USER MANUAL

OPHTHALMIC DATA SYSTEM

IMAGEnet 6
Version 1.26
 INTRODUCTION
Thank you for purchasing the TOPCON Ophthalmic Data System IMAGEnet 6
(hereinafter referred to as IMAGEnet 6).

INTENDED USE / INDICATIONS FOR USE

The IMAGEnet 6 Software System is a software program that is intended for use in
the importing, collection, storage and management of digital images, patient data,
diagnostic data and clinical information from Topcon devices without controlling or
altering the functions or parameters of any medical devices or through computerized
networks.

FEATURES
IMAGEnet 6 is used to save and browse the images and examination data
photographed and measured by diagnosis/examination instruments.
By connecting to the personal computer (PC) in which IMAGEnet 6 is installed
through the network, you can use the functions of this software through two or more
personal computers/tablet terminals at the same time.

PURPOSE OF THIS MANUAL

This manual explains the details of the functions and usage methods to make
optimal use of IMAGEnet 6 software. Before using the software, carefully read
“GENERAL SAFETY INFORMATION” to ensure that you operate it efficiently
and safely.
This user manual is made so that the customer can refer to this manual when
learning how to operate IMAGEnet 6 software and when using it. This manual
does not describe how to diagnose the photographed image.

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 TRADEMARKS
• IMAGEnet is a registered trademark of TOPCON CORPORATION.
• 3D OCT is a trademark of TOPCON CORPORATION.
• Microsoft, Windows, Windows 7, Windows 8.1, Windows 10, SQL Server 2012, SQL Server 2014,
SQL Server 2016 and Internet Explorer are either registered trademarks or trademarks of
Microsoft Corporation in the United States and/or other countries.
• Core2 DUO is a trademark of Intel Corporation.
• Google Chrome is a registered trademark or trademark of Google Inc.

In general, other company names and product names in this manual are trademarks or registered
trademarks of those companies.

1. No part of this manual may be copied or reprinted, in whole or in part, without prior written
permission.
2. The contents of this manual are subject to change without prior notice and without legal
obligation.
3. The contents of this manual are correct to the best of our knowledge. Please inform us of any
ambiguous or erroneous descriptions, missing information, etc.
4. Original Instructions
This manual was originally written in English.

© 2014 TOPCON CORPORATION

ALL RIGHTS RESERVED

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 CONTENTS
INTRODUCTION ......................................................................................................................................1
INTENDED USE / INDICATIONS FOR USE ........................................................................................1
FEATURES ...........................................................................................................................................1
PURPOSE OF THIS MANUAL .............................................................................................................1
TRADEMARKS .....................................................................................................................................2
1 DISPLAYS AND SYMBOLS FOR SAFE USE .................................................................................6
2 GENERAL SAFETY INFORMATION ..............................................................................................7
3 HOW TO USE THIS MANUAL ........................................................................................................8
3.1 Notations in this manual ............................................................................................................8
4 GENERAL MAINTENANCE INFORMATION ..................................................................................9
5 DISCLAIMERS.................................................................................................................................9
6 SYSTEM DIAGRAM ......................................................................................................................10
6.1 Login........................................................................................................................................10
6.2 COMMON FUNCTION ............................................................................................................11
Menu bar ......................................................................................................................... 11
Patient information panel ................................................................................................ 11
6.3 User information screen ..........................................................................................................12
Change Password screen............................................................................................... 12
6.4 Patient List Screen ..................................................................................................................13
6.5 View Screen ............................................................................................................................14
6.6 The common function of a view screen ..................................................................................15
Tool bar ........................................................................................................................... 15
Examination list ............................................................................................................... 16
Thumbnail in the List Panel ............................................................................................ 17
Examination data display area ....................................................................................... 17
Pinning function .............................................................................................................. 17
6.7 Acquisition Screen ..................................................................................................................18
6.8 Add data Screen .....................................................................................................................19
7 PREPARATION BEFORE USE .....................................................................................................19
8 BASIC OPERATIONS ...................................................................................................................20
8.1 OPERATION ...........................................................................................................................20
8.2 STARTING IMAGEnet6 ..........................................................................................................21
8.3 RETRIEVING AND SELECTING A PATIENT ........................................................................21
8.4 SELECTING EXAMINATION DATA .......................................................................................21
8.5 EXITING IMAGEnet 6 .............................................................................................................22
9 OBJECTIVE OPERATIONS ..........................................................................................................22
9.1 REGISTERING A PATIENT AND EDITING ...........................................................................22
Registering a new patient ............................................................................................... 22
Editing the patient information ........................................................................................ 22
Deleting the patient information ...................................................................................... 23
9.2 SEARCHING A PATIENT .......................................................................................................23
Basic ............................................................................................................................... 24
Advance .......................................................................................................................... 25
Worklist ........................................................................................................................... 26
9.3 SINGLE VIEW .........................................................................................................................27
OCT Data View ............................................................................................................... 28
Image Data View ............................................................................................................ 72
Discrete Data View ......................................................................................................... 76
Wave-Front Analyzer data View ..................................................................................... 79

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 9.4 THUMBNAIL VIEW .................................................................................................................81
9.5 MULTI VIEW ...........................................................................................................................85
OCT Angiography data in MULTI VIEW ......................................................................... 87
9.6 OU View ..................................................................................................................................92
9.7 Compare View .........................................................................................................................93
9.8 OCT Study Drive .....................................................................................................................95
Display Study Drive ........................................................................................................ 95
9.9 Exam Property ........................................................................................................................95
9.10 MEASURING AND ANALYZING THE EXAMINATION DATA ...............................................97
Measuring and analyzing the OCT examination data .................................................... 97
Measuring and analyzing the image examination data ................................................ 110
9.11 Print .......................................................................................................................................121
Print dedicated layout ................................................................................................... 122
Print template ................................................................................................................ 124
9.12 Acquisition .............................................................................................................................125
FileGrab2 ...................................................................................................................... 126
MDR .............................................................................................................................. 130
9.13 Add Data ...............................................................................................................................131
9.14 Discrete data edit ..................................................................................................................136
9.15 Data File ................................................................................................................................138
Import ............................................................................................................................ 138
Export............................................................................................................................ 138
9.16 Visits ......................................................................................................................................138
Display the Visits information ....................................................................................... 139
Register the Visits information ...................................................................................... 139
Modify and delete the Visits information ....................................................................... 140
9.17 Display of cornea shape color map data ...............................................................................141
Start of KRP Viewer ...................................................................................................... 141
KRP Viewer Components ............................................................................................. 142
Operating KRP Viewer.................................................................................................. 144
Exiting KRP Viewer ....................................................................................................... 144
Color map Report Data ................................................................................................. 144
Option Settings ............................................................................................................. 148
Printing Reports ............................................................................................................ 151
Other Features .............................................................................................................. 152
10 Management ................................................................................................................................153
10.1 Manage Patient information ..................................................................................................153
Manipulating Patient information .................................................................................. 154
Manipulating Exam data ............................................................................................... 162
10.2 Management User information ..............................................................................................164
Manipulating User information ...................................................................................... 164
Manipulating User role .................................................................................................. 165
10.3 Management Practices information ......................................................................................166
Manipulating Practices information ............................................................................... 167
Add................................................................................................................................ 167
10.4 Management Hospital information ........................................................................................167
Manipulating Hospital information ................................................................................ 168
11 Configuration................................................................................................................................169
11.1 Common ................................................................................................................................170
How to set file name ..................................................................................................... 171
11.2 Location .................................................................................................................................172

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 11.3 OCT .......................................................................................................................................172
11.4 OCT (Export) .........................................................................................................................178
11.5 Print .......................................................................................................................................179
Print template settings .................................................................................................. 179
11.6 DICOM ..................................................................................................................................180
Work list ........................................................................................................................ 180
Storage ......................................................................................................................... 181
11.7 Option ....................................................................................................................................183
12 MAINTENANCE ...........................................................................................................................184
12.1 Install the Archive Tool ..........................................................................................................184
12.2 Run the Archive tool ..............................................................................................................186
13 BEFORE REQUESTING SERVICE ............................................................................................188
14 SPECIFICATIONS AND PERFORMANCE .................................................................................188
14.1 Product Requirements ..........................................................................................................188
Software ........................................................................................................................ 189
Hardware ...................................................................................................................... 189
15 Appendix ......................................................................................................................................190
Example of OCT Angiography Image ...............................................................................................190

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1 DISPLAYS AND SYMBOLS FOR SAFE USE
This user manual contains important safety precautions for users, patients, etc. to avoid injuries and
property damages and shows the proper usage of the product.
Please read and understand the displays and symbols, then review the [General Safety Precautions]
along with the rest of the document and follow the items mentioned.

DISPLAY

Display Meaning

Useful functions to know. Paying attention to these will prevent the noted
NOTE
problems.

SYMBOL
Symbol IEC/ISO Publication Description Description(French)

ISO 7000-2497 Date of manufacturer Date de fabricant

ISO 7000-2498 Serial number Numéro de série

ISO 7000-3082 Manufacturer Fabricant

Authorised Representative in Représentant autorité pour

ISO 15223-1
the European Community l’Union européenne

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2 GENERAL SAFETY INFORMATION
When using the software, it is the customer’s responsibility to follow the below safety precautions and
take the necessary actions in third party risk management to avoid information leakage.

NOTE
• Users with access to the PC and software must protect and manage the ID and password of
the PC and software to avoid third party risks.
• Users with database administrator access must protect and manage the administrator log in
information to avoid third party risks.
• When using the software via PC connected to a network, users must take necessary
precautions against computer viruses and information leakage.
• When using the software via client-server structure, the data and database files will most
likely be displayed in the network. Users will need to organize into folders and manage access
levels for different users.
• PCs and other devices containing data obtained from the software and back-up data must be
managed by users to avoid loss and unauthorized use.

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3 HOW TO USE THIS MANUAL
This manual describes important information for using IMAGEnet 6 (for example, how to use it, names
and functions of the buttons). Please read this manual carefully and use IMAGEnet 6 according to the
instructions in this manual. Keep this manual at hand and refer to it if a problem arises when this
software is in use.

3.1 Notations in this manual

Notations used in this manual are as follows:

■ General Notations
Notation Description
[File] Menu names are enclosed in [ ].
[File] - [Open] A command name is enclosed in [ ] following a menu name including
the command.
“Select exam” dialog box A dialog box name uses the name displayed on the title bar of the dialog
box and is enclosed with “ “.
[Select Patient] button The button name of the tool bar is enclosed in [ ].
[OK]button A button name in the dialog box is enclosed in [ ].
[Enter] A key is enclosed in [ ].

■ Mouse Operation Notations

Notation Description
Point Moving a mouse to overlap the mouse pointer (an arrow shape
displayed on the screen) on the object selected.
Click Pressing and releasing the left mouse button quickly.
Double-click Clicking the left button of the mouse twice quickly.
Drag Moving the left mouse button while pressed.
Drag & Drop To drag an object, point to the object on the screen, press and hold the
left button, move the object to a new location, and then release the left
button.
Context menu Right-clicking an item usually displays a list of things you can do with
the item.

1. This manual assumes the use of a mouse for operation. In some cases, a keyboard may need to
be used. Procedures requiring a keyboard are included as they occur.
2. This manual assumes the use of a right-handed mouse. Left click means clicking the left button
with an index finger of the right hand.
3. This manual is described based on the screen displayed on the Japanese Microsoft Windows 7.

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4 GENERAL MAINTENANCE INFORMATION
To ensure the safety and performance of the system, all maintenance work, unless specified in this
manual, shall be conducted by trained service engineers. The following maintenance tasks may be
done by the user. For details, refer to “12 MAINTENANCE “.

• Archive of the data

5 DISCLAIMERS
• TOPCON shall not take any responsibility for damage due to fire, earthquakes, actions by third
parties and other accidents, or damage due to negligence and misuse by the user and any use
under unusual conditions.
• TOPCON shall not take any responsibility for damage derived from the inability to properly use
this software, such as loss of business profit and suspension of business.
• The customer shall take the responsibility to save data and perform backup in case data should
be lost. When the customer has obtained data through this software and has saved or backed
up the data in a server or personal computer, TOPCON shall not take any responsibility for the
loss of the data, loss of profit or other damages on the customer.
• TOPCON shall not take any responsibility for damage caused from using this software in a
manner other than that described in this User manual. In case of the software products, the
license terms enclosed supersede any other understandings.
• Diagnoses made shall be the responsibility of the pertaining doctors. TOPCON shall not take any
responsibility for the results of such diagnoses.
• TOPCON shall not take any responsibility for damage due to a computer virus.

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6 SYSTEM DIAGRAM
6.1 Login
This is the login screen that is displayed when IMAGEnet 6 is started. The user can input the
requested data in order to log into the system.

User ID
Password
Language

[Login] Button

Activation Information

Item Description
User ID The user ID which logs in is inputted.
Password The password of the user ID which logs in is entered.
Language The language to be used is chosen.
[Login] Button Login is performed.
Activation Information Shows activation information.

The on-premise perpetual license will show the license type only.

• If the password expiration date is set, if you log in as the user who satisfies the
following conditions, the password change screen will be displayed.
➢ The user log in for the first time.
➢ The user whose password has expired.
NOTE • For the detail of the way to change the password, please refer to “6.3.1Change
Password screen”.
• For the detail of the way to set the password expiration, please contact your
dealer.

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 6.2 COMMON FUNCTION
Menu bar
Menu bar is usable on all screens except the login screen. It is located at the top of the screen. Button
not be enabled will be grayed out.

Item Description
Displays user information screen. For the details of the user
[User Information] button information screen, refer to “6.3 User information screen”
[Patient] button Shifts to the patient list screen. For the details of the patient
retrieval screen, refer to “6.4 Patient List Screen“.
[View] button Shifts to the examination data display screen. The thumbnail list
is displayed. For details, refer to “6.5 View Screen“.
[Acquisition] button*2 Shifts to the photography screen. To take a picture, the
dedicated software applicable to the photographing device is
necessary. Please contact a distributor.
[Add Data] button*2 Shifts to the examination data manual input function screen. For
details, refer to “9.13 Add Data“.
[Administration] button Shifts to the setting/administration function screen.
[Help] button By using the help function, it is possible to display the manual*1
as well as gain access to various translated versions of the
IMAGEnet 6 manual. You can also check the application
versions information.
[Logout] button Performs log-out. Select this button to exit this software.
*1 In order to display the manual, PDF reader must be installed on the computer that operates IMAGEnet 6.
*2 It is not displayed when the OCT Study Drive is enabled.

Patient information panel

Since this is a function which can be used in common on all the screens except a login screen, it is
arranged at the topmost part of the screen.
ID, Name, and Birth date are displayed as patient information.

[Patient] icon

Item Description
[Patient] icon*1 Displays details of patient information.
ID Displays the ID of the selected patient.
Name Displays the name of the selected patient.
DOB Displays the birthday of the selected patient.
*1 It is not displayed when the OCT Study Drive is enabled.

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 6.3 User information screen
User information screen displays as below.

[Close] button

User information area

[Change password]
button

item Description
[Close] button Closes user information display, and return to the previous display.
User information area Displays log in users’ information. For detail of change the information,
refer to “10.2.1Manipulating User information”.
[Change password] Displays change password dialog.
button

Change Password screen

User ID
Current Password
New Password

New Password
(Confirmation)

Item Description
User ID The user ID to change the password is displayed.
Current Password Enter the current password.
New Password Enter the new password. You cannot set the same password
as the current password.
New Password (Confirmation) Enter the newly set password for confirmation. It must match
the new password.

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 6.4 Patient List Screen
It is a screen displayed after login. Registration, search, and selection of a patient are performed.
Menu bar Tool bar Patient Information Panel

Patient Information Display Panel

Query Patient Panel Patient List Panel Photographing Equipment List Panel

Item Description
Menu bar The change to a patient screen, a view screen, add data input screen, etc. is
performed. Please refer to “6.2.1 Menu bar“ for details.
Patient The patient information chosen is displayed. Please refer to “6.2.2 Patient
Information panel information panel“ for details.
Tool bar The change to a searching method, and change the display about patient
information.
Query Patient Conditions are specified and a patient is searched.
Panel Simple and a detailed search service can be changed by changing the button
of a tool bar. And, new patient registration is also performed. Please refer to
“9.2 SEARCHING A PATIENT“ for details.
Patient List Panel Displays patients who match the search condition from among browsable
patients. Please refer to "10.1.1 Manipulating Patient information” for viewing
conditions of patient data.
Patient A patient's data is displayed.
Information Thumbnail tab: Displays examination data registered in patients in thumbnail
Display panel format.
Patient Details tab: Displays patient information. You can also call up the
operation screen of visiting information. For details, please refer to "9.16
Visits".
Photographing A list of the usable photographing equipment is displayed. Click the icon, shift
Equipment List to the photography screen. To display the usable photographing equipment,
Panel IMAGEnet6Link needs to be installed on the client computer.

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 6.5 View Screen
It is a screen which displays a patient's examination data. The contents of the display change with the
exam data chosen.

Menu bar Tool bar Patient Information panel

Examination list Panel Examination data display area

Item Description
Menu bar The change to a patient screen, a view screen, add data input screen, etc. is
performed. Please refer to “6.2.1 Menu bar“ for details.
Patient The patient information chosen is displayed. Please refer to “6.2.2 Patient
Information panel information panel“ for details.
Tool bar Data storage, screen changes, etc. are operated. The contents of a display
change with data to display. Please refer to “6.6.1 Tool bar“ for details.
Examination list A patient's selected examination data list is displayed in the tree form sorted by
Panel the examination data day / procedure. Please refer to “6.6.2
Examination list“ for details.
Examination data Examination data is displayed in a format that is selected in the toolbar. The
display area contents of the display change with the Examination chosen. Display the
thumbnail list panel by the display format. Please refer to “6.6.3 Thumbnail in
the List Panel” and “6.6.4 Examination data display area“.

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 6.6 The common function of a view screen
Tool bar
The tool bar consists of the buttons that are used to access each function (for example, saving data)
and to shift to other layout screens and perform other actions. They are the functions common to all
examinations and the functions peculiar to each examination type. Button not be enabled will be
grayed out.

Items common to all examinations

Item Description
Saves the displayed examination data. When measurement is done for the
[Save] button
examination data, the measurement result is also saved.
Displays the print preview and prints the data. A printer is necessary for
[Print] button
printing. Please refer to “9.11 Print“ for details.
[Export] Exports the displayed examination data. For the details, please refer
button to”9.3.1.17 Export”
[Thumbnail] Shifts to the thumbnails view that displays the selected data in a thumbnail
button format. Please refer to “9.4 THUMBNAIL VIEW“ for details.
Shifts to “Single View” that displays one examination data. The contents and
[Single View]
layout of “Single View” are changed according to the examination type.
button
Please refer to “9.3 SINGLE VIEW“ for details.
Shifts to “Multi View” that displays two or more examinations data on one
[Multi View] screen. When two or more examinations are selected, the selected
button examinations data are displayed. Please refer to “9.5 MULTI VIEW“ for
details.
[OU View] Shifts to the both eyes view screen that displays the examination results of
button both eyes at the same time. Please refer to “9.6 OU View“ for details.
[Compare Shifts to the compare view screen that displays the two examination data.
View] button Please refer to “9.7 Compare View“ for details.

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 Examination list
This displays a list of the examinations executed for the selected patient.
This list can switch display / non-display using [pin] button.
The data are sorted by the examination date or procedure and are displayed by a tree-shaped
structure.
Automatically updates the display if there is an update to the database.
[pin]button

(List of examination dates) (List of procedures)

Select [ ], and you can see the details of the tree.
Under the condition that the details are displayed, when the data are sorted by the examination date,
the procedures executed for the examination on the date are displayed and, when sorted by
procedure, the list of the dates when the examination was executed is displayed.

The numeral displayed at the right of the detailed items means the times of the examination executed.

By clicking the [Eye type filter] button, displayed data can be restricted.
If the state of button is active, it will change to orange. Active state can be canceled if the button is
clicked again.
[Eye type filter] button

R/L eye The selective state of the [Eye type filter] button
information Not selected OD(R) OS(L)
OD(R) 〇 〇 ×
OD(L) 〇 × 〇
OU 〇 × ×
None 〇 × ×
〇：Display,×：Non-display

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 Thumbnail in the List Panel
The thumbnail picture of the examination data applicable to selected examination data day / procedure
is indicated by a list. The examination data displayed by a click or drag and drop is changed.
This is displayed when Single View, Multi View, OU View, and Compare View are selected on Tool
bar.
Automatically updates the display if there is an update to the database.

Select a thumbnail by clicking and display the examination data by double-clicking.

The displayed examination is surrounded with an orange frame and the selected examination is
surrounded with a light-blue frame.

Click the arrow at right or left, and the displayed examination is changed to the preceding or next one.

Examination data display area

The result of the selected examination is displayed on Examination data display area. Examination
result differs in the contents or a layout according to the kind.
Moreover, a display method changes with display styles selected by the tool bar. For details, refer to
each chapter.

Examination type References

OCT data 9.3.1 OCT Data View
Image data 9.3.2 Image Data View
Discrete data 9.3.3 Discrete Data View
Wave-Front Analyzer data 9.3.4 Wave-Front Analyzer data View

Pinning function
It is possible to always display the examination list panel and thumbnail list panel and to hide them
automatically. By hiding these lists, the examination data display section is enlarged.
By pinning the examination list panel and thumbnail list panel, they are always displayed.

Always displayed. (Pinning function: ON)

Automatically hidden. (Pinning function: OFF)

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When the pinning function is OFF, the examination list panel and thumbnail list panel are automatically
hidden.
Under the hidden condition, click the left area and lower area of the screen. So, the examination list
panel and thumbnail list panel are displayed. When the mouse cursor is out of the examination list
panel and thumbnail list panel, these areas are automatically hidden.

6.7 Acquisition Screen

Select the device to be connected in order to acquire data. To use data acquiring function, the
following conditions need to be satisfied.
• The photographing equipment is connected to the computer.
• IMAGEnet6Link, which is an option tool of IMAGEnet 6, is installed on the client computer.
When IMAGEnet6Link is installed, the usable equipment is automatically listed up.

Menu bar Device list Patient Information Panel

Item Description
Menu bar The change to a patient screen, a view screen, an add data screen, etc. is
performed. Please refer to “6.2.1 Menu bar“ for details.
Patient Information The patient information chosen is displayed. Please refer to “6.2.2 Patient
Panel information panel“ for details.
Device list A list of configured devices is displayed. A click will start a photography
screen.

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 6.8 Add data Screen
Discrete data is inputted. The contents of the examination input area change with examination to input
and View Type. Please refer to “9.13 Add Data” for details.
Menu bar Tool bar Examination input area Patient Information Panel

Item Description
Menu bar The change to a patient screen, a view screen, an add data screen, etc. is
performed. Please refer to “6.2.1 Menu bar“ for details.
Patient information The patient information chosen is displayed. Please refer to “6.2.2 Patient
Panel information panel“ for details.
Tool bar Switches each examination screen.
Examination input The screen of the selected examination are displayed.
area

7 PREPARATION BEFORE USE

The user having the administrative right must perform all the settings by using the setup tools.
To install the IMAGEnet 6, refer to the INSTALLATION MANUAL that is included with the installation
disk. If you want to use the IMAGEnet 6 in client-server configuration, please set up the database to
the server PC.

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8 BASIC OPERATIONS
This chapter will explain the basic operation of IMAGEnet 6.

• To use IMAGEnet 6, it is a requisite to connect to the network, excluding

special cases. Before using IMAGEnet 6, make sure that the network is
correctly configured.
• Do not use the back button or the forward button on the browser. May display
the unexpected screen.
• Layout is destroyed (for example, characters overlap) depending on the screen
NOTE resolution. Be sure to use IMAGEnet 6 in an environment conforming to the
specified operation environment.
• It may take time to display examination data. Please wait a moment and then
perform the operation.
Please do not use IMAGEnet 6 by more than one tab and window. Unexpected
operation may be carried out.

8.1 OPERATION
This user manual is written on the assumption that the user already has the basic knowledge of the
PC and Microsoft Windows. IMAGEnet 6 should be operated by using mainly the mouse and
keyboard. The basic operations are shown below.
Operation Object Action
Click The general Selects an object and changes the page.
Double-click The general Changes the page.
Drag Single View, Multi View, Selects and displays an examination from the
OU View, Compare thumbnail list panel.
View
Multi View Changes the display position.
On the image Moves the image.
Right-click The general Displays the context menu.
Rotating the On the image Zooms in the image.
wheel upward
Rotating the On the image Zooms out the image.
wheel
downward

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 8.2 STARTING IMAGEnet6
1. Power on PC that installed the IMAGEnet 6.
2. Double-click IMAGEnet 6 icon on the desktop.
3. The login screen of IMAGEnet 6 appears.
4. Select [Language]. The display language of application is changed.
5. Enter the name and password in [User ID] and [Password].
6. Press the [Login] button. Login to the application is performed.
7. When login is successful, the screen shifts to the patient retrieval page.
8. When login has failed, “The user ID or password is incorrect” is displayed on the login
screen. Check the user ID and password again and then retry login.

At the time of login screen display, input field does not have the input state. Please
NOTE enter after you click on the input field on the screen.

8.3 RETRIEVING AND SELECTING A

PATIENT
Retrieve and select a patient.
1. Retrieve a patient in the query patient panel.
2. Enter the whole or part of the patient ID.
3. Click one of [Today], [Last 7 days] and [All].
The list of the patients who meet the following retrieval conditions is displayed on the patient
list panel. Select a patient from the patient list panel. If you do not enter a patient ID, patient
ID is not included in the retrieval conditions.

