar. The Panorama Image Composite toolbar appears. 6 4 Click the Auto button in the toolbar. Auto Panorama Image Composite is started and a progress bar dialog box appears. It may take a few minutes to complete processing. To stop processing, click the Cancel button in the dialog box. 215 PANORAMA IMAGE FUNCTION: Automatic Panorama Function 5 When the processing is completed, the Progress Report dialog box closes and the Panorama image is displayed. After completing the Panorama Image Composite, if the Return Workspace button is clicked, images used for the composition are released composition of the workspace with the current arrangement. Each images can be adjusted. 216 PANORAMA IMAGE FUNCTION: Automatic Panorama Function 6 Click the Save button in the toolbar. A save confirmation message is displayed and click the Yes button to save the Panorama Composite Image as new image. 7 When the Return button Patient List screen. is clicked, save the Panorama image and return to the 6 217 PANORAMA IMAGE FUNCTION: Automatic Panorama Function 218 7. 7.1 STEREO VIEWING Outline of the Stereo Viewing Function Display the image captured with the AFC-330 by stereo technique and observe the stereo image using the stereo viewer. • Stereo Composite cannot be performed for the sample images. { Stereo image creating screen Image control bar Toolbar 7 Thumbnail area Navigator window Workspace 219 STEREO VIEWING: Toolbar 7.2 Toolbar Image control bar (Stereo function) Stereo function tool { Image control bar All buttons in the image control bar are common on the Image Wizard screen except for the following buttons specialized for stereo function. Navigator Toggles display of the Navigator window. In the Navigator window, the image can be checked overall. The following buttons are used when selecting multiple images. Multi select button Select All button Cannot be selected for the Stereo function. Deselect button The following checkboxes are used to select the data to be displayed overlapping the image. Draw Data Check box Displays the drawing data to overlap the displayed image. Result Check box Display the analyzed result to overlap the displayed image. • Drawing data and analyzed result are displayed on the thumbnail image and they are not displayed on the image in the workspace. {Stereo function tool 220 Clear All the data in the workspace is cleared. Reload Reloads saved image. Back Returns the sequence of Stereo image creation. Proceed Proceeds the stereo image creation sequence. Full Screen Displays the stereo image with full-screen. STEREO VIEWING: Stereo Image Creation and Observation 7.3 Stereo Image Creation and Observation 1 Select the pair image captured with the Stereo function. 2 3 Click [ImageWizard] - [Normal] from the [View] menu. Click the Stereo button to switch to the Stereo screen. 7 • When an image is first selected for stereo image, the image is automatically assigned to the workspace when switching to the Stereo screen. 221 STEREO VIEWING: Stereo Image Creation and Observation 4 Drag the thumbnail image to arrange to the workspace. 5 Adjust the position and the size of the image. Left-click on the image. Moves the right-and-left image to center the clicked position and the image expands at the same time. Right-click on the image. The right-and-left image moves to center the clicked position and the image reduces at the same time. Drag 222 Moves the one side image. This is enabled only when the image is displayed extended off the white frame line. STEREO VIEWING: Stereo Image Creation and Observation 6 Click the Proceed button . The stereo image is displayed with compounded. When fine adjusting the image position, drag the image. When changing the image display magnification, click the Return button Step 5. 7 to return to Use the stereo viewer to perform stereo observation. During observation, perform fine adjustment to the image position as necessary. 1) When displaying the stereo image with full-screen, click the Full-screen button . The stereo image is displayed with full screen. 7 223 STEREO VIEWING: Stereo Image Creation and Observation 2) Use the stereo viewer to perform stereo observation. Clicking the mouse returns to the screen in which the tool is displayed. 8 When saving the compounded stereo image, click the Save button Clicking the Return button screen. 224 . saves the stereo image and return to the Patient List