Item Retrieval conditions

[Today] button Displays the list of the patients who have been examined today and meet
the entered patient ID.
[Last 7 days] button Displays the list of the patients who were examined in the last seven days
and meet the entered patient ID.
[All] button Displays the list of the patients who were examined in the past and meet
the entered patient ID.

[Patient ID] search is a prefix search. When "%" is added to the beginning of the
NOTE search character, it becomes partial match retrieval.

8.4 SELECTING EXAMINATION DATA

After selecting a patient, select the examination data to be displayed.

1. Double-click a patient on the patient list. Display the latest data.

2. To display one data, double-click the data on the thumbnail view
3. To display other date, click the date on the examination list.

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 8.5 EXITING IMAGEnet 6
1. Click the [Logout] button of Menu bar to perform log-out. When log-out is performed, the
system shifts to the login screen.
2. Exit the Web browser.
3. Power off PC that installed the IMAGEnet 6 as necessary.

• Before exiting IMAGEnet 6, save the modified data. The unsaved data will be
discarded.
NOTE • IMAGEnet 6 automatically returns to the login screen after a certain period of
inactivity.

9 OBJECTIVE OPERATIONS
This chapter describes the operation procedure following search of patients in the patient list screen
displayed after startup. For the startup procedure and patient search, refer to “8 BASIC
OPERATIONS“.

9.1 REGISTERING A PATIENT AND

EDITING
Registering a new patient
New patients can be registered on the patient list screen. To carry out this operation, log in as a user
with a right to register patient information.
1. Click [New Patient] button on Patient search panel.
2. Enter the patient information on [Patient Info] dialog. The mandatory item is the patient ID.
Other information is not required for registration.
3. Click [Register] button.
4. Click [All] button on Patient search panel, display the registered patient.

• There are characters that cannot register as the patient ID. Please check the
configuration.
NOTE • When patient information is linked with an examination device or software, a
character number of patient ID must be 19 characters or less in half size.

Editing the patient information

Patient information can be edited on the patient list screen. To carry out this operation, log in as a user
with a right to edit patient information.

1. Click [Administration] button of Menu bar.

2. Click Management and click Patients.
3. Click [Search] button, retrieve patient.
4. Click patient on Patient list.
5. Click [Edit] button on Patient search panel.
6. Edit the patient on [Patient information] dialog.
7. Click [Update] button on [Patient information] dialog.

22
 Deleting the patient information

The patient holding exam data or visit data cannot be deleted.

NOTE

Patient information can be deleted on the administration screen. To carry out this operation, log in as a
user with a right to delete patient information.

1. Click [Administration] button of Menu bar.

2. Click Management and click Patients.
3. Click [Search] button, retrieve patient.
4. Click patient on Patient list.
5. Click [Delete] button on Patient search panel.
6. Click [OK] button on the message [You’re trying to remove. Are you sure?]

9.2 SEARCHING A PATIENT

Patients can be searched on the patient list screen. There are two retrieval methods, “Basic”,
“Advance” and “Worklist”. When “Basic” is selected, retrieval is performed by Patient ID and button.
When “Advance” and “Worklist” is selected, retrieval is performed by specifying the desired conditions.

23
 Basic
Click the [Basic] tab on Query Patient Panel, press a button to retrieve a patient. When the patient ID
is inputted in the “Patient ID” column, the patient ID is included in the retrieval conditions. If you do not
enter a patient ID, patient ID is not included in the retrieval conditions. When searching by a calendar,
press the [search] button after a search start date or a search end date is selected. A start date and an
end date can be selected simultaneously and the search range can also be designated.

Item Description
Patient ID*1 The patient ID search bar will do a “begins-with” match. Press [Enter] to execute
search. If you type % before the search content, it will show relevant results that
are partial matches.
[Today] button The search will list out a “begins-with” match of patients screened within that
same day.
Auto Update If the Auto Update Checkbox is turned on, this will activate the automatic
Checkbox updates on the patient list panel. This will update when you navigate to another
window and return to the patient list panel. （”Today” search）
[Last 7 days] The search will list out a “begins-with” match of patients screened within the last
button seven days.
[All] button The search will list out a “begins-with” match of all registered patients.
Search start Indicates the patient screens after the selected date.
date
Search end Indicates the patient screens before the selected date.
date
Reset Button If the Reset Button is clicked, the search filters will be cleared.
*1 If the zero-fill function is active in the work list patient ID, it will autofill the zeros based on the number of digits inputted.

24
 Advance
Click the [Advance] tab on Query Patient Panel, specify conditions to retrieve a patient. Search
conditions are the following items.

[Set my ID] button

Item Description
Patient Patient ID*1,3 Retrieves the patient who is selected by prefix search with
Information the inputted patient ID.
Last Name*1 Retrieves the patient whose last name is selected by prefix
search with the inputted name.
First Name*1 Retrieves the patient whose first name is selected by prefix
search with the inputted first name.
Birth Date Retrieves the patient whose birth date is selected by exact
match with the inputted birth date.
Physician ID*2 Retrieves the patient by whom inputted physician ID is
registered.
Examination Diagnosis Code Retrieves the patient who is selected by exact match with
information the inputted Diagnosis Code.
Procedure Retrieves the patient whose procedure is selected by partial
match with the inputted procedure name.
From Retrieves the patient who has the data registered on and
after the inputted date.
To Retrieves the patient who has the data registered before the
inputted date.
OCT information Scan mode Retrieves the patient whose exact match with the selected
scan mode.
Fixation Retrieves the patient whose exact match with the selected
fixation.
Auto Update If the Auto Update Checkbox is turned on, this will activate
Checkbox the automatic updates on the patient list panel. This will
update when you navigate to another window and return to
the patient list panel.“Today” search.
Reset Button If the Reset Button is clicked, the search filters will be
cleared.
*1 When "%" is added to the beginning of a search character, it becomes partial match retrieval.
*2 When [Set my ID] button is clicked, the login user ID is automatically inputted in the physician ID column.
*3 If the zero-fill function is active in the patient ID, it will autofill the zeros based on the number of digits inputted.

25
 Worklist
If the configuration of connect to the DICOM Worklist is valid, the [Worklist] tab is displayed on Query
Patient Panel. Click the [Worklist] tab, specify conditions to retrieve a patient. Search conditions are
the following items.

Item Description
Patient ID *1 Retrieves the patient who is selected by exact match with the inputted patient
ID.
Patient Name Retrieves the patient whose full name is selected by partial match with the
inputted full name.
Accession No Retrieves the patient who is selected by partial match with the inputted
accession number.
Modality Retrieves the patient who is selected by exact match with the inputted
Modality. The default modality is set by default.
Scheduled Retrieves the patient who is selected by exact match with the inputted
Station AE Title Scheduled Station AE Title. The default Scheduled Station AE Title is set by
default.
Scheduled Date Retrieves the patient who is selected by exact match with the inputted date.
The date of the current day is set by default.
Requested Retrieves the patient who is selected by exact match with the inputted
Procedure ID Requested Procedure ID. The default Requested Procedure ID is set by
default.
Requesting Retrieves the patient who is selected by exact match with the inputted
Service Requesting Service. The default Requesting Service is set by default.
Auto Update If the Auto Update Checkbox is turned on, this will activate the automatic
Checkbox updates on the patient list panel. This will update when you navigate to
another window and return to the patient list panel.
Reset Button If the Reset Button is clicked, the search filters will be cleared.
*1 If the zero-fill function is active in the work list patient ID, it will autofill the zeros based on the number of digits inputted.
When displaying the search results of a work list, the following set up is performed in order to display a
Japanese patient name correctly.
1. Click the [Administration] button of the menu bar.
2. Click the [System Configuration] button.
3. Click the [DICOM] tab.
4. Enable the item of Convert Japanese Patient Name.

26
 9.3 SINGLE VIEW
The view to display a piece of examination data is called Single View. Single View displays the details
of a piece of data. There are multiple procedures to display it as follows. Select a patient before
carrying out any of them.
 Click the data on Examination data Panel of the Patient List Screen.
 Double-click the data on Thumbnail View.
 Double-click the data on Thumbnail list panel.
 Click [Single] button on Tool bar.
The contents and layout of “Single View” are changed according to the examination type.
Examination type References
OCT data refer to “9.3.1 OCT Data View“
Image data refer to “9.3.2 Image Data View“
Discrete data refer to “9.3.3 Discrete Data View“
Wave-Front Analyzer data refer to “9.3.4 Wave-Front Analyze“

The way shifting to Single View from Thumbnail View can be changed in the
configuration.
NOTE

27
 OCT Data View
When the OCT examination result captured by Optical Coherence Tomography is displayed. Contents
that can be displayed by the scan pattern is different.
The display contents of OCT data are as follows.
[Exam Property] button [Display format] button
B-Scan display Toolbar (Peculiar function)
Examination eye Examination Date

Fundus photo1 Fundus photo2 Thickness information

Item Description
[Exam Property] Click the button at the upper left corner, and the properties of the
button examination data are displayed.
For details of the displayed properties, refer to “9.9 Exam Property“.
In case of OCT data, history data can be displayed by clicking [History]
button. For details, refer to “9.3.1.18 History data view”
Examination eye Displays the captured eye information.
Examination date Displays the date of examination.
Tool bar Accesses the common functions (for example, saving data or shifting pages)
(Peculiar function) and the functions peculiar to each examination type (for example,
measuring function). For the common functions, refer to “9.3.1.1 Tool bar“.
Fundus photo1, 2 Displays the fundus photo. For details, refer to “9.3.1.2 Fundus photo “
B-Scan display Displays the B-Scan image (fundus tomogram). Changes the displayed B-
Scan image and thickness information. The tab button is changed
according to the scan type. For details, refer to the explain of each [Display
format] button.
[Display format] Make the display of the image in a variety of formats by switching the
button button. Refer to “9.3.1.5 Display format“.
Thickness When scan type is 3D scan, displays a variety of information about the B-
information Scan image thickness.

28
The tab of the B-Scan is different features that appear in the scan pattern.
The operations for each display of OCT data depends on the configuration.
Object Mouse operation Action(Normal) Action(Fastmap)
Fundus image1, Drag Moves the image. ―
Fundus image2, B- Rotating the wheel Zooms in the image. Changes the B-Scan
Scan image upward image from current to next
slice.
Rotating the wheel Zooms out the image. Changes the B-Scan
downward image from current to
previous slice.
Right-drag(up) ― Zooms in the image
Right-drag(down) ― Zooms out the image
Wheel button drag ― Moves the image
Fundus image1, Double-click Changes the displayed Changes the displayed
Fundus image2*4 layer and measures layer and measures
thickness*2 thickness*2
B-Scan image Double-click*3 Measures thickness*2 Measures thickness*2
Right-click Display the Image Display the Image
processing menu*5 processing menu*5
Layer surface, Drag Moves the image Rotate the image
Thickness surface Right-Drag Rotate the image Zooms in / out the image
Rotating the wheel Zooms in the image ―
upward
Rotating the wheel Zooms out the image ―
downward
Wheel button drag ― Moves the image
Changes the displayed Changes the displayed
Double-click *1 layer and measures layer and measures
thickness*2 thickness*2
Right-drag(up) ― Zooms in the image
Right-drag(down) ― Zooms out the image
*1 Only for 3D scan on [Volume2D].
*2 For details, refer to “9.10 MEASURING AND ANALYZING THE EXAMINATION DATA“.
*3 For [Volume2D], [Volume3D], [Circle], [B-Scan] or [2 View].
*4 Only for 3D scan on [Volume2D] or [Volume3D].
*5 Refer to “9.10.1.4 Image processing”.

OCT Angiography data has a different display layout.

NOTE Please refer to “9.3.1.16 Angiography View”.

29
 9.3.1.1 Tool bar

The buttons peculiar to OCT examination are validated or invalidated according to the scan protocol
and the data quantity saved in the database. When a function is invalid, the button is invalid and
cannot be pressed.

The buttons peculiar to OCT examination are shown below.

Item Description
[Trend] button Shifts to “Trend View” which offers the “Trend Analysis”
function. For details, refer to “9.3.1.14 Trend View“.
[Report] button Shifts to “Report View” where a report is made with the
report format offered by the conventional OCT software.
For details, refer to “9.3.1.15 Report View“.
[Capture] button Accesses the function to capture OCT data. To use ,
IMAGEnet6Link needs to be installed. When the accessed
data corresponding to Follow-Up (includes today’s data)
photography is displayed, normal photography and
Follow-Up photography can be selected.
[Reference] button Imports a reference image. For details, refer to “9.3.1.19
Import reference image”.
[Measurement] Accesses the function to measure the B-Scan image. For
button details, refer to “ 9.10 MEASURING AND ANALYZING
THE EXAMINATION DATA“. Only length measurement is
usable as the OCT examination measurement function.
[Profile] button Displays and hides the graph showing the layer thickness.
The displayed thickness is the thickness of the two layers
selected by the [layer combination] menu.
[Layer modify] Modifies the layer manually, using mode of modifying the
button multi-scan layer. For details, refer to “9.10.1.6 Layer
Modify”.
[layer combination] Selects the layer combination to be displayed.
menu

[Profile] button
Displays and hides the graph showing the layer thickness. The type of the displayed thickness is
selected with a [layer combination] menu on the screen.

[layer combination] menu

layer thickness

30
[layer combination] menu

Select the layer type to be used for displaying layer or thickness. The information about the layer
relevant to the displayed item is displayed. Character of item mean “ Item name ( Layer1 – Layer2) “.
Click the menu, and the selectable layer types are displayed. Selectable layer depends on the scan
pattern.
When changing the layer type, the displayed layer and thickness information are automatically
changed.

9.3.1.2 Fundus photo

The fundus photo which has been captured with the B-Scan image at the same time is displayed.
Display the IR image if you don’t capture fundus image.

Fundus photo1

[Fundus image 2 display] [Whole screen

display] button
menu

Fundus photo1

Item Description
[Whole screen display] button Click the button, and the image is displayed on the whole
screen. Click the button again in the whole screen display
status, and the normal display status is accessed again.
Fundus photo 1 Displays the color fundus image or FAF fundus image.
Fundus photo 2 Displays the IR fundus image, etc.
[Fundus image 2 display] menu Changes the type of the fundus image displayed on “Fundus
image 2”.

31
Fundus image 1
Fundus image is displayed. A color fundus image or a FAF fundus image is always displayed. On the
fundus image, the capturing position of tomogram is displayed.
It is possible to move, zoom in and zoom out of the image by mouse operation.

When a fundus image is not taken, the IR image is displayed.

NOTE

Fundus image 2
The fundus image selected with [Fundus image 2 display] menu is displayed.
On the fundus image, the capturing position of tomogram is displayed.
It is possible to move, zoom in and zoom out of the image by mouse operation.

[Fundus image 2 display] menu

This menu changes the fundus photo displayed on “Fundus image 2”.
Item Description
1 Displays the digital red-free fundus image created by the color fundus
Red-free*
image. Only data of photographed fundus images can be displayed.
1 Displays the IR image. Only data of photographed fundus images can be
IR*
displayed.
Enhanced-IR Displays the IR image in which the enhanced processing has been done.
Shadowgram Displays the image made by integrating 50 pixels under RPE of tomogram.
*2 Displays the image made by integrating reflection intensity of Z direction
OCT-LFV
tomogram that displayed at live area at capture.
Reference *3 Displays the reference image.
*1 When a color picture of fundus is not taken, this menu is not displayed.
*2 When a OCT-LFV image is not taken, this menu is not displayed.
*3 When a reference image is not imported, this menu is not displayed.

32
 9.3.1.3 Overlay display

It is possible to display one of the following images in the overlap status with the fundus image.
Image Description
Shadowgram image Image made by integrating 50 pixels under the RPE layer of tomogram.
Thickness Map image The two-dimensional map for the selected layer thickness.
OCT-LFV image Image made by integrating the reflection strength in the Z direction of
tomogram that has been displayed on the live screen of the instrument
when captured.
Click [Overlay] on the fundus image menu. The menu about “Overlay” is displayed.

Menu name Description

On / Off Displays/hides the image to be displayed in the “Overlay” status.
Shadowgram Displays the Shadowgram image in the overlap status.
Thickness Map Displays the Thickness Map image in the overlap status. Data not
analyzed cannot be displayed.
OCT-LFV Displays OCT-LFV image. Displays only the data that was captured
by the OCT-LFV.
Transparent Makes the “Overlay” image translucent. The [Transparent] menu is
displayed if there are any overlay menus.
Reposition Changes the positon of the overlay image. The [Reposition] menu is
usable only when the overlay image is displayed.
The Shadowgram image and the Thickness Map image cannot be displayed in the overlap status at
the same time. The table below shows the relation between the “Overlay” display function and the
usable scan patterns.
Scan pattern Shadowgram Thickness Map*1 OCT-LFV
Line - - ○
Circle - - ○
Radial - ○ ○
Cross - - ○
5LineCross - - ○
7LineRaster - - ○
7LineRaster(V) - - ○
HD Raster - ○ -
3D: Macula ○ ○ ○
3D: Macula(V) ○ ○ ○
3D: Disc ○ ○ ○
3D: Wide(H) ○ ○ ○
3D: Wide(V) ○ ○ ○
Line: Anterior segment - - -
Radial: Anterior segment - ○ -
3D: Anterior segment - - -
OCT Angiography - - -
*1 When Enface View is displayed, cannot display thickness map.

33
 9.3.1.4 Grid function

The Grid function calculates and displays the average of the layer thickness in an optional grid area.
The table below shows the grid areas relevant to scan patterns. The result of the comparison with
normal eye data (normative data) can also be displayed as a color map.

When the photography data is displayed, "Normative Data" is displayed according

to the patient's age at the photography date. However, it is limited as mentioned
below.
NOTE • When the patient's age is not entered, "Normative Data" whose object is all
ages is displayed.

Grid type Grid definition Scan pattern Selection of layer detection display
3D Macula
Retina, RNFL, GCL++, GCL+, CSI*4
•The length of 6.0x6.0mm/7.0x7.0mm
SuperPixel- one side is 3D Macula(V) 7.0x7.0mm Retina, RNFL, GCL++, GCL+, CSI*4
600 600µm 3D Wide(H) 12.0x9.0mm Retina, GCL++, GCL+, CSI*4
•Grid of “10×10”
Retina, RNFL*2, GCL++, GCL+,
3D Wide(V) 12.0x9.0mm
CSI*4
•The length of one 3D Disc6.0x6.0mm Retina, RNFL, GCL++, GCL+, CSI*4
side is 200µm. 3D Wide(H) 12.0x9.0mm RNFL
•Grid of “26×26” 3D Wide(V)*1 12.0x9.0mm RNFL
3D Macula
SuperPixel- Retina, RNFL, GCL++, GCL+, CSI*4
6.0x6.0mm/7.0x7.0mm
200 •The length of one 3D Macula(V) 7.0x7.0mm Retina, RNFL, GCL++, GCL+, CSI*4
side is 200µm.
•Grid of “30×30” 3D Wide(H) 12.0x9.0mm Retina, GCL++, GCL+, CSI*4
Retina, RNFL*2, GCL++, GCL+,
3D Wide(V) 12.0x9.0mm
CSI*4
・The length of
one side is 200μm.
・Grid of 26x26.
SuperPixel-
(Optic disc center.) 3D Wide(H) 12.0x9.0mm RNFL
200(GCL+)*5 ・Grid of 30x30.
(Macula center)

・The length of
SuperPixel- one side is 200μm.
・Grid of 26x26.
200(GCL++)* 3D Wide(H) 12.0x9.0mm RNFL
6
(Optic disc center.)
・Grid of 30x30.
(Macula center)
•The length of one
SuperPixel-
side is 1000µm. 3D Macula 6.0x6.0mm Retina, RNFL, GCL++, GCL+
1000 •Grid of “6×6”
•The length of one
Retina, RNFL, GCL++, GCL+,
side is 500µm. 3D Macula 3.0x3.0mm
•Grid of “6×6” CSI*4
•The length of one
side is 750µm. 3D Macula 4.5x4.5mm
•Grid of “6×6”
SuperPixel •The length of one
side is Retina, RNFL, GCL++, GCL+
“Width: approx.
1367µm × 3D Macula 8.2x3.0mm
Length: 500µm”.
•Grid of “6×6”
The area which is
separated range of
6×6mm into grid of Retina, RNFL, GCL++, GCL+,
SPCustom 3D Macula(V) 7.0x7.0mm
10×10 (The length CSI*4
of one side is
600µm), and is

34
 Grid type Grid definition Scan pattern Selection of layer detection display
colored by five
optional colors.
Retina, RNFL, GCL++, GCL+,
6Radial*3
CSI*4
Nine areas which Retina, RNFL, GCL++, GCL+,
are divided by 12Radial*3
CSI*4
three concentric
circles (diameter: 3D Macula
ETDRS Retina, RNFL, GCL++, GCL+, CSI*4
1mm, 3mm and 6.0x6.0mm/7.0x7.0mm
6mm) and lines in 3D Macula(V) 7.0x7.0mm Retina, RNFL, GCL++, GCL+, CSI*4
the “±45 degree”
direction. 3D Wide(H) 12.0x9.0mm Retina, RNFL, GCL++, GCL+, CSI*4
Retina, RNFL, GCL++, GCL+,
3D Wide(V) 12.0x9.0mm
CSI*4
Area obtained by 3D Macula
dividing equally Retina, RNFL GCL++, GCL+, CSI*4
6.0x6.0mm/7.0x7.0mm
the area
surrounded by the 3D Macula(V) 7.0x7.0mm Retina, RNFL, GCL++, GCL+, CSI*4
ETDRS-6 concentric circles 3D Wide(H) 12.0x9.0mm Retina, RNFL, GCL++, GCL+, CSI*4
(diameter: 1mm,
6mm) into six 3D Wide(V) 12.0x9.0mm Retina, RNFL, GCL++, GCL+, CSI*4
sections.
Circle 1024mm Retina, RNFL, GCL++*1, GCL+*1
The area divided 3D Disc Retina, RNFL, GCL++, GCL+,
into four sections 4.5x4.5mm/6.0x6.0mm CSI*4
RNFL4 equally on the Retina, RNFL, GCL++, GCL+,
circumference. 3D Wide(H) 12.0x9.0mm
CSI*4
3D Wide(V)*1 12.0x9.0mm Retina, RNFL, GCL++, GCL+
3D Disc Retina, RNFL, GCL++, GCL+,
The area divided 4.5x4.5mm/6.0x6.0mm CSI*4
RNFL6 into six sections on Retina, RNFL, GCL++, GCL+,
the circumference. 3D Wide(H) 12.0x9.0mm
CSI*4
3D Wide(V)*1 12.0x9.0mm Retina, RNFL, GCL++, GCL+
Circle 1024mm Retina, RNFL, GCL++*1, GCL+*1
The area divided 3D Retina, RNFL, GCL++, GCL+,
into twelve
Disc4.5x4.5mm/6.0x6.0mm CSI*4
RNFL12 sections equally
on the Retina, RNFL, GCL++, GCL+,
3D Wide(H) 12.0x9.0mm
circumference. CSI*4
3D Wide(V)*1 12.0x9.0mm Retina, RNFL, GCL++, GCL+
*1 Analyzed version is 2.0.7 or later can display. But the data captured by 3D OPTICAL COHERENCE TOMOGRAPHY DRI
OCT Triton cannot display.
*2 Analyzed version is older than 2.0.7., or data captured by 3D OPTICAL COHERENCE TOMOGRAPHY DRI OCT Triton
can display.
*3 Data of dia.4.5mm cannot display.
*4 The data that has CSI analysis can be displayed.
*5 The optic disc center side displays the thickness compared with normative data of RNFL layer, and the macula center side
grid displays the thickness compared with GCL＋normative data of a layer.
*6 The optic disc center side displays the thickness compared with normative data of RNFL layer, and the macula center side
grid displays the thickness compared with GCL＋＋normative data of a layer.

35
The grid is displayed on the fundus image in the “Overlay” status. In the scan pattern in which the grid
area can be displayed according to the above table, the [Grid] menu is displayed on the fundus image.

Only in 3D scan, you can use the “Reposition” function to move the grid on the fundus image to an
optional position.
Click the [Reposition] button on the [Grid] menu. You can move the grid area, which should be white
and translucent, by dragging.

To use the SP Custom Grid, configuration needs to be enable. Click the [Administration] - [System
Configuration] button of the menu bar, and [Option] tab. Select [Enable] button in [SP Custom] menu.
Please configure the grid area in [SP Custom Grid] menu. You can configure the grid area by each
layer type.

36
 9.3.1.5 Display format

You can display B scan images in various formats by switching the button. The displayed button varies
depending on the scan pattern.

Item Description
Circle Displays the trimmed image for “3D: Circle”. For details, refer to “9.3.1.6 Circle
tab: Trimmed circle display“.
B-Scan Displays the B-Scan image. For details, refer to “9.3.1.7 B-Scan tab: B-Scan
image display“.
Volume2D Displays the B-Scan image for 3D scan. For details, refer to “9.3.1.8 Volume2D
tab: B-Scan image display“.
Volume3D Displays the 3D scan image by the “Volume” function. For details, refer to
“9.3.1.9 Volume3D: B-Scan image display“.
Enface Displays “Enface View”. For details, refer to “9.3.1.10 Enface View“.
Annotation Displays/hides the annotation on the B-Scan image. The annotation button is
usable for all scan patterns.

The following table shows the selectable tab button for each scan pattern.
Scan pattern/function Circle B-Scan Volume2D Volume3D Enface
Line ○
Circle ○
Radial ○
Cross ○
5LineCross ○
7LineRaster ○
7LineRaster(V) ○
HD Raster ○
3D: Macula ○ ○ ○
3D: Macula(V) ○ ○ ○
3D: Disc ○ ○ ○ ○
3D: Wide(H) ○ ○*2 ○ ○ ○
3D: Wide(V) ○* 1 ○ *2 ○ ○ ○
Radial: Anterior segment ○
Line: Anterior segment ○
3D: Anterior segment ○
*1 Analyzed version is 2.0.7 or later, or data captured by 3D OPTICAL COHERENCE TOMOGRAPHY DRI OCT Triton cannot
display.
*2 Only for Combination scan.
Also when the [B-Scan] button and [Volume2D] button are selected, you can switch display by the [2
View], [Multi Scan 12], and [Multi Scan 12] buttons. Even with the [B-Scan] button selected, the
buttons are disabled and cannot pressed if there is only one B scan image such as Line scan and
Circle scan. You can return B-Scan display or Volume2D display by clicking again after clicking the [2
View], [Multi Scan 12], and [Multi Scan 12] buttons.
When the [2 View], [Multi Scan 6], or [Multi Scan 12] button is clicked twice, go back to B-Scan tab or
Volume2D tab.

Item Description
2 View Displays two B-Scan images.
Multi Scan 6 Displays six B-Scan images consecutive.
Multi Scan 12 Displays twelve B-Scan images consecutive.

37
 9.3.1.6 Circle tab: Trimmed circle display

A trimmed circle image is displayed. The circle position is on the circle with diameter 3.4mm
as measured from the optic disc center position. On the fundus image, the trimming position
is displayed as the scan position. When this display is shown, [Profile] button is enabled.

9.3.1.7 B-Scan tab: B-Scan image display

In the case of the sub-scan data of the combination scan, or other than the 3D-scan data, you can
select the [B-Scan] button. For overlapping scan, the success rate of averaging is displayed. For data
photographed with Dynamic Focus, the characters “Dynamic Focus” are displayed.
Image processing menu is displayed by right-clicking mouse button on B-Scan image. Also you can
measure the thickness by double-clicking the mouse. For image processing, refer to “9.10.1Measuring
and analyzing the OCT examination data “.
By double-clicking the scan area on the fundus image, change the scan position you are viewing.

For the data of other scan patterns except 3D scan and of the combination scan, it is possible to select
the [B-Scan] tab. When selecting the [B-Scan] tab, the B-Scan image is displayed on the following
screen.
You can change the display with the [2 View] button and [Multi Scan 6] button, [Multi Scan 12] button
at the upper right corner.
When there is only one B-Scan image in “Line” scan or “Circle” scan, the display changing function is
invalid and the buttons cannot be pressed.

[Slice change] button

38
 9.3.1.8 Volume2D tab: B-Scan image display

In 3D scan, you can select the [Volume2D] tab.

On the [Volume2D] tab, you can use the functions of the [2 View] button and [Multi Scan 6] button,
[Multi Scan 12] button. The display layout and functions are the same as the [B-Scan] tab. For
details, refer to “9.3.1.7 B-Scan tab: B-Scan image display“.

9.3.1.9 Volume3D: B-Scan image display

Volume3D function cannot be used in Internet Explorer.

NOTE

[Volume 3D] tab can select if 3D scan data is displayed. The 3D tomogram is displayed.

The 3D tomogram can be zoomed in/out and moved by the following operations.
Operation Action(Normal) Action(Fastmap)
Left dragging Moves the image. Rotates the image.
Upward/downward mouse Zooms in/out the image. -
wheel
Right dragging Rotates the image. (Upward/downward) Zooms
in/out the image.
Wheel button dragging Moves the image. Moves the image.

39
When ‘On’ is selected in the [SubVolume] menu, the whole 3D tomogram is divided into the upper part
and lower part by OS/RPE layer. You can move and display each part. Select the [SubVolume1] or the
[SubVolume2] button, and the [On/Off] button, the [Peering] button or the [Move] button can be
performed for each part.
[Peering] is an operation to cut the 3D tomogram laterally. Displayed section can be changed by
dragging the white points. [Move] is an operation moving each part of 3D tomogram to be separated
from the other part by scrolling with the mouse wheel button.

If ‘On’ is selected in the [Cropping] menu, you can change the displayed section of the image by
dragging. A white dot will be displayed and then hover the cursor over the white dot and drag it. Two
B-Scan images with blue and red frames are displayed.
The scan positions of these images are displayed with the same color lines on the fundus image.
Right-click each B-Scan image, and the image processing menu is displayed. For details, refer to
“9.10.1.4 Image processing“.
Among the image processing menus selected in other display formats, the functions of [Color],
[ScaleY], and [Moving average] are reflected in the 3D tomogram as well.

9.3.1.10 Enface View

In the case of 3D scan, you can select the [Enface] button. In 3D scan, you can select the [Enface]
tab. When selecting the [Enface] tab, the “Enface” image is displayed as shown below.
When the B-Scan image is cut with a plane, the “Enface” image is obtained. The cut surface is
indicated with a yellow line. The height of the cut surface can be changed by scrolling with the mouse
wheel button or dragging. The other mouse operations on “Enface View” are shown in the following
table.

When the setting is “Normal”

Operation On fundus image On Enface image On vertical/horizontal
B-Scan Image
Left dragging Moves the image. Changes selected Change the standard
position, B-Scan height.
image.
Double clicking Changes selected Changes selected -
position, B-Scan position, B-Scan
image. image.
Clicking - - Change the standard
height.
Upward/downward Zooms in/out the Change the standard Change the standard
mouse wheel image. height. height.
Upward/downward right - Zooms in/out the Zooms in/out the
dragging image. image.
Dragging mouse wheel Moves the image. Moves the image. Moves the image.

40
When the setting is “Fastmap”
Operation On fundus image On Enface image On vertical/horizontal
B-Scan Image
Left dragging - Changes selected Change the standard
position, B-Scan height.
image
Double clicking Changes selected Changes selected -
position, B-Scan position, B-Scan
image. image.
Clicking - - Change the standard
height.
Upward/downward Changes selected B- Change the standard Change the standard
mouse wheel Scan image. height. height.
Upward/downward right Zooms in/out the Zooms in/out the Zooms in/out the
dragging image. image. image.
Dragging mouse wheel Moves the image. Moves the image. Moves the image.

Select the [Flattening] button. The image can be flattened with [Base Layer] as standard. By changing
[Base Layer], the type of the layer to be the standard for flattening can be changed. Only when the
flattening function is valid, the button which shows height offset from [Base Layer] and the [Reset]
button are available. By clicking the [Reset] button, return to the default position of the [Base layer] as
standard.

By clicking the [Slanting] button, the “Enface” image made by averaging procedure on the basis of
voluntarily angled plane can be displayed. The angle can be adjusted by dragging the red points and
the yellow point displayed on the B-Scan image in the blue frame at the bottom of the screen.

On “Enface View”, in the same way as other displayed B-Scan images, you can use the image
processing function with the right-click menu. For details, refer to “9.10.1.4 Image processing“.

41
 9.3.1.11 2 View

Select the [2 View] button, and the B-Scan image displayed on the [Volume 2D] tab (or [B-Scan] tab)
is changed.
In the “2 View” mode, two B-Scan images are displayed together. The displayed B-Scan images are
surrounded with blue and red frames.
The frame color is the same as the color of the line that indicates the scan position on the fundus
image.

9.3.1.12 Multi Scan

Select the [Multi Scan 6] button and the [Multi Scan 12] button, and the B-Scan image displayed on
the [Volume 2D] tab or [B-Scan] tab is changed.
In the “Multi Scan” mode, the continuous two or more sliced images are displayed together.
([Multi Scan 12] button)

42
 9.3.1.13 Thickness display

In the case of 3D scan, thickness display is enabled. The information of the layer selected in the [layer
combination] menu is displayed. This is linked with the grid function of fundus images and, if
repositioning of the fundus image grid is executed, display is updated simultaneously.
[layer combination]
menu

Grid display

Map display

Part name Description

[layer combination] Selects the layer combination to be displayed.
menu
Map display Displays the Thickness map, the Surface map or the Thickness surface
map.
Grid display Calculates the thickness average in the grid area divided optionally. The
display changes depending on [layer combination] menu. Display the
SuperPixel on the left side. Display the ETDRS or RNFL on the right side.
For details, refer to “9.3.1.4 Grid function“.
Only if it is displayed 3D Macula (V), display the asymmetry map to the
right side. The asymmetry map that displays the difference between the
two point that are a line symmetry using horizontal line of center of
analysis area (6mm × 6mm).
The asymmetry map is displayed blue when the point is thinner than the
line symmetry point.

Map display
Thickness map, layer surface map or thickness surface map is displayed.
Type Description
Thickness map Color map that is thickness of selected layers.
Layer surface map 3D map using selected layer surface.
[Surface map layer] menu can change selected layer.*1
The map can rotate or zooms in/out using mouse operations.*1
Thickness surface map 3D map using selected thickness.
The map can rotate or zooms in/out using mouse operations.*1
*1 These functions are effective only if it runs on Google Chrome.

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 [Select Map] button

[Surface map layer]

menu

9.3.1.14 Trend View

When the [Trend] button of a tool bar is clicked, it will move to a trend view. In a trend view, two or
more results are displayed on a time series, and transition of the state of an eye can be checked
intelligibly. The inspection data displayed by initial display is data (Baseline) with the oldest inspection
day, and two or more new data (Binocular inspection data to be from the most recent data up to 3 and
monocular inspection data up to 7.) Baseline can always be displayed and all other inspection data
can be displayed by scrolling. The line order of the inspection data is displayed on a time series from
the left.
A maximum of 8 Baselines can be set up. Thereby, transition of the state according to a certain event
can be confirmed.

Filtering is possible to display the data. Please see “11.3 OCT” for filtering setting.
The inspection data displayed by the inspection instrument or the type of layer analysis can be
chosen.

"Trend View" cannot be used when the birthdate of patient is not registered.
NOTE

44
“Trend View” is valid only for the data captured with the following scan protocol.
Scan pattern Scan length Scan resolution Fixation
3D: Disc 6.0x6.0mm 512x128 / 512x256 Disc, Center and external
fixation target
3D: Macula 6.0x6.0mm / 512x128 / 512x256 Macula, Center and external
7.0x7.0mm fixation target
3D: Macula (V) 7.0x7.0mm 512x128 / 512x256 Macula, Center and external
fixation target
3D: Wide / Wide(V) 12.0 x9.0mm 512x128 / 512x256 Wide and external fixation target
Circle Dia. 3.4mm 1024 Disc and external fixation target
In case of “3D Disc”, “3D Macula(V)” and Circle scan, report can be generated. Press [Report] button
in toolbar to generate a report.

[Instrument] menu [Registration] button [layer combination] menu

[Segmentation] menu [Display eye] button
[Setting] button

Data information area

Result image area

Graph area

Item Description
[Registration] Vertical and horizontal position compensation is performed to GCL+ of
button*1*2 each data, GCL++, RNFL, and a Retina grid on the basis of Baseline.
Only a RNFL grid in addition to it ,rotation correction is performed.
Display the displaying examination eye. Switch the displaying
[Display eye] button
examination eye by clicking the button.
[layer combination]
Select the layer combination.
menu
Setting of displayed inspection data is displayed. See the following
[Setting] button
“Result image area”.
[Instrument] menu Select the displaying instrument.
[Segmentation] menu Select the displaying segmentation.
Display the date, instrument, segmentation type of the displaying data.
Data information area
Label the oldest data as ‘Baseline’. Label the latest data as ‘Latest’.
Result image area Display the image and analysis information of examination data.
Display the graph of one of cpRNFL, RNFL, Retina, GCL+, GCL++, VA
Graph area
and IOP.
*
1 When the registration ON is used, the position of a grid and a value move according to the calculated correction value.
*2 To use Registration function, the following conditions need to be satisfied.
Scan pattern Scan length Scan resolution
3D: Disc 6.0x6.0mm 512x128 / 512x256
3D: Macula 6.0x6.0mm / 7.0x7.0mm 512x128 / 512x256
3D: Macula (V) 7.0x7.0mm 512x128 / 512x256
3D: Wide / Wide(V) 12.0 x9.0mm 512x128 / 512x256

45
Data information area
A date of displayed inspection data, an inspection instrument and a layer analysis names are
displayed. The icon of the photography date of each inspection data, the age of the patient at the time
of photography, the use instrument at the time of photography, the type of layer analysis, and the
image quality level(IQV) of an inspection data image are displayed. For details of IQV, refer to “9.9
Exam Property”.

By right-clicking the image of data information area, the [Exclude data] button by a context menu can
be chosen. (The data of the first Baseline is excluded). Moreover, in the case of excluded data, the
[Include data] button can be chosen.

[Instrument] button [Segmentation]

[Exclude data/Include data] button
button

The excluded data displays the data display area by shading in color gray.

46
Result image area

For 32 bit OS clients, the Color fundus image and Red-free fundus image are not
NOTE displayed on Result image area.
The image and analysis information on inspection data are displayed. A display set up can be
performed if a [Setting] button is clicked. Moreover, operation of the [Image] menu, a [Disc Topo]
button, a [Overlay] menu, and [Differential] button can be performed from a display set up. The image
designated by [Image] menu is displayed and the screen overlay of the image and grid of an analysis
result which are specified with a [Overlay] menu is carried out on the image.
An initial display can be changed by set up. See “11.3 OCT”. If [differential] button is clicked, the map
and grid which have been chosen by overlay can be changed to the difference display with Baseline.

A [Disc Topo] button is displayed, when inspection data with an optic disk analysis result is displayed.
The result of optic disk analysis can be displayed by clicking a button.

[Image] menu, [Disc Topo] button [Overlay] menu [Differential] button

A double clicking of inspection data will expand and display an image. When a Baseline image is
chosen, a single display and when other images are chosen, comparison with Baseline is displayed. It
is displayed together with an overlay image at the time of expansion display.
The display of an overlay image can be changed by ON/OFF. Baseline can be changed by choosing a
[Baseline Change] button. In case of a map, an overlay displays a color bar.

[Baseline Change] button [ON/OFF] button Photography date

Color bar

47
It is possible to perform reposition at the time of a full screen display. The reposition of Baseline data
is possible only while carrying out the enlarged display of the Baseline. A [Save] button is clicked and
a reposition result is saved. Reposition is resettable if a [Reset] button is clicked. Only the data
belongs to the Baseline when a reposition data registration is set to the Baseline on the recalculation
of the registration.
The result of having carried reposition of the data other than Baseline when registration is ON is
applied only when registration is ON in a trend view.

[Reposition] button

When expansion of fundus image is displayed, a B Scan image can be displayed by clicking a
[Volume 2D] button. By clicking a [Fundus] button during B-Scan display, it will revert to fundus image.
When expansion displays the data compared with Baseline, B-Scan image of both data can be
displayed by a similar way.
[Volume 2D] button

48
A slice can be switched by moving a slide bar to right and left at the time of a B-Scan image display.

[Fundus] button

slide bar

Graph area
A graph of cpRNFL, RNFL, Retina, GCL+, GCL++, eyesight, and intraocular pressure is displayed. A
displayed graph is chosen by [Select graph] menu.

RNFL, Retina, GCL+, and GCL++ out put the graph of the regression line which uses the area which
calculates the Super Pixel grid centering on the macula of the selected thickness.
The regression line displayed on graph area is calculated using the data from Baseline to the next
Baseline.
Eyesight and intraocular pressure display the graph of each measured value.
The color of the line of a graph changes according to introductory notes (each eyes, an inspection
method, etc.)

49
cpRNFL can be chosen only when the inspection data which is the target of optic disk analysis is
displayed. In case of 3D Wide scan and other cases, RNFL, Retina, GCL+, and GCL++ can be
chosen.
When choosing cpRNFL, the thickness of the layer chosen with the [layer combination] menu is used.

In the case of eyesight and intraocular pressure, Subjective, and IOP can be chosen.
In other than eyesight and intraocular pressure, the kind of graph is chosen with a [Graph type] menu.
Average graph is a graph that plots the average values of the grid area. Detail graphs are three
graphs which plotted the average value of the area of the upper part in a grid area, and the lower part,
and the whole average value. Detail 2 graph is a grid area of cpRNFL (T, S, N, I). There are 4 graphs
by which the average value in each is plotted.

When there is only one data for a display, the graph of a regression line is not displayed.
If the point of the age before the age of Latest is clicked, the data of the age can be changed into
Baseline.
A date is shown by a surface to a new ones for a Baseline label in a graph area.
[Select graph] menu [Graph type] menu

50
In the graph area, the graph displayed differs depending on the screen displaying one eye or both
eyes. In case for both eyes, graphs are displayed according to the setting of Graph 1 of each of the
left and right eyes.

Graph1 of a right eye. Graph1 of a left eye.

In case of a right eye or a left eye is selected and a graph is displayed, a graph which followed a setup
of Graph1 on left-hand side, and a graph which followed by a setup of Graph2 on right-hand side are
displayed. (If a left eye is selected.)

Graph1 of a left eye Graph2 of a left eye

51
When data information area, result image area or graph area is clicked and data is chosen, the color
of the data information area of selected data becomes orange. (Except for the data set as Baseline or
in case of excluded data). It scrolls automatically so that an image of chosen data may display to a
result image area.

A perpendicular line is displayed on the plotting point portion of the graph area of selected data in
orange. Baseline (the oldest data) is chosen by default.
Moreover, the area from Baseline containing the data which graph area is chosen to the next Baseline
is expressed as the color which smears away and expresses as the color which made the color of
Baseline penetrate.

When graphs other than eyesight and intraocular pressure are being displayed, an exam property will
be displayed if the plotting point on a graph is right clicked. When [Add Baseline] button is clicked, a
baseline is added. The data of Latest cannot be set as Baseline.

A maximum of 8 Baselines can be set up. If 8 Baselines are set, the [Add Baseline] button will change
to [Delete All Baseline] button. If you click the [Delete All Baseline] button, all the Baseline will be
deleted.

When [Exclude data] button is clicked, it will except this data from the calculation processing of a
regression line. The excluded data is displayed as “X” on the graph.

When including excluded data once again and an exam property is opened by the same procedure,
the [Exclude data] button changes to [Include data] button. Press [Include data] button. In the first
Baseline, the [Exclude data] button is not displayed.

52
The same processing can be done by right-clicking the data display area and the result image area.

[Add Baseline] button

[Exclude data] button

[Add Baseline] button [Exclude data] button

When deleting from Baseline, [Delete Baseline] button is clicked. In the first Baseline, the [Delete
Baseline] button is not displayed.
The same processing can be done by right-clicking the data display area and the result image area.

[Delete Baseline] button

[Baseline delete] button

[Comment] button

A comment can be added to the data set as Baseline. The inputted comment is displayed instead of
the Baseline label of graph area.
It is also possible to double-click the Baseline label of graph area and input a comment.
The inputted comment is displayed instead of the Baseline label of graph area.

53
When the comment number of characters exceed the frame size, exceeded characters are not
displayed. Moreover, when a mouse cursor is put together on the Baseline label, the comment will be
displayed by a whole sentence in pop up.

9.3.1.15 Report View

On “Report View”, the OCT report is displayed according to the report displayed by the existing OCT
software.
There are the reports for one eye and both eyes. The contents and layout are changed according to
the scan pattern. The relation between report and scan pattern is shown below.
One eye Both eyes
Scan pattern Scan length
Vertical Horizontal Vertical Horizontal
Line 12.0mm / 9.0mm / 6.0mm ○ ○ - ○
Circle 3.4mm ○ ○ ○ ○
Radial Dia.9.0mm / Dia.6.0mm /
○ ○ - ○
Dia.4.5mm
Cross 12.0mm / 9.0mm / 6.0mm ○ ○ ○ ○
5Line Cross 12.0mm / 9.0mm / 6.0mm ○ ○ - -
7Line Raster 8.2mm / 6.0mm ○ ○ - ○
7Line Raster(V) 6.0mm ○ ○ - ○
HD Raster 6.0mm ○ ○ - -
7.0×7.0mm / 6.0×6.0mm /
4.5×4.5mm / 8.2×3.0mm
○ ○ - ○
3D: Macula
3.0×3.0mm - - - -
3D: Macula(V) 7.0×7.0mm ○ ○ - -
6.0×6.0mm / 4.5×4.5mm ○ ○ ○ ○
3D: Disc
3.0×3.0mm - - - -
3D: Wide(H) 12.0x9.0mm - ○ - 〇
3D: Wide(V) 12.0x9.0mm - ○ - 〇*1
Line: Anterior segment 3.0mm / 6.0mm / 16.0mm ○ ○ - ○

54
 One eye Both eyes
Scan pattern Scan length
Vertical Horizontal Vertical Horizontal
Radial: Anterior segment Dia.6.0mm / Dia.16.0mm ○ ○ - ○
3D: Anterior segment 6.0x6.0mm / 3.0x3.0mm - - - -
OCT Angiography 3.0x3.0mm / 4.5x4.5mm /
6.0x6.0mm / 9.0x9.0mm / - ○ - -
12.0x12.0mm
*
1 When you use Analysis version 2.0.7, this is available. It is not possible to display the data of DRI OCT Triton
(226AABZX00146000)

By clicking the [Edit] button, it is possible to edit a report.

Click the [Edit] button, and the following dialog box is displayed.

Change the layout (vertical/horizontal) of report with [Orientation].

Click the [Comments] button, and the comment input column is displayed. Enter a comment to be
displayed on a report and click the [Apply] button.

In case of the scan patterns whose grids can be selected, the displayed grid can be selected by [Grid].

55
The B-Scan images displayed on the report can be changed by the slider bar of [Slice].

In case of OU View, the operation can be performed by [OD(R)] and [OS(L)].

In case of 3D Wide Scan, Glaucoma report or Hood report can be selected by [Report Type]

In case of 5Line Cross Scan or Radial Scan, report type can be selected from two types by [Report
type]: “Standard”, which makes two B-Scan images larger and the other B-Scan images smaller, and
“Evenly”, which displays all B-Scan images in the same size.

(Standard: 5Line Cross Scan)

56
(Evenly: 5Line Cross Scan)

In the case of measurable scans, you can switch whether or not to display measurement information
by [Display measurement result].
For the measurement function, refer to "9.10.1.2 Length measurement".

One eye report

When the OCT examination data is displayed, click the [Report] button. The one eye report can be
made.
“3D Macula” Scan

57
3D Wide Scan Glaucoma Report

3D Wide (H) scan Hood report.

Hood report is created based on an assumption that Circle Direction is “N-S-T-I-N”.

NOTE Please set Circle Direction configuration to “N-S-T-I-N”.

Circumpapillary RNFL RNFL Thickness Graph Combined RNFL and VF Probability

Enface RNFL Thickness Map RNFL Grid GCL+ Thickness GCL+ and VF Probability

58
 Item Description
Circumpapillary RNFL Image cut out circle the part of diameter 3.4mm from the disc center in
the B-scan image.
In reference to the temple side (Temporal), along with the show a range
of ± 15 ° with an arrow, and guidelines display the position of ± 45 ° and ±
135 ° by the dotted line.
RNFL Thickness Graph Display RNFL thickness graph of Circumpapillary RNFL.
In reference to the temple side, the guidelines indicate the position of ±
45 ° and ± 135 ° by the dotted line, and displays the intersection of the
circle shown in the macula (see Combined RNFL and VF Probability) by
changing the graph color.
Also, the position of the blood vessels (47.41 °, 103.8 °, 255.8 °, 311.76 °)
is displayed in orange dotted line.
Enface Displays the Enface image.
The default setting is to averaging a range of up to ILM + 49.4mm from
ILM.
Range to be used in the calculation can be changed on the [Edit] button.
RNFL Thickness Map Displays the thickness map of the RNFL thickness.
RNFL Grid Displays a grid of 4 sectors and 12 sectors of the RNFL layer.
Combined RNFL and VF Displays the deviation map of 12 × 9mm range. Displays the
Probability measurement point of the field of view in the “Overlay” status.
GCL+ Thickness Displays the thickness map of the GCL + layer of 6 × 6mm range.
GCL+ and VF Probability Displays the deviation map of Macula 6 × 6mm range. Displays the
measurement point of the field of view in the “Overlay” status.
Comparison is performed when age and disc area are in the following range. The age range and the
disc area range are shown below.
Instrument Scan DA (min) DA (max) Age(min) Age(max)
Protocol
DRI OCT Triton 3D Wide (H) Unlimited Unlimited Unlimited Unlimited
3D OCT-1 3D Wide (H) 1.25 3.97 18 88
(Type:Maestro2)

Both eyes report

When the OCT data of the same scan protocol are displayed on “OU View*1”, click the [Report] button.
The both eyes report can be made.
*1 When both eyes report of 3D scan data is displayed, report classification is displayed as Retina, and it cannot be displayed
by GCL.

“3D Disc” Scan

59
Report print
To print report, click [Print] button.

Export
To export the report as an image, click [Export] button on the toolbar.

9.3.1.16 Angiography View

 OCT Angiography images and Density Map may be displayed locally dark due to
local signal intensity reduction of the OCT image.
 OCT Angiography is not a replacement for Fluorescein angiography. Even if it
can be observed with Fluorescein angiography, there is a possibility that it cannot
be observed with OCT Angiography.
 The value of the blood vessel density is calculated based on the intensity of the
OCT Angiography image and it does not quantify the actual blood vessel density.
Therefore, when the OCT Angiography image is low quality, the repeatability of
NOTE the numerical value may decrease. For the image quality of OCT Angiography
images, refer to “15 Appendix Example of OCT Angiography Image”.
 Please note that due to inherent differences in vessel density calculation
strategies between the 3D OCT-1 (Type: Maestro2) and those from other OCTs,
results from the 3D OCT-1 (Type: Maestro2) are not interchangeable with those
from other OCTs. Users are advised to use their clinical judgment when making
comparisons between 3D OCT-1 (Type: Maestro2) vessel density results and
results from other OCT devices.

 The Angiography is an optional function. The license for the demonstration (99-
day trial period) is granted with IMAGEnet 6. Please try the function. To purchase
it, contact a distributer. It is restricted by the number of licenses purchased for
Angiography. The licenses are managed by user, so to use the Angiography view,
log in as a user with a right to display it.
 The license of angiography is expended when you displayed this data for the first
time after login. The license is released when you logout.

NOTE  When the client is 32bit OS, the display of OCT Angiography 9mm x 9mm data is
restricted.
 OCT Angiography images and Density Map may be displayed locally dark due to
local signal intensity reduction of the OCT image.
 We recommend using Google Chrome when using the display function of OCT
Angiography. When using Internet Explorer, OCT Angiography data display may
not be possible.

This displays the fundus image drawing blood vessels (OCT Angiography image) from changes in the
brightness of multiple images of the same point with 3D OPTICAL COHERENCE TOMOGRAPHY.
The target is data photographed by OCT Angiography of 3D OPTICAL COHERENCE
TOMOGRAPHY. For normal capturing data, the Angiography view cannot be displayed. If you display
data photographed by OCT Angiography of 3D OPTICAL COHERENCE TOMOGRAPHY alone, the
Angiography view opens. You can enlarge or reduce each image by pressing the scaling button at the
top right.

60
You can select how to display the Angiography view from the Standard View and the Wide View. You
can set it by [Angiography], [View (3-6 mm)] and [View (9 mm -)] on the [Administration] - [System
Configuration] - [OCT] tab of the menu bar.

On Standard View, the displayed images can be changed by the [Display Switch] button at the upper
right of the screen. The following three types can be displayed: Angiography, Enface and
Angiography/Enface.

(Standard View: Angiography)

Result image area 1 [Angio Contrast] Bar [Tool] button [Display Switch] menu

B-Scan image area Result image area 2 Fundus image area

(Standard View: Enface)
Result image area 1 [Angio Contrast ]Bar [Tool] button [Display Switch] menu

B-Scan image area Result image area 2 Fundus image area

61
(Standard View : Angiography/Enface)
Result image area 1 [Angio Contrast] Bar [Tool] button [Display Switch] menu

Result image area 2

(Wide View)

Result image area 2

Fundus image area Result image area 1 [Angio Contrast]Bar
[Tool] button

Setting boundary area Angio B area B-Scan image area [Auto] button

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 Item Description
[Display Switch] menu Switches the layout of the screen and displayed images.
Select from Angiography, Enface, Angiography/Enface *1.
[Tool] button [OCT-A Mosaic] Button
Change to the Angio Mosaic screen
Refers to [9.10.2.5 Angio Mosaic]
[Enhanced Depth Angiography] button*2*3
Change to deep layer display mode.
[Capture] button
Capture OCT data. For details, refer to “9.12 Acquisition”.
[Reference] button
Imports a reference image. For details, refer to “9.3.1.19
Import reference image”
[Measure] button
Measures the length and area. For details, refer to “9.10.2
Measuring and analyzing the image examination data”
[Layer Modify] button
Modifies the layer manually, using mode of modifying the
multi-scan layer. For details, refer to “9.10.1.6 Layer
Modify”.
[Angio Contrast] Bar To change the Angiography image’s brightness and
contrast.

Result image area 1 Displays the Angiography image or Enface image.

Displays the images of the four specified types of layers. Images in
Result image area 1 can be changed by various menus and buttons. For
details, refer to the next paragraph.
B-Scan image area Displays the layer information of the image selected in result image area
1. You can enlarge/reduce and move the image by the wheel operation
and dragging, respectively. You can switch the scan position by the
slider bar.
When “Overlay” is valid, the areas used to make the Angiography
images or the Enface images are displayed in colors corresponding to
the frame colors in Result image area 1. You can move the area and
change the thickness by right dragging in this area. You can also
change the thickness by the icons on the right and left side of the B-
Scan images.
When “Line” is valid, displays the line that shows the positions of
displayed B-Scan image in Result image area 1 and B-Scan image
area. You can change the position of the line by double-clicking in this
area.
When “Angio B” is valid, the Angio B-Scan image that is using to create
angiography image is displayed on the B-Scan image.

In case of Wide View, overlay, straight line, Angio B function cannot be

used.
Fundus image area Displays the photographed color fundus image or FAF fundus image.
You can enlarge/reduce and move the image by the wheel operation
and dragging, respectively. If you press [Whole screen display] button
and [Full size] button, the scanned part and whole image are displayed,
respectively. By pressing [Overlay] button, you can display the image
selected in the result image area on the fundus image.
Without color fundus photography, the IR image is displayed.
Result image area 2 In case of Standard View or Wide View, displays the different image for
each case.
Setting boundary area It is displayed only Wide View. Selects the boundary area to make the
Angiography and Enface image. According to the fixation, some patterns
are preset.

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 Item Description
Angio B area It is displayed only Wide View.
Displays the layer information of the image displayed in result image
area 1. In addition, the Angio B-Scan image is displayed on the layer
information.
[Auto] button It is displayed only when Wide is displayed. Click to start automatic
scrolling of the boundary range.
While auto scrolling, the boundary range is automatically moved from
the top edge to the bottom edge of the B scanned image, keeping its
shape.
If you perform the following operations during automatic scrolling,
automatic scrolling stops.
 Click the [Auto] button.
 Click the [Reset] button.
 Switch the selection of setting boundary area.
 Switch between [Select upper layer] button, [Select lower layer]
button, [Upper layer offset] button, [Lower layer offset] button.
 Open the display switching menu of Result image area 2.
 Open the overlay menu of Fundus image.
 Open Exam Property.
 Magnify one of the areas.
 Click the [Export] button.
 Click the [Measure] button.
 Click the [Reference] button.
 Switch between [Angio] - [Color], [Angio] - [Display Mode], [OCT] -
[Color], [Layer] of Display Setting.
*
1 When displaying data of OCT Angiography 9 mm x 9 mm with clients of 32 bit OS, "Angiography/Enface" display cannot be
used.
*
2 [Enhanced Depth Angiography] button is only displayed in Standard View. It is not displayed in a Wide View.
*
3 [Enhanced Depth Angiography] button is valid only data analyzed by software for analysis of 3D Optical Coherence
Tomography DRI OCT Triton Version 1.13 or later.

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 Result image area 1
[Gamma] checkbox
[Data property] button
[PAR] checkbox

[Enlarge] button

[Reset] button

[Select upper layer] menu, [Upper layer offset] button [Select lower layer] menu, [Lower layer offset] button

[Setting boundary] menu

Item Description
[Data property] button Displays the property of the examination data. For details, refer to
“9.9 Exam Property”.
[Data property] button is displayed on the image area of the left
side image.
[Enlarge] button Enlarges the displayed image.
[Setting boundary] menu Selects the boundary area to make the Angiography or Enface
image. According to the fixation, some patterns are preset.
In case of Wide View, the boundary area being selected in Setting
boundary area is displayed. And it cannot be changed.
[Select upper layer] menu Selects the lower or upper end layer of the boundary.
[Select lower layer] menu
[Upper layer offset ] button Fine-adjusts the height of the upper or lower layer. You can also
[Lower layer offset] button adjust the height by right dragging in the B-Scan image area.
[Reset] button Resets the boundary area to the default selected by [Setting
boundary] menu.
[Gamma] Checkbox Enhance the Angiography image or Enface image.
[PAR] Checkbox Click the [PAR] Checkbox to turn PAR on and off. If turned on, this
will activate the Artifact Removal of the Angiography image. Turn
off to deactivate.
If the [Layer List] is on TOP or if ILM is selected, the [PAR] box will
not be active.
If the [PAR] Checkbox is not active, clicking on the [PAR]
Checkbox will not activate the Artifact Removal.

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Result image area 2
Display the image selected from various image. You can display selectively to the different image for
each display type.

View type Standard View

Wide View
Angiography Enface Angiography/Enface
Projection ○ ○ × ○
Composite*1 ○ × × ×
Density Map*2*4 ○ × × ○
En-face*3 ○*3 × × ○
Retina Thickness ○ ○ × ○
RNFL Thickness ○ ○ × ○
GCL++ Thickness ○ ○ × ○
GCL+ Thickness ○ ○ × ○
*
1 This item is displayed only when the fixation is Macula. Composite is an image obtained by overlaying images of orange,
green, and light blue areas of [Result Image Area 1].
*
2 “Density Map” is color map generated by brightness average of Angiography image.
*
3 When displaying data of OCT Angiography 9 mm x 9 mm with clients of 32 bit OS, "En-face" display cannot be used.
*4 Density map is not displayed with data of OCT Angiography 9.0x9.0mm and 12.0x12.0mm.

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When Density Map is chosen, [Grid] menu can be selected according to the following conditions.
When [Enhanced Depth Angiography] button is enabled, [Grid] menu is not displayed.
Display mode Boundary range Scan length Scan resolution
3.0x3.0mm*1 320x320
DRI OCT Triton Superficial 4.5x4.5mm*2 320x320
6.0x6.0mm*2 320x320 / 512x512
3.0x3.0mm 320x320
Maestro 2 Superficial 4.5x4.5mm*2 320x320
6.0x6.0mm 320x320
*1 The diameter of inner circle is 1mm, the diameter of outside circle is displayed at 2.5mm.
*2 The diameter of inner circle is 1mm, the diameter of outside circle is displayed at 3mm.

When “ETDRS(Density)” of a grid is chosen, 5 areas which divided centering on Macula are displayed
and the blood vessel density of each area indicated as percent.
When “Reposition” of grid is chosen, the display position of grid can be changed.
If the grid is displayed, when it changes to report view, the grid and blood vessel density are displayed
in Standard Report or Angio/Enface Report.

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Display setting menu
Right-click on the screen, and Display setting menu appears

Item Description
Angio Color Changes the color of the Angiography image.
Brightness Adjusts the brightness of the Angiography image.
Gamma Adjusts the Gamma values of the Angiography image.
[Reset] button Resets the contrast, brightness and Gamma value to the default.
Gaussian Filter Apply Gaussian Filter to the Angiography image.
Remove Line Enable/Disable the processing of remove the noise which occurs in
Noise the horizontal direction.
PAR Method • Type 1 performs conventional artifact removal processing.
• Type2 is selected, adjustment is made so that the upper
component is not pulled too much.
Enface Type Select Sum to visualize the outer retina and choroidal vasculature
like CNV.
Display Mode Select the display mode with Macula / Disc.
Initial display is "Disc" for Angio Disc, "Macula" for others.
OCT Color Changes the color of the B-Scan image.
Contrast adjust Adjusts the contrast of the B-Scan image.
slider
[Reset] button Resets the contrast to the default.
ScaleY Changes the scale of the B-Scan image.
Reference Displays the reference image.
Layer Display the lower and upper end layer of the boundary.
Density Map -transparent When the checkbox is selected, displays Density map of
Angiography image transparently.

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 9.3.1.17 Export

By clicking [Export] button on the toolbar, some data can be exported as images. Images you
can export differ depending on the OCT scan data and display status. The typical items are shown in
the following table.
Item※1 Description
ScreenShot*2 Screenshot of the whole screen.
OCT/OCT Angiography Common

B-Scan Image displayed in B-Scan image area.

Color Color fundus image.
FAF FAF fundus image.
Red-free Red-free fundus image.
IR IR fundus image.
All B-Scan(Original) *3 B-Scan images of all slice (original size).
All B-Scan(Display Ratio) *3 B-Scan images of all slice (Display Ratio).
Current B-Scan(Original) B-Scan image displayed on the screen (original size).
Current B-Scan(Display Ratio) B-Scan image displayed on the screen (Display Ratio).
DCM File DICOM format file.
DICOM Storage*4 DICOM storage for PACS server.
Volume3D Volume3D image.
OCT

En-face En-face image.

Fundus(Upper) Image displayed in fundus image area (Upper).
Fundus(Lower) Image displayed in fundus image area (Lower).
Angio(1) Angiography image displayed at the first from the left.
Angio(2) Angiography image displayed at the second from the left.
OCT Angiography

Angio(3) Angiography image displayed at the third from the left.

Standard View

Angio(4) Angiography image displayed at the fourth from the left.

Enface(1) Enface image displayed at the first from the left.
Enface(2) Enface image displayed at the second from the left.
Enface(3) Enface image displayed at the third from the left.
Enface(4) Enface image displayed at the fourth from the left.
Density Map*5 Density Map image.
All Angio B-Scan *3 Angio B-Scan images of all slice.
Angio Angiography image.
Angiography

En-face En-face image.

Wide View

Density Map*5
OCT

Density Map image.

Thickness Map Thickness Map image.
Projection Projection image.
All Angio B-Scan *3 Angio B-Scan images of all slice.
*1 The Item name depend on Procedure Name of setting for export. For detail, please refer to”11.4 OCT (Export)”.
*2 To export the screenshot, IMAGEnet6Link needs to be installed. Please install IMAGEnet6Link on the client computer.
*3 This item is displayed only when the export destination is set to a server. Click [Administration] - [System Configuration]
button and open [Common] tab. At [Export Destination] menu, please select Server and set optional directory of export
destination. After that, click [OCT(Export)] tab and select Export at Action menu.
*4 This item is displayed only when the configuration of connect to the DICOM storage is valid.
*5 When exporting DensityMap when displaying grid, grid is not drawn in exported image.

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 9.3.1.18 History data view

When Study Drive is being used, a history data browsing feature cannot be used.
Note

For the data that were reanalyzed or revised, you can view the past history data. Press [History]
button of [Exam Property].

A list of history data is displayed. Select the data you want to view.

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 9.3.1.19 Import reference image

Click [Reference] button .

A screen searching for reference images is displayed. Select the image you want to import by a
search.
The positioning screen appears. Click the feature points of the left and right images alternately.

Selecting more than three feature points makes [Register] button valid. By clicking [Register] button,
compensation of angle is performed for the image, and the image is positioned. Once you are satisfied
with positioning, click [OK] button.

After the reference image is imported, “Reference” is added to the choices of Fundus photo2.

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 Image Data View
The result of the image examination such as the captured fundus image is displayed. The image
selected from the examination list panel or thumbnail list panel is displayed.

Examined eye Field Of View Angle Examination image [Tool] button

Examination
date
[Exam
Property]
button

Eye Field

Timer

Item Description
[Tool] button Measures and analyzes image data. For details, refer to “9.10.2
Measuring and analyzing the image examination data“.
[Exam Property] button Displays the properties of examination. For details of the displayed
properties, refer to “9.9 Exam Property“.
Examined eye Displays the captured eye information.
Field Of View Angle Picture angle
Examination image Displays the captured image.
Examination date Displays the date of examination.
Timer Timer information
Eye Field Picture position

72
By selecting the [Export] menu of the toolbar, [Export] dialog will be displayed, and you can export the
data as selectable format.

Item Action
Image Image file
DCM File DICOM format file.
DICOM Storage*1 DICOM storage for PACS server.
*1 This item is displayed only when the configuration of connect to the DICOM storage is valid.

The operations for the display of image data are as follows.

Operation Action
Dragging Movement of the image
Upward rotation of the wheel Enlargement of the image
Downward rotation of the wheel Reduction of the image*1
Right-click Image processing menu display
*1 The smallest value is 100%.

Right-click the image view area, and the image processing menu is displayed.
Image processing menu Processing
Color Adjusts the dynamic range of RGB. Displayed only for color images.
Brightness/Contrast Adjusts brightness and contrast.
Box Enhance Enhances the selected area of the image.
Sharpness Sharpens the entire image.
Flip Flips the image horizontally or vertically.
Rotate Rotates the image.
Loupe Enlarges and displays a certain range with the clicked position as the
center.

Color
Drag the horizontal scroll bar to adjust the dynamic range of “R” (red), “G” (green) and “B” (blue).

Item Description
[Color] button Accesses the adjustment mode of “R” (red), “G” (green) and “B” (blue).
[Monochrome] button Changes to the “Monochrome” image.
[Invert] button Inverts the color.
[Reset] button Returns to the value before saving the processed image.

73
Brightness/Contrast
Click the rightmost (or leftmost) scroll of the horizontal scroll bar to adjust brightness.

Item Description
[Reset] button Returns to the value before saving the processed image.

Sharpness
Drag the horizontal scroll bar to adjust the degree of sharpness.

Item Description
[Reset] button Returns to the value before saving the processed image.

Flip
Click the button to flip the image horizontally or vertically. “ON / OFF” of the flip switches each time
you click the button.

Item Description
[Horizontal] button flips the image horizontally.
[Vertical] button flips the image vertically.

74
Rotate
Click the button to rotate the image clockwise or counterclockwise, at 1 degree or 90 degree interval.

Item Description
Rotates the image clockwise at 90 degree interval.

button
Rotates the image clockwise at 1 degree interval.
button
Rotates the image counterclockwise at 90 degree interval.
button
Rotates the image counterclockwise at 1 degree interval.
button
[Reset] button Returns to the value before saving the processed image.

Loupe
Enlarge and display the image with the position clicked by the mouse as the center. When you stop
clicking the mouse, the normal display status is accessed again.

enlargement

Item Description
[Exit] button Ends the enlarging processing.

75
 9.3.2.1 Image import

When you are viewing the image data in a single view, you can drag and drop the image from the
outside of the Web browser. Drag and drop images by clicking the [Save] button, you can be directly
registered in the database. The format of the image that can be imported is the JPEG and PNG.

Drag and drop the image, and click the Save button, displays the [Import File] dialog. Change the
necessary items, the image will be registered in the database when you click the [Register] button.

Discrete Data View

“ Discrete Data View” displays the data sent from the examination instruments (for example,
refractometer) and the data input during an examination.
The examination data selected from the examination list panel or thumbnail list panel is displayed with
the format specified by View type and the examination type.
The display contents of the numeric data of the data view type "IMAGEnet 6" are as follows.

Examination name

Date of registration
Operator name

Examination data

76
Objective examination

Tonometer examination

77
 Subjective examination

Graph View
A graph is displayed at the time of the data display of Subjective Data and IOP.
Only a single view performs the display of a graph.

78
 Wave-Front Analyzer data View
The display of Wave-Front Analyzer data is an optional function. To purchase it,
contact a distributer.
It is restricted by the number of licenses purchased for the display of Wave-Front
Analyzer data. The licenses are managed by user, so to use the display function of
NOTE Wave-Front Analyzer data, log in as a user with a right to display Wave-Front Analyzer
data.
The license of Wave-Front Analyzer data is expended when you displayed this data
for the first time after login. The license is released when you logout.

Displays the data measured by the Wave-Front Analyzer on the selected map. Change the map
format by pressing the [Map Selector] button. Change displayed data by double-clicking on the map
data thumbnail.
Display content is displayed as shown below.

[Left/Right Eye Selection] button Map Display

[Map Selector] button Map Data Thumbnail

Item Description
[Left/Right Eye Selection] Switch the display of Left/Right eye data when viewing R/L data.
button
Map Display Displays the data in a format that is selected by the [Map selector]
button.
[Map Selector] button Switches the displayed map.
Map Data thumbnail Displays measured data in thumbnail format.

79
[Map selector] button
Item Description
Multi Maps Displays an eyeball aberration map and visibility simulation.
Displays information on aberration of an entire eyeball in various
Ocular Maps
ways.
Displays cornea-related information such as a corneal aberration
Corneal Maps
map and a cornea shape map
Displays the components of high-order aberrations of an entire
eyeball, a cornea, and internal high-order aberrations obtained by
subtracting corneal aberration from the entire eyeball. A list of 3rd-
Component Maps
order and 4th-order aberrations is displayed in horizontal direction of
the map; a list of eyeball total aberrations, corneal aberration, and
Internal aberration is displayed in vertical direction.
Displays important high-order aberrations of eyeball aberration by
Zernike Vector Maps
component.
Displays high-order aberration of an eyeball obtained when multiple
Progress Maps
measurements are made (maximum 10 times).
Displays information useful for contemplation of application of IOL to
IOL Selection Maps a post-surgery eye, K value necessary to determine a power, election
of spherical IOL/aspherical IOL and application of bifocal type IOL.
PSF/MTF Maps Displays the PSF/MTF maps.
Opening the data measured in accordance with the examination
Pupillometry Maps purpose “Brightness vision” automatically displays the pupillometry
map.
Corneal R/L Maps Displays the Corneal R/L maps.
Ocular R/L Maps Displays the Ocular R/L maps.

There are restrictions on the maps that can be displayed for each examination:
Screening Pupillometry Serial Cataract Over ref. Custom
Multi Maps ○ ○ ○ ○ ○ ○
Ocular Maps ○ ○ ○ ○ ○ ○
Corneal Maps ○ ○ ○ ○ － ○
Component Maps ○ ○ ○ ○ － ○
Zernike Vector Maps ○ ○ ○ ○ ○ ○
Progress Maps ○ － ○ ○ ○ ○
IOL Selection Maps ○ ○ ○ ○ － ○
PSF/MTF Maps ○ ○ ○ ○ ○ ○
Pupillometry Maps － ○ － － － －
Corneal R/L Maps ○ ○ ○ ○ － ○
Ocular R/L Maps ○ ○ ○ ○ ○ ○
Selected data is surrounded with frame. Map not be enabled will be grayed out.

Selectable

Un-selectable

Selected

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Map Data Thumbnail
The measured data is displayed in a thumbnail. Display multiple data in case of measured data in
multiple times. Display a map by clicking. A frame of solid lines appears on the displayed data, and a
frame of broken lines appears on the recommended data. Recommended data icon displayed on the
recommended data.

Displayed data

Recommended data

Wave-Front Analyzer data cannot display Multi View, OU View, and Compare View.

9.4 THUMBNAIL VIEW

The view to display the data selected in the examination list panel in chronological order in a
thumbnail format is called “Thumbnail View.” In Thumbnail View, the selected data is displayed
simultaneously regardless of the examination date and procedure.

There are multiple procedures to display it as follows. Select a patient before carrying out any of them.
 Double-click patient data in the patient list panel on the patient list screen.
 Click the [View] button of the menu bar.
 Click the [Thumbnail] button of the toolbar on the view screen.
 Select a tree in the examination list panel.

If there is only one data set in the tree selected in the examination list panel, it is
NOTE displayed in the single view.

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The thumbnail display of each examination data set is as follows.
Examination Thumbnail Description
data type example
OCT data Photographed data is displayed. The display format varies from data
to data.
Above the thumbnail image, the left and right eye information and
scan name are displayed. The letter ‘’F’’ is displayed on the data
which performed Follow-Up photography of OCT data from this
software.
Image data Photographed data is displayed. The display format varies from data
to data.
Above the thumbnail image, the left and right eye information and
scan name are displayed.

Discrete The icon is displayed regardless of the examination.

data Mouse operations shall be carried out for the icon.
The discrete data registered is displayed in front of the icon in case
of examination data that is able to select at “9.13 Add Data”. In this
case, photographed time is not displayed on the icon.
(Objective In the case of Subjective Data, Objective Data, Keratometer Data,
Data) Lensmeter Data, Tonometer Data, Individual icons are displayed.

In the thumbnail view, the icon of discrete data is displayed as

follows.

(Lensmeter
Data)

(Keratometer
Data)

[icon of discrete data]

(Tonometer
Data)

(Subjective
Data)

(Others)

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 Wave-Front The icon is displayed regardless of the photographed data.
Analyzer Mouse operations shall be carried out for the icon.
data

The scan names displayed in OCT data is as follows.

Scan pattern Display name
Line Line
Circle Circle
Radial Radial
Cross Cross
5 Line Cross 5LineCross
7 Line Raster / 7LineRaster(V) Raster
HD HD Raster
3D: Macula 3D Macula
3D: Macula(V) 3D Macula(V)
3D: Disc 3D Disc
3D: Wide(H) 3D Wide
Displays [3D + sub-scan] in the case of combination scan.
3D: Wide / 3D: Wide(V) 3D Wide(V)
Displays [3D(V) + sub-scan] in the case of combination scan.
Line: Anterior segment Line Anterior Seg.
Radial: Anterior segment Radial Anterior Seg.
3D: Anterior segment 3D Anterior Seg.
OCT Angiography Angio Macula
Angio Disc
Angio Center
Angio External
If the whole string cannot be displayed, the end part is omitted like “Radial Anterior...”. The display of
Thumbnail View is updated automatically when the database is updated.
If you right-click on a thumbnail, its exam property is displayed. Left-click while pressing down the
[Shift] key on the thumbnail, and it ranges from the data of the upper left to the data clicked.
When a single click is enabled in [Administration] - [User configuration] - [Click mode], if you left-click
while holding down the [Ctrl] key outside the thumbnail screen, the thumbnail selection state is
reversed, and the data which was not selected until now Is selected.

You can open another view by selecting multiple data sets in Thumbnail View and then a menu of the
toolbar. Also the [Export] menu of the toolbar is available. If the export destination is set to a browser,
select multiple on the thumbnail view, and can export it in a compressed file (. Zip) format collectively
by clicking the [Export] button on the toolbar. Only data which can be exported is image data. PDF
format data cannot be exported.
Images and OCT data can be exported at once when setting DICOM Storage.

By selecting the [Export] menu of the toolbar, [Export] dialog will be displayed, and you can export the
data as selectable format.

83
When exporting DCM File and DICOM Storage, a dialog showing export progress is displayed. The
dialog disappears if it succeeds and a dialog is displayed to indicate that it failed if it fails.

Item Action
Image*1 Only image data is exported.
DCM File Files in DICOM format will be exported.
DICOM Storage*2 Perform DICOM storage for PACS server.
*1 It is displayed when there is even one image in the selected file.
*2 This item is displayed only when the configuration of connect to the DICOM storage is valid.

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 9.5 MULTI VIEW
The view to display multiple types of examination data is called “Multi View.” In Multi View, the
selected data is displayed simultaneously regardless of the examination date and procedure name.
However, Aladdin inspection data, Wave-Front-Analyzer inspection data, and PDF format data cannot
be displayed. Only single view can be displayed. Different from the view dedicated to each
examination type, the measurement function and display contents are limited.
The display method is as follows.
1. Double-click a patient on the patient list screen.
2. The Thumbnail View will open. Then select the date or procedure of the data to display
simultaneously from the examination list panel. To display the data of multiple dates and
procedures, select the “All” item in the examination list panel.
3. Select the data to display simultaneously by clicking the mouse.
4. Click the [Multi] button of the toolbar.
You can also display Multi View by selecting the [Multi] button of the toolbar displayed on the view
screen other than Thumbnail View.
Selecting [Export] button on the tool bar can export screen shot as an image. When export the image,
you need to install IMAGEnet6 Link.

[Display switch] button

[Reset] button [Layout]
[Trash] button button

Examination data display area

Item Description
[Reset] button If clicked, unselects all data.
[Trash] button Removes from the displays targets of Multi View. Drag the hand
icon to the trash bin icon.
[Display Switch] button Switches the display of the examination display part.
[Layout] button*1 Switches the display layout.
Examination display area Displays data in the layout specified in the [Layout] button.
*1 For 32 bit OS clients, the "Layout" button is not displayed. The layout will be 1 x 2 fixed.

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Using the [Layout] button at the upper right corner, you can change the layout of “Multi View”.
The minimum layout is “1×1”. The maximum layout is “4×4”.

Move the mouse cursor, and the orange area size is changed. Click the screen. The orange area
selected at the time is regarded as the layout.

On the [Default] pull-down menu, use the [Multi View] button to set the initial layout when shifting to
“Multi View”.

Item Description
Auto Adjusts the layout to the optimum position according to the quantity of the
selected examinations when shifting to “Multi View”.
2-UP Layout is”1×2” or “2×1”
4-UP Layout is “2×2”.
9-UP Layout is “3×3”.
16-UP Layout is “4×4”.

If more examinations than the displayable quantity in layout are selected and, under this condition, the
system shifts to “Multi View”, the examination data exceeding the first page is located on the second
page and after. Use the display sheet change button to change the pages.

(Example of the “2×2” layout)

Examinations can be registered in one “Multi View” up to thirty-two. The maximum quantity in one
page is changed according to layout. Examinations to be displayed on “Multi View” can be added or
changed by dragging & dropping from the thumbnail list panel. The display position can be changed
by dragging & dropping .
The displayed data can be saved as a data with the [Save] button on the Tool bar. The saved data is
displayed on the examination list. When this data is selected, it is displayed with the same layout as
when saved on “Multi View”. Data saved with just one display data set is displayed not in Multi View
but in Single View.

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 OCT Angiography data in MULTI VIEW
You can display the OCT Angiography captured data in a multi-view. In the case of 1 × N or N × 1 (N
means 2~4) of the layout, is different from the display contents and function otherwise.

9.5.1.1 1×N or N×1 (N means 2~4) layout

Result image area1 [Setting boundary] button

B-Scan area

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 Result image area 1 B-Scan area [Setting boundary] button

Basic functionality and operability are the same as Angiography view. Please refer to the "9.3.1.16
Angiography View".

[Select image] menu [Setting boundary]

[Overlay data] menu button

[Adjust boundary]
menu

Item Description
[Select image] menu Select image that displays at result image area
1.
[Overlay data] menu Overlay a several analysis data onto the image
that is displayed result image area 1.
[Setting boundary] button Select boundary from the presets. This
boundary to be used to create Angiography
image or Enface image.
[Adjust boundary] menu Select boundary manually.

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[Select image] menu
Select the image to be displayed in the "Result image area 1". By default, the Angiography will be
selected.

Item Function
Color Color fundus image.
Red-free Red-free fundus image(Digital Fundus Flush)
IR IR fundus image.
Enhanced – IR Enhanced IR fundus image
Projection Projection image
Angiography Angiography image
Enface*1*2 Enface image
*1 Only if 1×2 or 2×1 layout.
*2 When displaying data of OCT Angiography 9 mm x 9 mm with clients of 32 bit OS, "Enface" display
cannot be used.

[Overlay data] menu

Displays by superimposing the image and numerical analysis results on the image to be displayed on
the "result image area 1". Items that can be displayed, as shown in the following table, different for
each of the display image.
Displayed image Item1 Item2 Description
Color Overlay Projection Superimpose the projection image on the
Red-free displayed image.
IR Thickness Superimpose the thickness map on the displayed
Enhanced – IR image.
Angiography Superimpose the angiography image on the
displayed image;
Enface*3 Superimpose the enface image on the displayed
image.
Transparent When transparent is “ON”, the superposition
image will be transparent image.
*1 When displaying data of OCT Angiography 512x512 with clients of 32 bit OS, "Enface" display cannot be used.

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[Change boundary] button
Select the boundary range of thicknesses of the layers used to create Angiography images or Enface
images from the preset. Items that can be selected will differ in Macula, External and Disc.

Macula, External (Default: Superficial) Disc (Default: Nerve head)

Boundary area Item Boundary area

Item Top Margin Bottom Margin Top Margin Bottom Margin
Superficial ILM+2.6μm IPL/INL+15.6μm Nerve head TOP IML+130μm
Deep IPL/INL+15.6μm IPL/INL+70.2μm Vitreous TOP ILM+49.4μm
Outer retina IPL/INL+70.2μm BM RPC TOP ILM+70.2μm
ORCC OS/RPE+ *1 BM+15.6μm Choroid/Disc Ilm+130 μm BM+390μm
Choriocapillaris BM BM+10.4μm Full Disc TOP OS/RPE
Full Macula ILM OS/RPE
*1 OS/RPE+ is the middle ground of OS/RPE and BM

[Adjust boundary] menu

It is used when you want to adjust from the preset boundary range of the thickness of the layer to be
used in order to create a "Angiography image" or "Enface image".

[Select upper layer] menu [Select lower layer] menu [Reset] button
[Upper layer offset] button [Lower layer offset] button

Item Description
[Select upper layer] menu Top/Bottom Margin Select Button
[Select lower layer] menu

[Upper layer offset] button Use to do fine adjustment of the upper / lower layer.
[Lower layer offset] button
[Reset] button Reset to default value of boundary.

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 9.5.1.2 Other than 1×N or N×1 (N means 2~4) layout

When Multi View uses layout other than 1×N or N×1 (N means 2~4), confine the contents: Result
image area 1 or B-Scan area.

[Change data]
button

Using [Change data] button, select the displayed contents.

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 9.6 OU View
The view to display target data arranged on the left and right is called “OU View.”
The displayable examination data on “OU View” are only image data (for example, fundus image) and
OCT data. However, Discrete data, Aladdin inspection data, Wave-Front-Analyzer inspection data,
and PDF format data cannot be displayed. Also the examination data in which right/left eye
information is not registered cannot be displayed.
Different from the view dedicated to each examination type, the measurement function and display
contents are limited.
The display method is as follows.
1. Double-click patient data in the patient list panel on the patient list screen.
2. The Thumbnail View will open. Then select the date or procedure of the data to display
simultaneously from the examination list panel. To display the data of multiple dates and
procedures, select the “All” item in the examination list panel.
3. Select the data to display simultaneously by clicking the mouse.
4. Click the [OU] button of the toolbar.
You can also display OU View by selecting the [OU] button of the toolbar displayed on the view screen
other than Thumbnail View.

Using [Export] button on tool bar, you can export an image of screenshot. When you use export a
screenshot, you need to install IMAGEnet6Link.

Right eye examination data display section Left eye examination data display section

Right eye thumbnail list Left eye thumbnail list

At “OU View”, the OCT data of right and left eyes with the same scan protocol are displayed at the
same time and so the OCT data of both eyes report can be made. For details, refer to “9.3.1.15
Report View“.
The examination data displayed in OU View can be changed by double-clicking data from the
thumbnail in the list panel.

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 9.7 Compare View
The view to display two data sets for comparison is called “Compare View”. In Compare View, the
selected data is displayed simultaneously regardless of the examination date and procedure name.
However, Aladdin inspection data, Wave-Front-Analyzer inspection data, and PDF format data cannot
be displayed. Only single view can be displayed. Different from the view dedicated to each
examination type, the measurement function and display contents are limited.
The Compare View cannot compare identical data.

The display method is as follows.

1. Double-click a patient on the patient list screen.
2. The Thumbnail View will open. Then select the date or procedure of the data to compare
from the examination list panel. To compare data of different dates or procedures, select the
“All” item in the examination list panel.
3. Select the data to display simultaneously by clicking the mouse.
4. Click the [Compare] button of the toolbar.

You can also display Thumbnail View by selecting the [Compare] button of the toolbar displayed on
the view screen other than Compare View. Moreover, when automatic Follow-Up display setting is
valid, the data by which a ‘’F’’ mark is displayed from a patient list screen is clicked, the clicked data
and the Baseline data at that time can be displayed with a comparison view. The Follow-Up
photography data is shown to the top with the Baseline data underneath.

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Shifts to the view screen where the data is compared with the previous data of the same eye.
Item Description
Changes the data layout.
Layout ：Show the data stacked
：Show the data side by side
If photographed eye and scan information of OCT data is the same, this function
Synchronize
is available. Synchronizes the switching operation of the display.
Performs compensation of angle on the basis of the upper image (or the left
image in case the data is shown side by side), and positions. [Registration]
Registration*1
button is displayed only in case data of 3D Scan and the same eye are
displayed.
Layer measurement of the upper part and the bottom (left and right side for left /
Measurement*2 right display)is performed. See ‘’9.10.1.2 Length measurement’’ in detail. When
saving a measuring result, press the save button.
*1 To use Registration function, the following conditions need to be satisfied.
Scan pattern Scan length Scan resolution
3D: Disc 6.0x6.0mm 512x128 / 512x256
3D: Macula 6.0x6.0mm / 7.0x7.0mm 512x128 / 512x256
3D: Macula (V) 7.0x7.0mm 512x128 / 512x256
3D: Wide / Wide(V) 12.0 x9.0mm 512x128 / 512x256

*2 In synchronized state, length measurement, slide bar (color range) of color mode, ON/OFF of EVV, and level are not
synchronized.

The examination data displayed in Compare View can be changed by dragging and dropping data
from the thumbnail in the list panel.

When synchronous OCT data is displayed, Synchronize is ON by default.

The slice position of the displayed "B-Scan" image is automatically aligned.
If the slice position of the "B-Scan" image is misaligned, adjust the slice position as follows.
1. Turn off Synchronize.
2. Change the slice position of the "B-Scan" image.
3. Turn on Synchronize.

Using [Export] button on tool bar, you can export an image of screenshot. When you use export a
screenshot, you need to install IMAGEnet6Link.

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 9.8 OCT Study Drive
Study drive is a simple database of OCT data.

Display Study Drive

IMAGEnet6 can display the data registered to existing Study Drive. Study Drive can register up to 8
and switch the display. If selected in the database, this will display the data of the system database

1. Click the [Administration] button of the toolbar.

2. Click the [System Configuration] button.
3. Click the [Location] tab.
4. In [OCT Study Drive] menu, select [Enable] button.
5. Set [(location)] to the destination to save of Study Drive.
6. Click the [Update] button.
In order to switch Study Drive, select [Database] displayed on Query Patient Panel.

9.9 Exam Property

“Exam Property” displays the detailed information of examinations. It can be displayed for both OCT
data and image data. Three display methods are available.
 Display Single View, Multi View, OU View, Compare View, or Angiography View and click the
[Exam Property] button.
 Display Thumbnail View and right-click the mouse.
 Display Trend View and click the point on graph.
The [Exam Property] button is displayed in OU View and Compare View as well.

(Image examination) (OCT examination)

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 Category Item Description
Exam Information Procedure Procedure name of examination
Session Date Examination date
Create Date Date when a picture is taken
Eye Photographed eye
Instrument Photography instrument information
OCT Information Scan Mode Scan mode
Scan Size Scan size (Side width of B-Scan image ×
Captured picture quantity) [pixel]
Scan Length Scan length (Width × Length) [mm]
Fixation Fixation position information
Image Quality*1*2 Image Quality value
Myopia Mode*2 Myopia Mode ON/OFF
Signal Strength*3 Signal Strength
OCT Focus Position*3 OCT focus position
File Name File name
Analysis Version Analysis version
Revised No Number of reanalysis
Image Timer Timer information
Information Eye Field Picture position
Field Of View Angle Picture angle
Flash Flash level
Image Size Image size
File Name File name
Corneal thickness (mm) Corneal thickness
Anterior Eye field Anterior segment visual field information
Comments*4 Date Date when comment is written
Comments Contents of comment
*1 Image Quality value：Image Quality value (IQV) is the image quality evaluation standard peculiar to TOPCON. IQV
shows the image quality of the tomograms obtained by the TOPCON OCT instruments with a value quantitatively. When
you need a tomogram applicable to image analysis or other processing, IQV must be 30 or higher. If IQV is 30 or higher, the
tomogram has a proper image quality. If IQV is less than 30, image analysis can be performed for the tomogram but the
reliability on the analysis result is reduced.
*2 Anterior photography data is not displayed.
*3 Only Anterior photography data is displayed.
*4 The examination data in StudyDrive cannot use a comment function.

Comment function
You can write a comment on the examination data through “Exam Property”. The written comment
can be checked through “Exam Property”.
To carry out this operation, log in as a user with a right to make comments.

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 9.10 MEASURING AND ANALYZING THE
EXAMINATION DATA
Only for OCT data and image data, it is possible to measure and analyze the examination data.

■ Typical measuring / analyzing functions

Item Description Object
Reanalysis Re-analyzes the detection and Disc analysis of the layer of OCT OCT data
data by a new analysis algorithm.
Distance Measures a linear distance. Image data
measurement OCT data
Area Measures the area of a region surrounded by a circle or rectangle Image data
measurement
Cup/Disc ratio Measures their ratio of Cup and Disc areas Image data
measurement OCT data

Measuring and analyzing the OCT examination data

When OCT data is displayed, these function is available.

Only when a fundus image is displayed on the whole screen, the measurement
NOTE and analysis for the fundus image can be performed in OCT examination.

9.10.1.1 Reanalysis

The “Layer” analysis and the optic disc analysis are executed again and a new data file is created.
After reanalysis has been executed, previous data cannot be displayed. The results of manual
modification for the “Layer” analysis and the optic disc analysis are deleted.
1. Shift to “Thumbnail View”.
2. Select a target data.
3. Click [ReAnalyze] button.

Select data Icon to encourage re-analysis [Reanalyze] button

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For data with old analysis versions, the icon to encourage re-analysis is displayed. Re-analyze the
data with this icon displayed.
During re-analysis, the message “Analyzing” is displayed on the data. After re-analysis, the characters
disappear. Scan patterns yet to be analyzed are not analyzed even if the [ReAnalyze] button is
clicked.

To use re-analysis function, it is need the analysis software of Optical Coherence

Tomography. Please contact a distributor about the analysis software.
NOTE The correction result taken over at the time of re-analysis varies depending on the
settings of the analysis software.

9.10.1.2 Length measurement

Click the [Measurement] button, and the length measurement function is valid. Only for Line Anterior
scan data, the angle can also be measured.

When the trimmed circle image (refer to “9.3.1.6 Circle tab: Trimmed circle
display“) is displayed, the length measurement function cannot be used for the B-
NOTE Scan image.

Function Description
Line Measures length. Specify a range to be measured by dragging. Drag
while pressing the [Ctrl] key, and can draw a line vertical and horizontal.
Angle Measures the angle. Specify the positions of the two sides of the angle
to measure by dragging.
Delete Deletes the measurement result. Fit the mouse to the measurement
result to be deleted. When the result is red, click it.

To exit the length measurement function, click .

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 9.10.1.3 Thickness measurement

Double-click one point on the B-Scan image, and the thickness of the location can be measured.

9.10.1.4 Image processing

Right-click a B-Scan image, and the following menu appears.

Item Description
Color Color mode change function
EVV Enhanced Vitreous Visualization
ScaleY B-Scan image display ratio change function
Moving Average B-Scan image
Gamma Image Gamma correction function
Brightness/Contrast Adjustment of brightness and contrast of the image

The menus you can display vary depending on the scan pattern.
The menus of Gamma, Brightness, and Contrast are displayed when you right-click on the
Angiography image. The other menus are displayed when right-clicking on the B scan image without
the case of Angiography View.
Moving Brightness/
Scan pattern Color EVV ScaleY Gamma
Average Contrast
Line ○ ○ ○ ― ― ―
Circle ○ ○ ○ ― ― ―
Radial ○ ○ ○ ― ― ―
Cross ○ ○ ○ ― ― ―
5Line Cross ○ ○ ○ ― ― ―
7Line Raster ○ ○ ○ ― ― ―
7Line Raster(V) ○ ○ ○ ― ― ―
HD Raster ○ ○ ○ ― ― ―
3D: Macula ○ ○ ○ ○ ― ―
3D: Macula(V) ○ ○ ○ ○ ― ―
3D: Disc ○ ○ ○ ○ ― ―
3D: Wide(H) ○ ○ ○ ○ ― ―
3D: Wide(V) ○ ○ ○ ○ ― ―
Line: Anterior segment ○ ― ― ― ― ―
Radial: Anterior segment ○ ― ― ― ― ―
3D: Anterior segment ○ ― ― ― ― ―
OCT Angiography ○ ― ― ― ○ ○

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Color (Color mode change function)
Change the display color of B-Scan image. Select this item, and the following dialog box is displayed.

B/W: Black-and-white display (Initial display)

Color: Color display
Reverse: Reversed black-and-white display
Reset: Resets the color range.
By adjusting the color range, the color tone of the B-Scan image is changed.

Even if data is switched, the setting of the color mode is taken over.
NOTE

EVV (Enhanced Vitreous Visualization)

Use this mode to enhance the vitreous body. Click [OFF] button, change a level.

You can select the level of the enhancement mode from 11 levels (-5 to +5).
As the value is higher in the plus direction, the enhancement level is higher.

Scale Y (B-Scan image display ratio change function)

Change the ratio of length and width for the displayed B-Scan image. Click the button of ratio you want
to display.

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Moving Average
In the center on each the B-Scan image which is a component of 3D data, average the data by using
the adjacent B-Scan. Click [OFF] button to start the process, and change to [ON] button.

“Moving average” does not influence the analysis result.

NOTE

Gamma
Adjust the saturation and brightness of the image by amplifying the dark/bright parts reducing the
bright/dark parts of the image. Adjust the values by the bar.

If the displayed figure is larger and smaller than 1.00, the brightness will rise and drop.
Reset: Set to 1.00

Brightness/Contrast
Adjust the saturation and brightness of the image. Adjust the values by the bar.

Reset: Set Min, Max, and Brightness to 25.0%, 25.0%, and 50, respectively

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 9.10.1.5 DiscTopo

When the data for which the optic disc analysis has been done is displayed, you can use the
“DiscTopo” function. When the “DiscTopo” function is used, the position, area and others of the
Disc/Cup region are displayed according to the result of the optic disc analysis.

When the “DiscTopo” function is ON, the analysis result of the optic disc region is displayed as shown
below.

The following table shows the parameters to be displayed.

Parameter Name on report Function
Rim area (Area of the region between the above-mentioned
RA Rim Area(mm2) two lines)
RA value shows 0 if CA value is 0.
DA Disc Area(mm )2 Disc area (Area of the region surrounded by a blue line)
Ratio of average linear cup/disc along meridian
LCDR Linear CDR
(= Square root of “Ratio of area cup/disc”)
VCDR Vertical CDR Ratio of cup/disc in vertical direction
CV Cup Volume(mm3) Cup volume
@RPH(μm) Height of referring surface

The following parameters are displayed when “Detail mode” is selected in the “Notation method” of the
configuration. For details, refer to “11 Configuration and 11.3 OCT”.
Parameter Name on report Function
Cup area (Area of the region surrounded by a pink line)
CA Cup Area(mm2)
RA value shows 0 if CA value is 0.
RV Rim Volume(mm3) Rim volume

CDR C/D Area Ratio Ratio of area cup/disc

VDD Vertical D.D(mm) Maximum length in a vertical direction

HDD Horizontal D.D(mm) Maximum length in a horizontal direction

DiscTopo is enabled only for data photographed by the following scan protocol.
Scan pattern Scan length Scan resolution
3D: Disc 6.0x6.0mm 512x128 / 512x256
3D: Wide(H) 12.0 x9.0mm 512x128 / 512x256
3D: Wide(V) *1 12.0 x9.0mm 512x128 / 512x256
*1 Data captured by 3D OPTICAL COHERENCE TOMOGRAPHY DRI OCT Triton cannot display.

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How to calculate Disc Topo parameters

(1) DA
The RPE edge points, which are detected radially from the Disc center, are regarded as the Disc
detection points. The inside of the closed curve that connects all the Disc detection points is
regarded as the Disc area, and this area is calculated. An approximate plane that is calculated
from all the Disc detection points is defined as “Reference surface”. Parameters are obtained
when observing this reference surface in the vertical direction.

Reference
Disc detection point
RPE surface

(2) RA
The area between Disc area and Cup area is Rim area. This Rim area (DA-CA) is calculated.

(3) CV
The volume of the area is surrounded by the reference surface and ILM.

CV

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(4) LCDR
Square root of CDR

(5) VCDR
The ratio of the height of the rectangle circumscribed with Cup area against the height of the
rectangle circumscribed with Disc area. (Red line distance/Blue line distance)

Disc area Cup area

(6) CA
When moving the reference surface for the given distance (optional setting is possible: Default is
120μm), the moved surface is regarded as "Referring surface". The intersection of the referring
surface and ILM is regarded as the Cup detection point. The inside of the closed curve that
connects all the Cup detection points is regarded as the Cup area, and this area is calculated.

Cup detection point

Default height is
120μm.

Referring surface

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(7) RV
The volume of the area surrounded by ILM, referring surface and the perpendicular line of RPE
edge points.

RV

(8) CDR
The ratio of the Cup area against the Disc area (CA/DA).

(9) VDD
This is the length of the rectangle circumscribed with the Disc area in the vertical direction.

Disc area

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(10) HDD
This is the length of the rectangle circumscribed with the Disc area in the horizontal direction.

Disc area

To change the height from the “Base plane” to "Reference plane", change the
value of the “Reference plane height” in the configuration.
NOTE The setting of "Reference plane height" is reflected after conducting “Disc Modify”.

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 9.10.1.6 Layer Modify

Executes the manual modification for a layer which is detected by analyze. There are two functions of
Layer Modify, the function which modifies layer of a B-scan image (Single-scan layer modify mode),
and the function which modifies plural layers of B-scan image in a lump (Multi-scan layer modify
mode).
“Single-scan layer modify mode” can execute for all analyzed OCT data.
“Multi-scan layer modify mode” can execute for analyzed 3D OCT data include OCT Angiography
data.

Single-scan layer modify mode

Modifies a layer which is displayed B-Scan image.

Open [Layer Modify] menu to modify the chosen layer.

[Layer Modify] menu

Click a correct position which you judge, and the layer will be modified along the position.
Modified position will be marked.
Modified position

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Please click on the [Layer Modify] – [Exit] button when the modify is complete.

Multi-scan layer modify mode

Multiple B-scan images can be modified at the same time. You can select B-Scan frame interval for
the modification. Once layer is modified on a B-Scan image, the layer of the neighbor frames are also
modified at the same time.

※ case of modification at 4 frame interval.

B-scan image which is able to modify.

B-scan image which is

executed modification.

B-scan image which is modified in a lump.

Click the [Layer Modify] button to move for “Multi-scan layer modify mode”. Modify a layer displayed on
B-scan image, and please click [save] button when the modify is complete. At “Multi-scan layer modify
mode”, you can modify the layer even if Drag the layer.

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Layer Modify Display

Thickness map area Vertical scan area [Exit Modify] button

[Angio Contrast] Bar [Review] button
[Save] button Angiography / Enface image area

B-scan area Configuration menu

Item Description
Thickness map area Displays thickness map
Angiography /Enface image area In the case of using OCT Angiography data, displays
Angiography image or Enface image which you select. In
the case of using other OCT data, displays Enface image
data.
Vertical scan area*1 Displays an image which is cut vertically from B-scan
image. The cut position is displayed in Thickness map
area and Angiography / Enface image area.
B-scan area Displays B-scan image and a layer which is target of
modify. When switch the displayed B-scan image,
displays at interval of any frame which is set.
In the case of OCT Angiography, click [Angio B] button to
display Angio B-Scan image on the B-Scan image.
Configuration menu Change the settings of the intervals of the retouch frame
or the contrast of the OCT image.
[Save] button Saves the modification.
[Angio Contrast] Bar To change the Angiography image’s brightness and
contrast.
[Review] button I Changes the frame of switching the B-Scan image (at
"B-Scan area") into 1 frame temporarily, because confirm
the result of “layer modify” in detail.
[Exit Modify] button Ends Multi-scan layer modify mode, and returns to single
view.
*1 When displaying data of OCT Angiography 9 mm x 9 mm with clients of 32 bit OS, "Vertical scan area" is not displayed.

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 Measuring and analyzing the image examination data
Image measurement is a function to measure the area and line length of the region selected on the
captured image.

[Tool] button

➢ To perform the image measurement:

1. Open an image to be measured on “Image View”.
2. Press the [Tool] button at the upper right corner on the screen. The menu box is displayed.
3. Click a desired measurement on the displayed menu.

Item Description
Measurement Measures the length and area of the region surrounded by a line or
rectangle.
C/D Ratio By drawing given area by operating the mouse, obtain the ratio of “Cup”
and “Disc” on optic disc.
Quick Draw It is possible to draw a line or circle on the displayed image.
Mosaic Create a panoramic image using several fundus images.
Patient Consultation*1 Display image and compare to typical image.
Cell Analysis*1 Analyze corneal endothelial cells image.
Image Densitometry*1 It is possible to take statistics of the luminance values in the specified
area on the image.
HUD-1 Send the displayed images to the dedicated program of HUD-1*2.
*1 This is an optional software of another package. This is not including in IMAGEnet6 package. When you need to use, you
need to install IMAGEnet6Link.
*2 The dedicated program of HUD-1 is the dedicated program "HUD-1 Management Application" of accessory "HUD-1" of
Photocoagulator PASCAL Synthesis. This is not including in IMAGEnet6 package. When you need to use, you need to
install IMAGEnet6Link.

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 9.10.2.1 Measurement

Measure the length and area of the region surrounded by a line or rectangle.
➢ To measure a line and area:
1. Select a measuring method from the menu below and click it.
2. Move the mouse to a place where measurement will start on the image.
3. Select a place to be measured by dragging and perform operation properly.
4. The measurement result is displayed on the screen.
Item Description
Line Measures length. Specify a range to be measured by dragging.
Ellipse Measures area. Specify a range to be measured by dragging.
Rect Measures area. Specify a range to be measured by dragging.
Free Measures area. Specify a range to be measured by dragging.
Delete Deletes the measurement result. Move the mouse to the measurement
result to be deleted. When the result is red, click it.
[Exit] button Ends measurement.

9.10.2.2 C/D Ratio

Obtain the ratio of “Cup” and “Disc” (C/D ratio) on optic disc according to the range specified by mouse
operation. Operation is different by the selected method at “Input”.

➢ To obtain C/D ratio:

Free
1. Specify the “Disc” region position by dragging.
2. Specify the “Cup” region position by dragging.
3. The C/D ratio is calculated.
Ellipse
1. Click the Disc area in the order of the left, upper, right and lower side.
2. Similarly, click the Cup area in the order of the left, upper, right and lower side.
3. The C/D ratio is calculated.
Item Description
Input Free: Surrounds the regions of “Disc” and “Cup” by dragging.
Ellipse: Specifies the left, upper, right and lower sides of the “Disc” and
“Cup” regions to be aligned with lines by dragging.
[Undo] button Returns the mouse operation to the preceding status.
[Reset] button Deletes all the specified ranges.
[Exit] button Ends the C/D Ratio measurement.

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 9.10.2.3 Quick Draw

It is possible to draw a line or circle on the displayed image.

Item Description
Arrow Draws an arrow at the clicked position.
Text Text is put on the clicked position.
Line Draws a line on the dragged range.
Ellipse Draws a circle on the dragged range.
Rect Draws a rectangle on the dragged range.
Free Draws a line as dragged.
Free(Area) Draws a line as dragged and connects the dragging start position with the
ending position by line.
Delete Deletes the drawing. Fit the mouse to the drawing to be deleted. When the
drawing is red, click it.
Line Width Specifies the line width. As the value is changed from “1” to “4”, the line is
thicker.
Mesh If “On” is selected, oblique lines are drawn in a rectangle when “Rect” or
“Ellipse” is selected. When “Off” is selected, no operation is done.
Color Specifies the drawing color.
[Exit] button Ends drawing.

9.10.2.4 Mosaic

The fundus image stored in FDS file cannot be used for Mosaic.
NOTE Please display the data in Image View first and then save it by clicking Save button.

This function can create panorama image using some of the fundus image. Mosaic function has two
types of function.
Auto mosaic: A panoramic image is generated by connecting to detect a feature point of the fundus
image automatically.
Manual mosaic: A panoramic image is generated by connecting to move the fundus image manually.

Click [Mosaic] button, displays the screen that select images for mosaic. Moving images from
thumbnail list panel by drag and drop to areas that divided 3×3, you can select images for using
mosaic. Image to be used in the mosaic need sheets 2 to 9

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Auto Mosaic
Select the image to be used in the mosaic processing, and select the [Auto Mosaic] button, auto
mosaic function is performed. When the auto mosaic function is performed, automatically generates a
panoramic image from the selected image, and displays. Please click on the [Save] button if there is
no problem in the panoramic image displayed. Click the [Reset] button if you rebuild, please repeat the
image selection to return to the image selection screen. When you click the [Exit] button to exit the
mosaic function, to return to the Single View.

[Save] button

[Reset] button

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Manual Mosaic
Select the image to be used in the mosaic processing, and select the [Manual Mosaic] button, manual
mosaic function is performed. To transition the selected image with the manual mosaic function is
performed on the screen to operate. When the manual mosaic function is performed, transition to the
screen to manipulate the image you have selected.

Each fundus image can be moved by dragging. Manually move so that the panoramic image overlap
feature point. Please click on the [Save] button when the move is complete. When you click the
[Reset] button to return to the image selection screen. When you click the [Exit] button to exit the
mosaic function, to return to the single view.

The manual mosaic, you can perform image processing by operating the button of the [mosaic] dialog.
Items Description
Remove Black Moving to right the slider bar, Images are gradually transparent
from black area.
Brightness To adjust image brightness automatically.
Smoothing Boundary Blur the boundary part of the superimposed image.

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Brightness OFF Brightness ON

Smooth Boundary OFF Smooth Boundary ON

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 9.10.2.5 Angio Mosaic

The panoramic (mosaic) images are made by overlaying multiple OCT Angiography (OCT-A) images.
To create the OCT-A mosaic images, follow the steps below.
Scan Patterns Scan Length Scan Size
OCT Angiography 9.0mm x 9.0mm 512 x 512
12.0mm x 12.0mm 512 x 512

OCT-A
How to activate OCT-A Mosaic:

1. Press the [OCT-A Mosaic] button from the OCT-A single view.

2. Choose the data to create the image, then click either [Auto Mosaic] or [Manual Mosaic].

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 • Images need to be taken on the same day with the same scan length to have
the images selected automatically.
NOTE • Angiography image taken before IMAGEnet 6 Ver. 3.0 may not be placed at
the position based on fixation position information

Options Description
[Auto Mosaic] Button Creates mosaic images automatically. See below under Auto
Mosaic for details.
[Manual Mosaic] Button Creates mosaic images manually. See below under Manual Mosaic
for details.
[Reset] Button Goes back to OCT-A selection screen.
[End] Button Ends mosaic alteration and goes back to OCT-A single image
viewing

Auto Mosaic
Creates and displays mosaic images automatically, similar to the fundus image mosaic functions. If
the auto mosaic processing fails, the screen will transition to manual.

Manual Mosaic
Displays the manual screen similar to the fundus image mosaic functions. The display will use fixation
information and place the selected OCT-A.

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 9.10.2.6 Patient Consultation

This is optional software. When you use the software, you need to install
NOTE IMAGEnet6Link.

Patient Consultation provides a function to easily compare the captured images with the reference
images.

Starting Patient Consultation

Select the images, then select [Patient Consultation] from the [Tool] menu. The following single-view
window will appear.

Category of the reference images Thumbnail of the reference images

Select of the original

image

Reference image

Original image

Operations
To switch over the original image to be displayed, perform the following procedure.
1. Select an image from [Select of the original image].

To switch over the reference image to be displayed, perform the following procedure.
1. Select a category from [Choose Category].
2. Select an image from [Thumbnail of the reference images].

To create a reference image category, perform the following procedure.

1. Open Windows Explorer and open the folder that you installed the Patient Consultation.
(ex. C:\Program Files (x86)\TOPCON\IMAGEnet6Link\ExternalPlugin\IMAGEnet Patient
Consultation)
2. Create a new folder, place images you want to compare for original image.

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 9.10.2.7 Image Densitometry

This is optional software. When you use the software, you need to install
NOTE IMAGEnet6Link and this software.

Image Densitometry is an image analysis software which reports statistical information regarding the
selected area.

Starting the Image Densitometry

In IMAGEnet6, display an original image, then select the 'Image Densitometry' command from the
'Tools' menu to start the Image Densitometry.

Operation Panel

Image
Display Area

Graph Area

Icon Description
To analyze an ellipse or a circle region, use this function. Then select the starting and
ending points of a measuring region by pressing and holding the mouse button.
To analyze a rectangle region, use this function. Then select the starting and ending
points of a measuring region by pressing and holding the mouse button.
To analyze a straight line, use this function. Then select the starting and ending points
of a straight line by pressing and holding the mouse button. Pixel values on the drawn
line are plotted in the graph area.
This function is enabled only when the icon is pressed. The drawing will be hidden in
order to get a better view of the image underneath. The graphics on the original image
can not be hidden. The drawing will return when the icon is released.
To delete the last operation, use this function.
To display the results as data, click this icon. The [Analysis Data] dialog box will be
displayed.
To change the settings of the region, click this icon. The [Area Option] dialog box will
be displayed. Change the settings, then click OK. The setting will be updated
immediately.
To change graphics color, use this function. The [Graphics Color] dialog box will be
displayed.

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Icon Description
This function toggles between a zoomed and a normal image.
To delete all results in the window, use this function. Graphics data on the original
image can not be deleted.

Item Description
X,Y size Current mouse cursor's position in the window.
Frame Frame's size of the region (If a straight line is selected, it's starting
points).
Center Center points of the region (If a straight line is selected, it's ending
points).
R,G,B Density of the current mouse cursor's points in the window (If the
displayed image is color, the density of red, green and blue is shown).
Max,Min Maximum and Minimum of the density in the region.
Average Average of the density in the region.
S.D. Standard Deviation of the density of the region.
C.V. Coefficient Variant of the density of the region.
Threshold Threshold in the region.
Density Histogram This histogram shows how the brightness of the displayed image is
distributed.
R To change the displayed image into the image of red, click this radio
box.
G To change the displayed image into the image of green, click this radio
box.
B To change the displayed image into the image of blue, click this radio
box.
RGB If you want to show the image of red, green or blue, check this check
box.
Green Bar The green bar just below the histogram shows the range, which will be
stretched to the full range. The green bar is controlled by the 2 slide
bars.
Upper Slide Bar This slide bar controls the upper (right) end of the green bar.
Lower Slide Bar This slide bar controls the lower (left) end of the green bar.
Threshold Preview To show all pixels with a set range of threshold in the region, and
convert the threshold to it's preview, click this button.
Threshold Negative To show all pixels with a set range of threshold in the region and
convert the threshold to it's negative, click this button.
Close To exit the Image Densitometry.

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 9.11 Print

In order to print, you must have a printer connected to the computer using
IMAGEnet 6.
NOTE Print preview may not be displayed due to a web browsers popup block. Please
change browser setting.

Prints the data displayed on the view screen. [Print] is enabled if the following data is displayed.
Print layout is depending on displayed contents of each view.
View Data type Print Layout type
Single View Image data ○ Print dedicated layout
OCT data*1 ○ Screen shot*3
Exam data ○ Screen shot*3
Print template
Aladdin data ×
Aladdin report(PDF) ×
Report View OCT report*1*2 ○ OCT report
Multi View Image data only ○ Print dedicated layout
Compare View Contains OCT data ○ Screen shot*3
Image data or Examination data ○ Print template
Contains Aladdin report(PDF) ×
OU View Image data only ○ Print dedicated layout
Contains OCT data ○ Screen shot*3
Contains Aladdin report(PDF) ×
*1 Every OCT data including Angiography are candidate.
*2 If the OCT report is exported, this data treats as an image data. In this case, OCT report means you open the OCT
data in the report view.
*3 When you want to print screen shot, need to install IMAGEnet6Link. Please install IMAGEnet6Link to the client PC.

The printing procedure of image data is as follows.

1. Click the image data to print in the data display panel on the patient list screen.
2. Single View will be displayed. Then click the [Print] button in the toolbar.
3. Preview will be displayed. Then confirm the display contents and click the [Print] button.
4. To return to Single View, click the [Close] view.

The printing procedure of report data of OCT data is as follows.

1. Click the OCT data to print in the data display panel on the patient list screen.
2. Single View will be displayed. Then click the [Report] button in the toolbar.
3. Click the [Print] button of the toolbar.
4. To return to Single View, click the [Close] view.

In the case of image data, print preview is displayed. You can edit the information to print on the
preview screen.
Layout type Description
Print dedicated layout In the printing template, you can select the examination type to be
printed by setting.
Screen shot Print the screen shot of whole screen.
OCT report Print the OCT report that displayed in Report View without change.
Print template Prints image data and examination data according to the set
template.

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 Print dedicated layout

[Close] button
[Print] button [Edit] button

preview

Item Description
[Close] button Returns to the view screen.
[Print] button Executes printing.
[Edit] button Edits print information.
preview Preview image.
You can move and enlarge/reduce the image by mouse operation.

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[Edit] button
If you click the [Edit] button on the print preview screen of image data, the [Print Edit] dialog is
displayed.

Item Description
Print Size Select the template of information which will be printed in conjunction with
image data. The information is Patient ID, Patient Name, Procedure, Create
Date, Examination eye, Timer and Print Date. Template(V) is fit for the print in
vertical direction. Template(H) is fit for print in lateral direction. When No
Template is selected, you can print the image data without template.
Mouse Setting of mouse operation for the preview image. When Linkage is selected,
operation*1 all images are moved and enlarged/reduced at a time.
Mask Removal Turns outer black area of the image into white according to the threshold value.
The results of the processing can be confirmed in the preview.
Threshold Set the threshold value of Mask Removal.
Comment Enter the comment.
*1 This item is displayed only when data is displayed in Multi View, OU View, or Compare View.

Hospital name and hospital address are displayed when these items are set in the
NOTE configuration. For details of the configuration, refer to “11.5 Print”.

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 Print template
"Print template" is a function to print the data according to the template selected beforehand in the
configuration. Selected examination types in print template are printed out of the selected examination
data and image data.
Print template can be set up to three kinds. Please refer to ‘’11.5.1 Print template settings’’. The set up
template can be selected when print button is pressed.
The order of the data displayed on the print template follows the setting order.
Printed examination data is only one data for each examination type. When multiple data of the same
examination type are displayed in Multi view, select one data according to the following priority order
and print.

(2x2 layout in Multi view)

① ②
③ ④
(Example of Print template)

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 9.12 Acquisition
You can connect to the photographing equipment and get data. To carry out this operation, log in as a
user with a right to get data. A procedure is different in [Administration] - [System configuration] -
[Option] depending on a setting of ‘’Patient selection timing at capture’’.

If ‘’Perform patient selection after photography’’ setting is invalid

1. Select a patient on the patient list screen.
2. Click the [Acquisition] button of the menu bar.
3. Click the photographing equipment to connect.
4. The photography screen will launch. Then, take a photograph with the photographing equipment.

If ‘’ Perform patient selection after photography’’ is valid*1*2

1. A photographing equipment to connect on a patient list screen is selected.
2. The photography screen starts, and a photograph is taken with a photographing equipment.
3. After photography, a patient is selected by patient search・selecting screen , or register a new
patient from the [Register] button.
4. A screen transfers after save.

*1 Even when setting is valid, there is photographing equipment which can't select patient after photography. If photographing
equipment icon is in gray, select a patient before photography.
*2 Even when setting is valid, a patient can be selected beforehand.

• It requires the dedicated software compatible with the connected equipment to

get data. For the dedicated software, contact the distributor.
• For the operation procedure of the dedicated software, refer to its operating
manual.
NOTE • When linking with OCT, etc., the thumbnail images of captured data may not
be displayed on IMAGEnet 6. After the screen is refreshed by clicking
[Update] button, etc., the thumbnail images are displayed.

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 FileGrab2
You can import the image data to IMAGEnet6 as the photographed data, when using FileGrab2 that is
included with IMAGEnet6.
The importing procedure are as follows.
1. Select the patient and click the icon of “FileGrab2”, and FileGrab2 starts.
2. Import the image data by operating FileGrab2. For details, refer to “Import method of image data
at FileGrab2”.
3. The imported image is displayed at thumbnail view as the photographed data, when the importing
is completed.

9.12.1.1 Operating FileGrab2

Import method of image data at FileGrab2

1. Click [Import] tab to display the Procedure tab.
2. Click [Open] button at menu icon, and Browse Folders dialog is displayed.
3. Select the image data which you want to import. The image data is opened on FileGrab2.
4. Execute the setting of the procedure and examination eye at menu icon.
5. Click [Save] button at menu icon, the image data is imported to IMAGEnet6, and FileGrab2 is
closed.

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Procedure tab at FileGrab2
Open the image data on Filegrab2, and import the image data to IMAGEnet6 as photograph data. In
addition, you can edit the data information which is for manage the image data as the photographed
data on IMAGEnet6. Immediately after starting FileGrab2, only [Import] tab is available. However, you
can use optional Procedure tab when you set the procedure at menu icon.

Procedure/Image display tabs Menu icon

Image data list

Image display window Information window Reserve list of import

icon Description
Menu icon Using the basic operation of FileGrab2. For detail, refer to “Menu icon at
FileGrab2”.
Procedure/Image Each procedure tab and “ALL IMAGES” tab may be selectively displayed.
display tabs Selection between tabs displays the images of the selected procedure in
the Image display window.
Image display window Displays image data which is opened on FileGrab2.
Image data list Displays thumbnail list which is opened on FileGrab2. When click the
thumbnail, it can display the image data on Image display window.
Character of “DELETED” is displayed on the image data which is
executed Delete Reserve.
Information window Displays patient information. Displayed information are Patient ID, Name
and Procedure.
Reserve list of import Displays the number of image data which is opened on FileGrab2, and
the number of image data which will import to IMAGEnet6 at each tab.

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All Images tab at FileGrab2
Displays the image data list which is opened on FileGrab2. It is able to select plural image data, and to
execute the process in Menu icon in a lump.
plural B-scan images in a lump.

Procedure/Image display tabs Menu icon

Image data list Information window Reserve list of import

icon Description
Menu icon Using the basic operation of FileGrab2. For detail, refer to “Menu icon at
FileGrab2”.
Procedure/Image Each procedure tab and “ALL IMAGES” tab may be selectively displayed.
display tabs Selection between tabs displays the images of the selected procedure in
the Image display window.
Image data list Displays thumbnail list which is opened on FileGrab2.
You can switch the select states “ON/OFF” of image data when you click
the thumbnail. If you Double-Click the thumbnail, Procedure tab will be
displayed. Character of “DELETED” is displayed on the image data which
is executed Delete Reserve.
Information window Displays patient information. Displayed information are Patient ID, Name
and Procedure.
Reserve list of import Displays the number of image data which is opened on FileGrab2, and
the number of image data which will import to IMAGEnet6 at each tab.

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Menu icon at FileGrab2
Menu icon is useable on all tabs at FileGrab2. It is located at the top of the screen.
Icon Description
Session List Displays session list which is currently opened in
FileGrab2, and displays patient information (Patient ID
and Name).
File Search Displays Browse Folders dialog to open the image data
on FileGra2. This function is useable also by pressing
the space key.
Save Images Import all images which are opened on FileGrab2 to
IMAGEnet6. However, the image which has been
executed Reverse is not imported to MAGEnet6.
Print Prints the selected image data.
Reverse Deletes reserve of image data which is selected.
Back Displays the previous image of the currently displayed
image from the image list if there are more than one
image data.
Forward Displays the next image of the currently displayed image
from the image list if there are more than one image
data.
Close Active Session Abandons all image data and closes the session.

Nearest-neighbor Performs interpolation by using an adjacent pixel.

interpolation
Bilinear interpolation Performs interpolation by using four surrounding pixels.

High-quality bilinear Provides high-quality processing of bilinear interpolation.

interpolation
Bicubic interpolation Performs interpolation by using 16 surrounding pixels.

High-quality bicubic Provides high-quality processing of bicubic interpolation.

interpolation
Fit to Window Maximizes the display to the image window size.
100% Displays an image in its original size.
Rotate Left Rotates the image counterclockwise at 90 degree
interval.
Rotate Right Rotates the image clockwise at 90 degree interval.
Change Mono/Color Inverts the image color.
Setting form for Executes the setting of optional procedure. Immediately
procedure after starting FileGrab2, Import is only useable. If input
the procedure name into the form, It is able to register
the procedure, and corresponding procedure tab will be
created. When image data has been selected, procedure
of the image data will be set at the same time.
After the procedure register, you can set the procedure of
image data by select procedure from droop down menu.
Right, Left, Unknown Executes the setting of examination eye about Right, Left
or Unknown.

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 MDR
You can register discrete data received from examination instruments, when using MDR that is
included with IMAGEnet6.
The registration procedure are as follows.

1. Select the patient and click the icon of “MDR”. (MDR must be running.)
2. Send the discrete data to MDR by operating examination instrument. (How to send data, please
refer to the manual of inspection equipment.)
3. The registered data is displayed on view screen, when registration is completed.
4. If you click the [Delete] button, the displayed data will be deleted.

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 9.13 Add Data
You can enter and register the results of intraocular pressure examinations, subjective examinations,
and objective examinations. To carry out this operation, log in as a user with a right to enter data.

1. Select a patient on the patient list screen.

2. Click [Add Data] button on the menu bar.
3. Click the examination tab you want to enter.
4. Enter a result.
5. Click [Register] button.

IOP
Register Tonometer data. Calculate the average value by clicking the [Average] button.
[Register] Button

Method

[Average] Button

Right Input area

Left Input area

Comment area

The items displayed by an IOP input screen are as follows.

Item Description
Method An examination method is chosen
1st Enter a first tonometry value of each left and right eye.
2nd Enter a second tonometry value of each left and right eye.
3rd Enter a third tonometry value of each left and right eye.
Average The average value is calculated and automatically inputted. Or, enter it
manually.
[Average] button. By calculating the average value, and automatic input.
Comment Register comments.
[Register] button Register data.

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Subjective Data
Register VA data and incidental information. Click [Prism/PD] button to enter the prism value or PD.

[Prism/PD] button OFF

Examination type Examination method

[Register] Button

Shop number

PD area

Far input area

Near input area

Vertex Distance

Comment input area

[Prism/PD] button ON

[Prism/PD] Button [Prism/PD] input area

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The items displayed by a Subjective Data input screen are as follows.
Item Description
Shop Shop number can be entered.
Examination type Any one of “Prescription”, “Correction” can be selected.
Examination An examination method such as “Angular Vision” can be selected.
method
Far PD Far PD can be entered.
Near PD Near PD can be entered.
Unaided VA Unaided VA can be entered.
Pinhole VA Pinhole VA can be entered.
Aided VA Aided VA can be entered.
S, C, A S, C, A can be entered.
RGTEST Result of RG Test can be entered.
[Prism/PD] button Entering method of prism value can be switched between X-Y coordinates and
P-B (polar coordinates).
P(H), B Prism value of horizontal direction can be entered and base value
can be selected. Any one of “I”, “O” shall be selected as base
value. “I” means Base In. “O” means Base Out.
P(V), B Prism value of vertical direction can be entered and base value
can be selected. Any one of “D”, “U” can be selected as base
value. “D” means Base Down. “U” means Base Up.
P Prism value of polar coordinates can be entered.
Angle Angle of polar coordinates can be entered.
PD PD value can be entered.
Vertex Distance Vertex Distance can be entered.
Comment Comment can be entered.
[Register] button Register data.

Objective Data
Enter the refactormeter value and keratometer values into each area. They are registered as one
objective examination if you click the [Register] button.
 Refactometer

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 Refractive power measurement input area (Right) Refractive power measurement input area (Left)

Comment input area [Register] Button

The items displayed by a Ref input screen are as follows.

Item Description
SPH SPH can be entered.
CYL CYL can be entered.
AX AX can be entered.
Average Calculated by [Average] button value (SPH, CYL, and AX) is automatically
inputted. Or, enter it manually.
[Average] button The average value is calculated and automatically inputted.
PD PD can be entered.
Comment Comment can be entered.
[Register] button Register data.

 Keratometer
Kerato data input area (Right) Kerato data input area (Left)

Comment input area

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The items displayed by a Keratometer input screen are as follows.
Item Description
R1 Measured value of flat meridian corneal curvature can be entered.
Dpt : Corneal refractive power
mm : Corneal curvature radius
A : Axis
R2 Measured value of steep meridian corneal curvature can be entered.
Dpt : Corneal refractive power
mm : Corneal curvature radius
A : Axis
Average The average value of Corneal refractive power and Corneal curvature
radius can be entered. Or, it is automatically entered in the [calculation]
button.
CYL Corneal astigmatic refractive power can be entered. Or, it is automatically
entered in the [calculation] button.
AX Measured value of flat meridian corneal curvature can be entered. Or, it is
automatically entered in the [calculation] button.
[calculate] button The calculation is automatically inputted. (Average “Dpt”, Average “mm”,
“CYL”, “AX”)
Comment Comment can be entered.

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 9.14 Discrete data edit
• The data inputted on the data input screen of IMAGEnet 6 cannot be edited.
• In order to use the edit function of data, it is necessary to install RegData2 of
an option tool in a client.
• Do not log in by added user with IMAGEnet6 when editing.
• The patient's data including special characters in patient ID cannot be edited.
NOTE • Moreover, do not change the editable user’s password on IMAGEnet6.
• To edit numerical data registered on the server side by the client PC, it is
necessary to change the database setting. Please ask a distributor the
database setting method.

The examination data of IOP, subjective data, and objective data are possible to edit by clicking the
[Edit] button on the single view.
Input the value you want to change in RegData2, and discrete will be updated by pressing the
[Update] button,
1. The patient whose discrete data is registered on the patient list screen is selected.
2. Displays the discrete data you want to edit in a single view.
3. Click the [Edit] button with a single view.
4. RegData2 starts and the data is edited.
5. Click the [Update] button of RegData2.

(Screen of single view for discrete data)

[Edit] button

item Description
Edit] button RegData2 starts by edit mode, and the selected data is displayed on RegData2.

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(Startup Screen of RegData2)

[Update] Button

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 9.15 Data File
DataFile is a simple database for Image data.

Import
It can register images to the database from DataFile.
1. Clicking [Administration] from menu bar
2. Clicking [Import Data File].
3. Select the folder that exist DataFile.
4. Clicking [OK] button. Then import start.

Export
Export images registered into IMAGEnet6 database to DataFile.
Please set the setting “Data file Export” to execute the export function. For the details, please refer to
“11.2 Location”.
1. Clicking [Administration] from menu bar.
2. Clicking [Management] – [Patients].
3. Search and select patient. Then select image data thumbnail which you want to export.
4. Clicking [Export] button.

9.16 Visits
Visits Screen can Display and register the Visits information.
1. Select a patient at Patient List screen.
2. Click the [Patient Detail] at Display change tab.
3. Click the [Visits] button

Display change tab

Patient Information Display Panel

[Visits] button

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 (Visits Information screen)
[New Visits] button

Visits list Visits content panel

Display the Visits information

Click button of the visits list to display the details of each visits information. At the time of detailed
display, visits information is displayed. When you click on the visit information, the contents of the
visits are displayed in the visits content panel.

Register the Visits information

1. Click the [New Visit] button.
2. Enter visiting information in the visit content panel and click the [Register] button.
3. Visit date registered in the visit list.

By right clicking on the date of Visits list, each examination of Measurement, Diagnosis, Laboratory,
Medication, and Visual Acuity can be entered.

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1. Right-click on the date of the visit list.
2. Click the visit contents to register from the context menu.
3. Enter the visit contents in the visit contents panel and click the [Register] button.
In registering Visits information, it is necessary to enter Start date (yyyy/mm/dd).

Context menu

Item Description
New Measurements Register measurement data of height, weight, and so on.
New Diagnosis Register Diagnosis information. It is necessary to select the item
"Diagnosis".
New Laboratory Register Laboratory information.
New Medication Register Medication information. It is necessary to enter the item
"Description".
New Visual Acuity Register Visual Acuity.

Modify and delete the Visits information

'When you select the Visits information from Visits, the [Edit] button is displayed in the Visits content
panel.
By selecting the [Edit] button, editing screen is displayed, and the contents can be modified. By
selecting the [Update] button, the modified contents are saved. By selecting the [Delete] button, the
Visits information is deleted.

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 9.17 Display of cornea shape color map data
It corresponds to a half-width alphanumeric symbol and Japanese in KRP Viewer.
Note Patient information including other characters may not be displayed correctly.

Using KRP Viewer, the measurement data is used for cornea shape color map data, and the detailed
data of a color map can be displayed.

Start of KRP Viewer

The starting method of KRP Viewer is as follows.

1. By thumbnail view, select an image data of cornea shape color map.

2. Click the [KRP Viewer] button.
3. From displayed [KRP Viewer] menu, click the display format.

[KRP Viewer] button

[KRP Viewer] menu

The details on the [KRP Viewer] menu is as follows.

Item Description
[Single] It can be used when one or more data is selected. One map and related
measurement data are displayed on one report view of KRPViewer.
[2 multi] It can be used when two data are selected. A selected map and related data are
displayed on one report window of KRPViewer.
[4 multi] 。It can be used when three or four data are selected. A selected map and related
data are displayed on one report window of KRPViewer.
[Differential map] It can be used when two data of the same eye are selected. Displays the changes of
two map report.

When corresponding data is not selected, the items of [KRP Viewer] menu is displayed in gray, and it
cannot be selected.

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 KRP Viewer Components

KRP Viewer Window

The KRP Viewer window consists of several elements such as the menu bar, the tool bar and the
status bar.

Menu Bar
Tool Bar

Report window

Status Bar

Details as follows;
Item Description
Menu Bar The pull down menu is displayed.
Tool Bar The function frequently used in the pull down menu is displayed.
Status Bar The status information on KRP Viewer is displayed.
Report window The data of color map is displayed.

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Menu Bar
The menu bar consists of several items. By clicking these items, the pull-down menu related
to the item will be opened. By choosing an item in a pull-down menu, you can call the function
assigned to the item.

Menu Pull-down Menu

Close*
Close All*
Print…*
File
Print Preview*
Print Setup...
Exit
Toolbar
View
Status Bar
Utility Map Options*
Cascade
Window*
Tile
Help About KRPViewer…
* Items in the Menu Bar or in the each pull-down menu are available only, when the Color Map Report
is displayed.

Tool Bar
The tool bar provides quick access to items in pull-down menus of the menu bar. Clicking a
toolbar icon directly executes the preset function. Relationship between toolbar icons and menu bar
items is shown below.

Map Options* [Utility]

Print* [File]
About [Help]
*Asterisked functions are enabled in case the color map report is displayed.

Status bar
The status bar displays the status information on the KRP Viewer.

Report window
In case the color map data is displayed, a report window is opened in the KRP Viewer window area.
While multiple report windows can be opened in KRP Viewer, only one report window is active at a
time. Most of the functions of KRP Viewer apply to the active report window. The title bar above each
report window shows corresponding report identification information.

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 Operating KRP Viewer
Use the menu icons on the tool bar as a short cut for some menu items. A menu item or a menu icon
displayed in gray means that the item or the icon is not available at that time.

To change display setting of the displayed report, select ”Map Option Setting” or “Map Option Setting”
icon under [Utility]. The option setting dialog box appears to allow change of display setting. Change
parameters in the dialog box, then click ”OK” to continue. The changed parameters will be immediately
applied to the report.

If wishing to print an active report, select [Print] or “Print Icon” under [File] to send report information to
the printer specified to Windows.

Exiting KRP Viewer

To exit KRP Viewer, choose “Exit” from the [File] menu.

Color map Report Data

9.17.5.1 Display Color map Report data

Using the transferred report data, KRP Viewer creates a new color map report window. This report
window consists of <Ref Data>, <Kerato Data>, <Peripheral Data>, and the color map reports.

9.17.5.2 Color Map Report Window Control

Closing Color Map Report Window

To close a report window, make the window active, then choose “Close” from the [File] menu or use
the system menu of the report window. Alternatively, access the system menu of the window by
clicking the square at the upper left corner, the left end of the title of the window.

Putting Color Map Report Window on Top

Many report windows can be opened simultaneously. The number of report windows one can open is
only limited by the amount of system memory. The report window opened last is displayed on top. To
place a different report window on top, click anywhere on that report window using the left mouse
button.

9.17.5.3 Display Map Data

Map data can be displayed in the report window in any one of the four forms including the single map,
2- multi map, 4-multi map and difference map. Display of data in each form is described below.

Moving the mouse cursor on the map that appears in the report window and clicking the map cause
the cross cursor to appear and displays the data on that point. In case multiple maps are displayed, a
similar cross cursor appears in a corresponding position of the map(s) where the cross cursor is not
positioned. The following items are displayed as data in the positions specified by cross cursors on
respective maps.

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 Item Description
PWR Power in diopters at the cursor position;
RAD Radius of curvature at the cursor position
DIST Distance of cursor from the center of the grid in mm
AXIS Angle of the axis connecting the cursor with the
center of the grid in degrees (0°- 360°);
DISTP* Distance of cursor from the center of the pupil in mm
AXISP* Angle of the axis connecting the cursor with the
center of the pupil in degree (0°- 360°)

Asterisked items are displayed only in case the pupil position is detected.

Single Map View

Displays a selected single map and related measurement data. In case multiple map files are selected
at the same time, as many report windows as the number of selected map files will open.

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Multi Map View
Multi Map View displays multiple maps and related data in the report window. Maximum two maps and
maximum four maps are displayed in a single report window respectively for 2-multi map view and 4-
multi map view. For Multi Map View, an arbitrary combination of report data such as left and right eyes
and the same eye can be selectively displayed.

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Difference Map View
Difference Map View is designed to check the changes between two map reports for the same eye.
Two maps are arranged for comparison in the upper area of the report window and a difference map
to show the changes between the two is arranged in the lower area. To check the changes, the two
report data items must be of the same eye. The data in the positions specified by the cross cursors of
respective maps is the same as that in 2-multi map for the two maps in the upper area. The following
items are displayed in the difference map I n the lower area.

Item Description
PWR Power measurements of each map and the
difference of the two.
RAD Radius of curvature for each map and the difference
of the two (mm).
DIST Distance from the center of the grid for each map in
mm. The difference
AXIS The angle between the line connecting the cursor
with the center of the grid and X-axis of the
greed in degrees (0°-360°). The difference map
reports the angle value of the first image.
DISTP* Distance from the center of the pupil for each map in
mm.
AXISP* The angle between the line connecting the cursor
with the center of the pupil and X-axis of the
greed in degrees (0°-360°). The difference map
reports the angle value of the first image.
* Asterisked items are displayed only in case the pupil position is detected.

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 Option Settings
When a color map report is open, the options may be changed for that report. To get the option dialog
box menu, choose “Map Options” from the [Utility] menu, or click the option icon on the tool bar.

Map Method
Item Description
Sagittal This power is based on the normal distance from the cornea to the refractive axis
(also known as Axial Power).
Tangential This power is based on the surface radius for each data point (also known as
Instantaneous Power).

Scale Unit
Item Description
Diopter Displayed color map based on Diopter power scale.
mm Displayed color map based on mm power scale.

Map Type
Item Description
Adjustable Use the color map center and step values to adjust the color levels. By using
appropriate values, more detail can be seen in the map. (The center value will
appear as the bottom of the eleventh color.)
Normalized Minimum and Maximum levels of the data are used for limits of the color map.
Thus, data will stretch over entire map. In cases of extreme data range, the top 1%
and bottom 1% are excluded.
Absolute Standard scale ranging from 35.5D to 52D with a step size of 1/2D, or 6.0mm to
9.3mm with a step size of 0.1mm. 33 different levels are used for this map by 22
colors.

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Overlays
Item Description
Cross Scale X axis and Y axis overlay
Angle Scale Displays angle measurement around the color maps.
mm Grid Overlay of a 1mm grid
Scale
Kerato Axis None:
No Kerato Axis displayed.
Kerato Axis:
Kerato Axis displayed based on the Keratometer axis.
Sim-K Axis:
Shows the keratometric circle (radius 1.5mm) along with the strongest axis (as a
black line) and weakest axis (as a gray line).
Pupil Displays pupil boundary curve. Pupil check box is enable, if pupil edge detection
points are available in the opened map document file.

Save Settings
Selecting “OK” while this check box is ticked records the option setting specified by the option setting
dialog box as a standard setting and allows the option setting to be applied to any report window that
is subsequently opened.

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Image View
The Image View option includes four types of buttons, Map, Image, Overlay, and Side by Side.
Item Description
Map If this button is active color map with pupil center marker will be displayed, every
time user opens map document file. Pupil center marker will appear only for
document files containing pupil detection points.
Image If this button is active eyes’ color map reports will be replaced with its images in
the color map report window. If image is available only for one eye in the opened
document, KRP Viewer will display image only for this eye and color map for the
eye without image.
Overlay This button repeats the same logic as the “Image” button. The difference is that
image is overlaid with color map for each eye which image data is available.
Side by Side The button is enabled only for the document, which was opened from the KRP
Viewer Database and its display format to “Single Map” (Refer to “9.17.5 Color
map Report Data”). Also, eye image data must be available in the database
document.

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 Printing Reports
KRP Viewer allows printing of reports displayed on the screen using a Windows printer. There are 3
menu items related to the print operation in the [File] menu.

Item Description
Print Make a print of the active report window.
Print preview Preview print on the screen.
Print setup Set up the Windows printer.

9.17.7.1 Print Preview Screen

To check how the report will be printed before making a print, choose ”Print preview” from the [File]
menu.

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 Other Features
9.17.8.1 Hiding Tool Bar and Status Bar

It is possible to hide the tool bar and status bar to make more space in the KRP Viewer window. To
hide the tool bar, choose “Toolbar” in the [View] menu. The check mark in front of Toolbar in the pull-
down menu will be erased, and the tool bar will disappear. To hide the status bar, choose “Status Bar”
in the [View] menu. The check mark at the head of “Status Bar” in the pull-down menu will be erased,
and the status bar will disappear. To display these bars again, choose the same menu item, “Toolbar”
or “Status Bar” in the [View] menu again. These menu items work as a toggle to hide and show the
bars.

9.17.8.2 Cascade and Tile

Arrange report windows by choosing “Cascade” or “Tile” in the [Window] menu. “Cascade” arranges all
report windows in an overlapping pattern. “Tile” arranges all report windows in a tile pattern.

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10 Management
Manage patient information, user information, Practices information, Hospital information.

1. Click the [Administration] button of the menu bar.

2. Click the [Management].
3. Displays management menu list.

10.1 Manage Patient information

Click [Administration] – [Management] – [Patients] to move to Manage Patient information screen.
It can manipulate the Patient information and Exam data. This screen depending on the setting of
OCT Study Drive. For detail of the setting OCT Study Drive, please refer to “9.8OCT Study Drive”.

(OCT Study Drive disable)

Query Patient Panel Patient List Panel Manipulate Examination data Panel

Examination data Panel

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 (OCT Study Drive Enable)

Database list

Item Description
Query Patient Panel Conditions are specified and a patient is searched.
And, operating patient data is also performed. Please refer
to”10.1.1Manipulating Patient information” for detail.
Patient List Panel A list of the patient corresponding to a search condition is
displayed.
Examination data Panel A patient's examination data is displayed. Click the thumbnail to
switch the select states “ON/OFF” of exam data. You can select
multiple data at the same time to same patient.
Manipulate Examination Manipulate exam data that is selected at Examination data Panel.
data Panel Please refer to “10.1.2 Manipulating Exam data” for detail.
Database list It is displayed when OCT Study Drive is enabled. The Study Drive
list is displayed.

Manipulating Patient information

Search
Patients can be searched on the patient list screen.
Case of OCT Study Drive is disable:
Input the search conditions and click the [Search] button to search the patient information. For
detail of search conditions, please refer to “9.2SEARCHING A PATIENT”.
Case of OCT Study Drive is enable:
Search patient information in the database selected in the Database list by patient ID. The
patient ID can be searched by prefix search.

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New Patient
New patients can be registered on the patient list screen. To carry out this operation, log in as a user
with a right to register patient information. Please refer to “9.1.1Registering a new patient” for detail of
procedure. Setting items are the following below.

[Basic] tab
Item Description
Patient ID Set Patient ID.
Last Name Set patient’s Last Name.
Middle Name Set patient’s Middle Name
First Name Set patient’s First Name.
Sur Name Prefix Set a surname prefixes for patient.
Initials Set patient’s Initials
Form of address Set a form of address for the patient
Birth Date Set patient’s Birth Date.
Gender Set patient’s Gender.
Chart No Set patient’s Chart No.
Entry Class Set patient’s Entry Class.
Occupation Set patient’s Occupation.
EthnicGroup Set patient’s Ethnic Group. You can select from African, Asian,
Caucasian, Hispanic or Non categorized.
Comment Comment can be entered.

[Address] tab
Item Description
Zipcode Set patient’s Zipcode.
Address1, Address2, Address3, Set patient’s Address.
Address4, Address5
Home Phone Set patient’s Home Phone number.
Work Phone Set patient’s Work Phone number.
Mobile Phone Set patient’s Mobile Phone number.
Fax Set patient’s Fax number.

[Ocular Params] tab

Each item can be set separately for the right and left eyes.
Item Description
Spherical Power Set patient’s Spherical Power.
Cylindrical Set patient’s Cylindrical.
Corneal Radius Set patient’s Corneal Radius.
Axial Length Set patient’s Axial Length.

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[Diagnosis] tab
Sets Diagnosis code. Click Diagnosis code from Diagnosis List, and click the [Add] button to setting.
Set Diagnosis codes are displayed at Registered Diagnosis List. If you want to cancel the setting, click
the Diagnosis code at Registered Diagnosis List, and click [Delete] button.

Registered Diagnosis List

Diagnosis List

[Physicians] tab
Sets patient’s Physicians. Click Physicians from Physicians List, and click the [Add] button to setting.
Set Physicians are displayed at Registered Physicians List. If you want to cancel the setting, click the
Physicians at Registered Physicians List, and click [Delete] button. At the Physicians List, there are
displayed user name that is Professor role or Doctor role.

Registered Physicians List

Physicians List

You cannot set more than 17 physicians in the Registered Physicians List.
NOTE

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[Details] tab
Item Description
Main Language Set patient’s Main Language.
Interpreter Required Set patient’s Interpreter Required.
Religion Set patient’s Religion.
Insurance Company Set insurance company that patient is joining.
Insurance No. Set patient’s Insurance No.
National Identification No. Set patient’s National Identification No.
Status Set patient’s health condition.
Retired Set patient’s retirement status.
Deceased Set if patient is deceased
Deceased date Set deceased date if patient is deceased.
Deceased reason Set deceased reason if patient is deceased.
Hospitals Set patient’ visiting hospital

[Needs] tab
Item Description
Soft lenses Set items corresponding to the patient.
Hard lenses
Glasses
Sun Glasses
Hearing aid
Smoker
Special needs Input patient’s Special needs.

[Contact] tab
Item Description
Name Set patient’s Contact information.
Status
Relation
Home Phone
Work Phone
Mobile Phone
E-mail

[Diabetic Screening] tab

Item Description
Type Set patient’s Diabetic Screening information.
Genetic disposition
Pathology
First diagnosed
Callback date
Suspended
Suspended until
Suspended reason

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[Memo] tab
Register notes about patients. Enter the title and contents of the memo, and click the [Add] button to
register for patient.

Registered memo list

Input memo area

[Add] button

[Hospital] tab
Set up patient's hospital. After selecting the hospital from Input hospital area, you can set it by clicking
[Add]. The set hospital is displayed in the Registered hospital list. Also, after selecting the hospital
from the Registered hospital list, you can cancel the setting by clicking [Delete].
When new patient registration is registered, there is no items in the registered hospital list but the
hospital to which the logged-in user belongs is automatically added as a registered hospital.

Registered hospital list

Hospital list

You cannot set more than 17 hospitals in the Registered hospital list.
NOTE

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[Consent] tab
Set the user who can view the patient. After selecting a user from the user list, you can set it by
clicking [Add]. The set user is displayed in the Registered user list. Also, after selecting a user from the
Registered user list, you can cancel the setting by clicking [Delete].
Only users belonging to the hospital selected from the hospital list are displayed in the user list.

Registered user list

User list

You cannot set 17 or more users in the Registered user list.

NOTE

159
■Patient list display condition
A logged-in user can view patients who meet one of the following conditions, but login users with
administrator rights can view all patients regardless of the following conditions.
1. No hospitals are set on the "Hospital" tab and no users are set on "Consent" tab in "Patient
Information" dialog.
2. The same hospital as the logged-in user is set on the "Hospital" tab and users who belongs to the
hospital are not set on "Consent" tab in "Patient Information" dialog.
3.The logged-in user is set on "Consent" tab in "Patient Information" dialog.

(Example)
(a) Patient Information (b) Login user's hospital
Patient Hospital Login user Login user Hospital
User A User A Hospital 1
Patient a Hospital 1
User B User B Hospital 1
Patient b Hospital 1 User B User C Hospital 2
Patient c Hospital 2 User C User D Hospital 3
Patient d Hospital 2 None
Patient e None None

(c) Patient that can be viewed by logged-in user

Login user Patient

User A Patient a
Patient e
User B Patient a
Patient b
Patient e
User C Patient c
Patient d
Patient e
User D Patient e

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Edit
Edits patient’ information. To carry out this operation, log in as a user with a right to edit patient
information. Please refer to “9.1.2 Editing the patient information” for detail of procedure.

Delete
Deletes patient’s information. To carry out this operation, log in as a user with a right to delete patient
information. Please refer to “9.1.3 Deleting the patient information” for detail of procedure.

Diagnosis List
Displays Diagnosis List. To carry out this operation, log in as a user with a right to display Diagnosis
List. Input Code and Description at Description edit box, and click [add] button, you can register new
Diagnosis code.

Diagnosis List table

Description editbox

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 Manipulating Exam data
When select the exam data at Examination data Panel, you can manipulate exam data at Manipulate
Examination data Panel.

10.1.2.1 Edit

Edits examined eye information of examination data. Click examined eye, and click [Edit] button to edit
examined eye. this manipulation can for only when select image data.

10.1.2.2 Move

Moves examination data to other patient. To carry out this operation, log in as a user with a right to
move data.
1. Click the [Administration] button of the menu bar.
2. Click [Administration] and then patient information.
3. Enter the information of the patient registered to the data to move into the patient information
column.
4. Click the [Search] button.
5. Click a patient in the patient list.
6. Select the data to move.
7. Click the [Move] button.
8. The “Select Patient” dialog will be displayed. Then click the [Search] button to search the
destination patient.
9. Select the destination patient and click the [Move] button.

10.1.2.3 Delete

Deletes examination data. To carry out this operation, log in as a user with a right to delete data.
1. Click the [Administration] button of the menu bar.
2. Click [Administration] and then patient information.
3. Enter the information of the patient registered to the data to delete into the patient information
column.
4. Click the [Search] button.
5. Click a patient in the patient list.
6. Select the data to delete.
7. Click the [Delete] button.
8. Click the [OK] button in the message “Do you delete this data? “.

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 10.1.2.4 Copy

When select OCT data, copy OCT data to OCT Study Drive. When select image data, copy image
data to Data File.
1. Select OCT data or image data that is copy you want from Examination data Panel (Multiple
select is possible).
2. Click the [Copy] button to display Select data base dialog.
3. When copy OCT data, select Database you want to register.
4. Click the [OK] button.

When OCT Study Drive is enable, you can copy OCT data to other Study Drive.
NOTE

10.1.2.5 Anonymize Patient Information

When examination data are copied, the patient information can be anonymized.
You can enable or disable the anonymization with [Anonymize Patient Information] in [Administration]-
[Configuration]-[Option] tab in menu bar.

Item Description
Disable Data are copied without anonymized patient information.
Auto mode Data are copied with anonymized patient information.
Manual mode Patient ID, First name, Last name, Birthdate and Gender can be
edited when patient information is anonymized.

In case of manual mode, a dialog box to edit patient information is shown when data are copied.

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 10.2 Management User information
To carry out this operation, log in as an administrator If you don’t log in as an
NOTE administrator, menu will not display.

Click [Administration] – [Management] – [Users] to move to Manage User information display.

It can manipulate the User information and User role.

Manipulate User Panel User List Panel Manipulate User Roles Panel

Item Description
Manipulate User Panel Manipulates User information. Please refer to
“10.2.1Manipulating User information” for detail.
User List Panel A list of the user corresponding to a search condition is
displayed.
Manipulate User Roles Panel Manipulates User role. Please refer to “10.2.2 Manipulating User
role” for detail.

Manipulating User information

Search
Search User information. If you want to search by User ID, input User ID and click [Search] button.
Click the [Search] button without User ID, displays all user information at User List Panel.

Add
Registers new user information.
1. Click the [Add] button in the user search panel.
2. The “User Information” dialog will be displayed. Then enter the necessary information. The
mandatory items are ID, password, and role name.
3. Click the [Register] button of the “User Information” dialog.

164
Following items can be set on registration.
Item Description
ID Login ID
Password Password to login.
Role Name Select a user role.
Form of address Set user's form of address.
Last Name Set user's last name.
Middle Name Sets user's middle name.
First Name Set user's first name.
Birth Date Set user's date of birth.
Gender Sets user's gender.
Practice Select referral destination.
Hospital Select hospital name.

You cannot use special characters at “User Information”. Special characters are
NOTE “¥ / : \ 'Space' * ? . < > | _ ! # $ % & ’ ”.

Edit
Edits user information.
1. Press the [Search] button in the Manipulate User Panel to search the user to edit.
2. Click the user to edit from the user list.
3. Click the [Edit] button in the user search panel.
4. Edit user information in the displayed “User Information” dialog.
5. Click the [Update] button of the “User Information” dialog.

Delete

You cannot delete any users who are carrying out an operation.
NOTE
Deletes user information.
1. Press the [Search] button in the Manipulate User Panel to search the user to delete.
2. Click the user to edit from the user list.
3. Click the [Delete] button in the user search panel.
4. Click the [OK] button in the message “Do you delete this data?”.

Manipulating User role

Add
Registers new user role.
1. Click the [Add] button of the user role.
2. Enter the role name in the “User Role Information” dialog and check the rights to permit.
3. Click the [Register] button of the “User Role Information” dialog.
The rights to permit are shown below.
Permission Permitted function
Patient - Add Register new patient information.
Patient - Edit Edit patient information.
Patient - Delete Delete patient information.
Patient - Diagnosis Register and edit patient’s Diagnosis code.
Patient - Diagnosis List Register new Diagnosis code, and edit Diagnosis code.

165
 Permission Permitted function
Exam – Acquisition [Acquisition] button of the menu bar.
Exam - Add Data [Add Data] button of the menu bar.
Exam – Move/Edit Move and Edit examination data.
Exam - Delete Delete examination data.
Exam/Patient - Comment - Edit Edit comment.
Exam - Print Print function.
Exam – Export Export OCT data and OCT report.
Administration Manage User information. [Administration] button of the menu bar.

Edit
Edit user role name and permission.
1. Click role name in the Manipulate User Roles Panel.
2. Click the [Edit] button to display User Role Information dialog.
3. Edit role name and permission, and click the [Update] button.

Delete

If delete the "Professor" or "Doctor" user roles, it makes impossible for the
NOTE Physicians properly. Please be careful not to delete.

Deletes user role.

1. Click role name in the Manipulate User Roles Panel.
2. Click the [Delete] button.
3. Click the [OK] button in the message “You’re trying to remove. Are you sure?”.

10.3 Management Practices information

Click [Administration] – [Management] – [Practices] to move to Manage Practices information display.
It can manipulate the Practices information.

Manipulate Practices Panel Practices List Panel

166
 Manipulating Practices information

Search
Search Practices information. If you want to search by Practices Name, input Practices Name and
click [Search] button. Click the [Search] button without Practices Name, displays all Practices
information at Practices List Panel.

Add
Registers new Practices information.
1. Click the [Add] button in the Practices search panel.
2. The “Practices Information” dialog will be displayed. Then enter the necessary information.
3. Click the [Register] button of the “Practices Information” dialog.

Edit
Edits Practices information.
1. Press the [Search] button in the Manipulate Practices Panel to search the Practices to edit.
2. Click the Practices to edit from the Practices list.
3. Click the [Edit] button in the Practices search panel.
4. Edit Practices information in the displayed “Practices Information” dialog.
5. Click the [Update] button of the “Practices Information” dialog.

Delete

You cannot delete any Practices that is set to any user.

NOTE
Deletes Practices information.
1. Press the [Search] button in the Manipulate Practices Panel to search the Practices to delete.
2. Click the Practices to edit from the Practices list.
3. Click the [Delete] button in the Practices search panel.

10.4 Management Hospital information

Click [Administration] – [Management] – [Hospitals] to move to Manage Hospital information display.
It can manipulate the Hospital information.

Manipulate Hospital Panel Hospital List Panel

167
 Manipulating Hospital information

Search
Search Hospital information. If you want to search by Hospital Name, input Hospital Name and click
[Search] button. Click the [Search] button without Hospital Name, displays all Hospital information at
Hospital List Panel.

Add
Registers new Hospital information.
1. Click the [Add] button in the Hospital search panel.
2. The “Hospital Information” dialog will be displayed. Then enter the necessary information.
3. Click the [Register] button of the “Hospital Information” dialog.

Edit
Edits Hospital information.
1. Press the [Search] button in the Manipulate Hospital Panel to search the Hospital to edit.
2. Click the Hospital to edit from the Hospital list.
3. Click the [Edit] button in the Hospital search panel.
4. Edit Hospital information in the displayed “Hospital Information” dialog.
5. Click the [Update] button of the “Hospital Information” dialog.

Delete

You cannot delete any Hospital that is set to any user.

NOTE
Deletes Hospital information.
1. Press the [Search] button in the Manipulate Hospital Panel to search the Hospital to delete.
2. Click the Hospital to edit from the Hospital list.
3. Click the [Delete] button in the Hospital search panel.

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11 Configuration
To do setting work, be sure to log in as an administrator. Otherwise, the setting menus
NOTE are not displayed.

Perform a setting of IMAGEnet6. There are [System configuration] and [User configuration] in the
setting for IMAGEnet 6. [User configuration] can set up some items in [System configuration] for every
user.
If Items has both [User configuration] and [System configuration], [User configuration] is prioritized.

[System configuration] The display method of the menu is as follows;

1. Click the [Administration] button of the menu bar.
2. Click the [Configuration].

[User configuration] The display method of the menu is as follows;

1. Click the [Administration] button of the menu bar.
2. Click the [User configuration]

[System configuration] The menu contains the following items. For more information please refer to
the following chapters.
Item Description
[Common] tab Settings regarding general operations while using the device
[Location] tab Settings of the locations to save data
[OCT] tab Settings regarding OCT data
[OCT (Export)] tab Settings regarding the export of OCT data
[Print] tab Settings of the print function
[DICOM] tab Settings regarding DICOM Worklist and Storage.
[Option] tab Settings regarding optional functions

[User configuration] The menu contains the following items. [System configuration] The item with the
★ can be set up by the menu. For more information please refer to the following chapters.
Item Description
[Common] tab Settings regarding general operation at the time of use
[OCT] tab Settings regarding OCT data.

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 11.1 Common
These are settings regarding general operations while using the device. Select each selection item.
Item Description Options Default
Default Language Language selected by English English
default 日本語
★
Thumbnail Size Size of the image Small Large
displayed in Medium
Thumbnail View Large
★
Click Mode Click operation when Double Click Double Click
switching the screen Single Click*1
from Thumbnail View
to Single View
OCT Operation Mode★ Mouse operation Normal Normal
mode in OCT View Fastmap
Date Format Format of the data yyyy/mm/dd yyyy/mm/dd
used for display and mm/dd/yyyy
file names of export dd/mm/yyyy
yyyy：Year, 4-digit
figure
mm：Month, 2-digit
figure
dd：Day, 2-digit figure
Export Image Format Format of the image to Jpeg Jpeg
be exported PNG
TIFF
Export File Name File name of the Refer to “11.1.1 ・Selection item
image to be exported How to set file name“ ID
Create Date
Create Time
Procedure
R/L
・Separator ＿
・Digits of sequence
number 3
Export Destination Location setting of the Browser*2 Brower
image to be exported Server
Patient Information Patient information Normal Normal
Display Size display size of Patient Large
information panel.
Limit special Selection of whether Enable Enable
characters in Patient to disable entry of Disable
ID*3 special characters into
the patient ID
Procedure Name Procedure name used ― Multi：Binder (“Fixed”
when saving the data is enabled)
of Multi View*4
Synchronize Patient To override the patient Disable Enable
Information*5 information when it is Enable
linked launching from
external software.
Registering patients at Choose whether When connected, When connected,
time of connection patient information is patient info is not patient info is not
necessary when necessary necessary
connected When connected,
patient info is
necessary

170
 Item Description Options Default
Patient ID Zero-fill Can choose number of Not active Not active
digits of the patient ID, Active (digits: 1-40)
if active can set 1~40
digits
Work List ID Zero-fill Can choose work list Not active Not active
ID padding length, if Active (digits: 1-40)
active can set 1~40
digits
*1 If single-click is selected, the operation for multiple selection is [Ctrl] + click.
*2 If browser is selected, it is the operation for download of the browser in use. With this setting, the export function in
Thumbnail View is disabled.
*3 The special characters which are prohibited to be entered are ““¥ / : \ 'Space' * ? . < > | _ ! # $ % &”.
*4 If “Fixed” is checked, you cannot change the procedure name when saving data. Use the setting value for saving data.
*5 If “Enable” is checked, Patient ID, Last Name, First Name, Gender, Birth Date and Ethnic Group are overwritten.

How to set file name

Set the file name of the file to be exported. The file name is composed of the setting items separated
by separators in order from above followed by the set number of digits of a serial number. The
extension of the file name is the one set in the settings of the export image format.
Selection item Setting item

Item Description
Selection item List of items available as a file name.
[Add]button Moves the selected selectable item to the setting item column.
[Delete]button Move the selected setting item to the selectable item column.
Setting item List of items to be used as a file name.
[Up]button Moves the selected setting item to the next upper position.
[Down]button Moves the selected setting item to the next lower position.
Separator Delimiter between setting items.
Digits of sequence Last number of the file name. If this is set to 1, a number from 0 to 9 is
number attached to the file name.

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 11.2 Location
These are setting of the locations to save data. Enter the destination folder path. All items except OCT
archive data and KR-1W cache data are mandatory.
Item Description
Image Location to save images
Thumbnail Location to save thumbnail images
OCT Data Location to save OCT data
OCT Data Cache Location to save cache data of OCT data
OCT Data Archive Location to save archive data of OCT data
Up to 16 locations can be set
KR1W Data Cache Location to save cache data used for display of wave-front analyzer data
Data file Export Export location for Datafile. Refer to “9.15 Data File”
OCT Study Drive Location for Study Drive. Refer to “9.8 OCT Study Drive”.

For the location to save data, specify a hard drive with sufficient space.
NOTE

11.3 OCT
These are settings regarding the display of OCT data. Select each selection item.
Item Description Options Default
B-Scan Scale Scale of B-Scan ・Retina ・Retina
1:1 1:2
1:2 ・Anterior
1:3 1:1
1:4
・Anterior
1:1
B-Scan Default Default display color BW BW
Color of B-Scan Color
Reverse
Bscan to Grid B-Scan image to Auto Auto
Display Height Ratio Grid Display Height 3:1
Ratio 4:1
Circle Direction Display direction of N-S-T-I-N N-S-T-I-N
the B-Scan image of T-S-N-I-T
Circle scan
Normative Color Setting of the ・3D Disc / 3D Macula / Transparent/Yellow/Red
normative color 3D Wide / 3D Wide(V)
display color of Transparent/Yellow/Red
Super Pixel of grid Green/Yellow/Red
display
Normative Default Setting of the race in Global Global
Ethnic Group normative color Asian
display for patients
with no race set

172
 Item Description Options Default
Limit Trend data Setting of IQ value ― 30
- IQ to which the data
displayed by a trend
view is restricted.
* The data below the
value which IQ value
set up is no longer
displayed on a trend
view.
Limit Trend data A set up of a display Latest only Latest only
- Limit data in a day in case there is more All
than 1 data taken
photo with the trend
view on the same
day.
Trend Default Initial setting of the Color Color
Fundus*1 image display to a Red-free
result image area by
trend view
Trend Initial setting of the ・Overlay 1/2 ・Overlay 1
Overlay/Graph overlaid images and None RNFL-4
Default Value the graphs in the RNFL-4 ・Overlay 2
3D Disc*1 Trend View RNFL-12 Thickness Map
SP-200 ・Graph 1
Thickness Map cpRNFL / Average
・Graph 1/2 ・Graph 2
(Left items) cpRNFL / Average
cpRNFL
Subjective
IOP
(Right item)
Average
Detail
Detail2
Trend Initial setting of the ・Overlay 1/2 ・Overlay 1
Overlay/Graph overlaid images and None ETDRS
Default Value the graphs in the ETDRS-6 ・Overlay 2
3D Macula*1 Trend View ETDRS Thickness Map
SP-200 ・Graph 1
SP-600 Retina / Average
Thickness Map ・Graph 2
・Graph 1/2 Retina / Average
(Left items)
RNFL
Retina
GCL++
GCL+
Subjective
IOP
(Right item)
Average
Detail

173
 Item Description Options Default
Trend Initial setting of the ・Overlay 1/2 ・Overlay 1
Overlay/Graph overlaid images and None SP-600
Default Value the graphs in the SP-200 ・Overlay 2
3D Macula(V) *1 Trend View SP-600 Thickness Map
Thickness Map ・Graph 1
・Graph 1/2 RNFL / Average
(Left items) ・Graph 2
RNFL RNFL / Average
Retina
GCL++
GCL+
Subjective
IOP
(Right item)
Average
Detail
Trend Initial setting of the ・Overlay 1/2 ・Overlay 1
Overlay/Graph overlaid images and None None
Default Value the graphs in the RNFL-4 ・Overlay 2
3D Wide*1 Trend View RNFL-12 Thickness Map
SP-200 ・Graph 1
Thickness Map cpRNFL / Average
・Graph 1/2 ・Graph 2
(Left items) cpRNFL / Ave
cpRNFL
RNFL
Retina
GCL++
GCL+
Subjective
IOP
(Right item)
Average
Detail
Detail2
Trend Initial setting of the ・Overlay 1/2 ・Overlay 1
Overlay/Graph overlaid images and None RNFL-4
Default Value the graphs in the RNFL-4 ・Overlay 2
3D Wide(V) *1 Trend View RNFL-12 Thickness Map
SP-200 ・Graph 1
Thickness Map cpRNFL / Average
・Graph 1/2 ・Graph 2
(Left items) cpRNFL / Average
cpRNFL
RNFL
Retina
GCL++
GCL+
Subjective
IOP
(Right item)
Average
Detail
Detail2

174
 Item Description Options Default
Trend Graph Y range setting of ―（Unitμm） 100
- Y range the graph displayed
with a trend view.
*Exclude
IOP/Subjective.
Trend Initial setting of the ・Overlay 1/2 ・Overlay 1
Overlay/Graph overlaid images and None RNFL-4
Default Value the graphs in the RNFL-4 ・Overlay 2
Circle*1 Trend View RNFL-12 RNFL-12
・Graph 1/2 Thickness Map
(Left items) ・Graph 1
cpRNFL cpRNFL / Average
Subjective ・Graph 2
IOP cpRNFL / Average
(Right item)
Average
Detail
Detail2
Grid (Single View) Initial setting for grid ・RNFL ・RNFL
display in Single 4 12
View 6 ・ETDRS
12
ETDRS
・ETDRS ・SuperPixel(3D
ETDRS
ETDRS-6
Macula)
600
・SuperPixel(3D
Macula)
200
600
Grid (Other View) Initial setting for grid ・3D Disc ・3D Disc
display in other than SP200 RNFL-12
Single View RNFL-4 ・3D Macula
RNFL-6
ETDRS
RNFL-12
・3D Macula(V)
・3D Macula
SP200
SP600
SP600 ・3D Wide
ETDRS-6 RNFL-12
ETDRS ・3D Wide(V)
・3D Macula(V) ETDRS
SP200
SP600
ETDRS-6
ETDRS
・3D Wide
SP200
SP600
RNFL-4
RNFL-6
RNFL-12
ETDRS
ETDRS-6
・3D Wide(V)
SP200
SP600
RNFL-4
RNFL-6
RNFL-12
ETDRS
ETDRS-6

175
 Item Description Options Default
Report Default Initial setting for ・3D Wide ・3D Wide
Display report formats for Standard Report Standard Report
the scan patterns Glaucoma Report ・3D Macula
whose report Hood Report
Retina Report
formats are ・3D Macula ・Others
selectable Retina Report
GCL Report Standard Report
In the case of 3D ・Others
Wide (H) in 3D OCT- Standard Report
1 (Type: Maestro 2), Evenly Report
only the Hood
Report is displayed
regardless of which
3D Wide is selected.
3D Wide/Wide(V) Initial setting of the Macula Macula
Report default slice position of B- Center
position Scan displayed by
Standard Report of
Wide/Wide(V)
* When a report is
created in the state
where it is indicating
by volume 2D with
the single view, the
slice currently
displayed with the
single view is
displayed.
Bscan Image Setting for data Jpeg Jpeg
Format format of B-Scan PNG
image
Report Image Setting for data Jpeg Jpeg
Format format of Report PNG
image TIFF
PDF
Bscan Default Setting for initial Disable Disable
Moving Average condition of B-Scan Enable
image: whether
moving average
process is
performed or not
Disc Topo Initial setting for Disc ・Reference plane height ・Reference plane
Topo 120 μm (Default) 120 μm (Default)
60 μm ・Notation method
90 μm
Simple mode
Custom
・Notation method
Simple mode
Detail mode

176
 Item Description Options Default
Angiography Layout setting for ・View (3 - 6mm) ・View (3 - 6mm)
displaying OCT Standard View Standard View
Angiography data Wide View
・View (9mm - ) ・View (9mm -)
Standard View Wide View
Wide View
Layout setting for ・Report (Wide View) ・Report (Wide View)
OCT Angiography Wide Report Wide Report
report Angio/En-face Report
Sets priority of Full Macula Full Macula
image area in the Superficial
OCT-A Mosaic
function
Auto Follow-Up Setting of whether to Disable Disable
display display Enable
automatically, when
displaying a data
corresponding to
Follow-Up
*1 An item specified last time in the view takes priority over the one specified in the configuration.

177
 11.4 OCT (Export)
These are settings regarding the export of OCT data.
Select each selection item.
Item Description Options Default
Action Action when the [Export] button Save on Save on DB
of the toolbar is pressed DB*1
Export
Procedure Name Procedure name at the time of ― Screen Shot：
export ScreenShot
Fundus(Upper)：
Fundus(Upper)
Fundus(Lower)：
Fundus(Lower)
Fundus (Color)：Color
Fundus (FAF)：FAF
Fundus (Red-free)：
Red-free
Fundus (IR)：IR
B-Scan：B-Scan
Volume 3D：Volume3D
En-face：En-face
Angiography：Angio
Projection：Projection
Thickness Map：
ThicknessMap
Density Map：
DensityMap
Angio B：Angio B-Scan
Report：OCTReport
Capture Preview - Report created automatically. Enable Disable
Report (Auto Export) Disable
Capture Preview The kind of automatic creation Standard Standard Report：
- Report (Auto report to 3D wide scan data. Report Unselected
Export) Glaucoma Glaucoma Report：
- 3D Wide In the case of 3D Wide (H) in Report Unselected
3D OCT-1 (Type: Maestro 2), Hood Report Hood Report：
only the Hood Report is Unselected
displayed regardless of which
3D Wide is selected.
Capture Preview The kind of automatic creation Retina Retina Report：
- Report (Auto report to 3D macula scan data. Report Unselected
Export) GCL Report GCL Report：
- 3D Macula Unselected
Capture Preview The kind of automatic creation Standard Standard Report：
- Report (Auto report to 5 LineCross and Report Unselected
Export) Radial scan data. Evenly Evenly Report：
- 5LineCross/ Radial Report Unselected
Capture Preview Automatic creation setting at Enable Disable
- Fundus (Auto fundus photography. Disable
Export)
Capture Preview Save report operation. Save on DB Save on DB
- Action Export
*1 The "Save on DB" function cannot be used when OCT Study Drive is enabled.

178
 11.5 Print
These are settings for print. Nothing is set by default. Set the items if you want to print them.
Item Description Options Default
Hospital Name Hospital name ―
Hospital Address Hospital address ―
Print Template Select examination type Refer to “11.5.1 Print
to print examination data template settings”
with print template.

Print template settings

Select the inspection to be printed when using the print template. Images, objective data, subjective
data, IOP, and values of lens meter can be printed. A printing area is divided into 7 blocks in a
lengthwise direction, and the printing target is determined by applying the decided number of blocks
beforehand every inspection. Can set up to 7 blocks for set up items and print according to the list
order.
Up to three print templates can be set.

2 Blocks

1 Block

179
 Selectable items [Reference] button Selected items

Item Description
Print template The printing template name can be set up.
Logo Image*1 The template logo image is displayed.
[Reference] button The referential target of a template logo image is designated.
Selectable items Examination type list used as print objects. The number in the
bracket () in the item name means a number of blocks used for print
area.
[Add] button Move the selected item in the selectable list to the selected list
[Delete] button Move the selected item in the selected list to the selectable list
Selected items Item list used as print objects. The number in the bracket () in the
item name means a number of blocks used for print area.
[Up] button Move up the selected item
[Down] button Move down the selected item
*1 If the aspect ratio of the logo image is larger than 1:7, the logo image may lose its shape.

11.6 DICOM
Setting related to DICOM. Set up to use work list function and storage function.

Work list
Set up to use work list
Item Description Options Default
Server AE title Set up AE title of the ―
work list server.
Server IP address Set up IP address of the ―
work list server.
Server Port number Set up Port number of ―
the work list server
Client AE title Set up AE title of the ―
IMAGEnet6.
Time out (sec) Set up the time to wait (The value of 15 to 15
for a reply from a work 120 can be set up)
list server.

180
 Item Description Options Default
Default Set up the default value ―
- Modality of the retrieval items
“Modality” of patient’s
work list tab.
Empty, if unnecessary.
Default Set up the default value ―
- Scheduled Station of the retrieval items
AE Title “Scheduled Station AE
Title” of patient’s work list
tab.
Empty, if unnecessary.
Default Set up the default value ―
- Requested of the retrieval items
Procedure ID “Requested Procedure
ID” of patient’s work list
tab.
Empty, if unnecessary.
Default Set up the default value ―
- Requesting Service of the retrieval items
“Requesting Service” of
patient’s work list tab.
Empty, if unnecessary.
Label name Indicate on the 2nd row of ― Scheduled
- Scheduled work list. “Scheduled Procedure Step
Procedure Step Procedure Step Description
Description(0004, Description(0004, 0007)”
0007) Set up the column name
of a tag. A sequence will
be un-displayed if it sets
up empty.
Verification Work list server and ―
communication
confirmation are
performed.

Storage
Set up to use storage.
Item Description Options Default
Server AE title Set up the AE title of ―
storage server.
Server IP address Set up the IP address of ―
storage server.
Server Port Set up the Port number ―
number of storage server.
Client AE title Set up AE title of ―
IMAGEnet6.
Client port Set up the Port number ―
number of IMAGEnet6.
Max PDU size Set up the maximum (The value of 4096 to 16384
(byte) PDU size. 131072 can be set up)
Transfer syntax Set up the transfer Implicit VR Little Endian Explicit VR Little Endian
syntax. Explicit VR Little Endian
JPEG Baseline Lossy
Compression
Time out (sec) Set up the time to wait for The value of 15 to 120 15
a reply from storage can be set up.
server.

181
 Item Description Options Default
Manufacture (0008,0070) Set up the ―
name value registered with a
tag.
Institution name (0008,0080) Set up the ―
value registered with a
tag.
Station name (0008,1010) Set up the ―
value registered with a
tag.
Institutional (0008.1040) Set up the ―
department name value registered with a
tag.
Study description (0008,1030) Set up the ―
value registered with a
tag.
OCT data storage Set up the IOD when OP+OPT: The storage OP+OPT
type storage of OCT data. of the fundus image to
OP and OCT to OPT.
SC: The storage of the
fundus image to SC.
* (Alias) When storage
in SC, set up the value
registered into
Modality(0008,0060)
tag.
B-Scan Scale When DICOM storage Original Original
- Retina setting, the ratio of the B- 1:1
scan image is changed 1:2
according to the set ratio 1:3
and DICOM Storage is 1:4
executed.
DICOM Auto When fundus Disable Enable
Storage photography is Enable
performed by OCT
Grabber and an image is
saved, it set up whether
a storage is carried out
automatically.
Convert Set up whether it Disable Disable
Japanese Patient corresponds to Japanese Enable
Name patient’s name.
Use Enable except for
Japanese language
environment.
Convert Series Set up the rule which ― COLOR: Fundus color,
Description changes a procedure fundus image color,
name into the value fundus photography,
registered into a Series and Color.
Description (0008, 103E) REDFREE: Red free,
tag. A procedure name to red free image, red free
change into the value of photography, Redfree,
COLOR, REDFREE, and Red-free.
RED, BLUE, FA, ICG, RED: Red, red image,
OCT, and SLIT is set up red photography, and
by a comma. Red.
BLUE: Blue, blue
image, blue
photography, and Blue.
FA: fluorescent fundus,

182
 Item Description Options Default
fluorescent fundus
photography, FA, FAG,
and Fluorescein.
ICG: ICG, ICG image,
and ICG photography.
OCT: OCT, OCT
image, B-Scan, and B-
scan image.
SLIT: slit, slit lamp, slit
image, Slit, Slit lamp,
and Slit-lamp.
Convert Series Handling of other than No convert: A Convert description
Description the procedure name set procedure name is
- OTHER up above. registered as it is.
Convert description:
Change to set up
value.

11.7 Option
These are settings regarding the display of OCT data. Select each selection item.
Item Description Options Default
ReAnalyze Usage of the re- Disable Disable
analysis function Enable
SP Custom Setting for each grid RNFL
range of SP Custom grid Retina
GCL++
GCL+
CSI
NHS ID Limitation When you register or Disable Disable
update the patient Enable
information, this
function checks that
patient ID conform to
the format of NHS
(National Health
Service).
Anonymize Patient When you register or Disable Disable
Information update the OCT data to Auto mode
Study Drive, this Manual mode
function deletes the
patient information
(patient name,
address, call number).
Visual Acuity Setting the Visual Snellen 6/6 Decimal
acuity unit displayed on Snellen 20/20
Visits Information Decimal
screen. LogMAR
Patient Default Tab Setting the initial Basic Basic
display tab on the Advance (“Save last select tab”
patient list screen. *2 Worklist*1 is disabled)
Patient Select at Setting of the timing Select Patient after Select Patient after
Capture from which a patient is capture capture：Unselected
selected at the time of
photography.
*1 If there is no DICOM worklist setting, the Worklist tab is not displayed, the basic tab is displayed.
*2 If "Save last select tab" is enabled, the last selected tab will be displayed.

183
12 MAINTENANCE
Before the capacity of the hard disk reaches the maximum limit, you must transfer to a hard disk that is
larger capacity.
To do a backup of the data, you can use the archive functions.

Be sure to login with administrator privileges when performing maintenance work.

NOTE

12.1 Install the Archive Tool

To use the archive tool, it needs to install. Follow these steps to install.

1. Set the installation disk to the computer.

2. Run Tools\ArchiveTool\setup.exe in the installation disk.

3. Click [Next] button on the setup screen.

4. Enter the user information, click [Next] button.

184
5. After checking the displayed content, click [Next] button.

6. Click [Install] button. Start the installation.

7. Finish the installation. Click [Finish] button.

185
 12.2 Run the Archive tool
Run [Start]-[All Programs]-[TOPCON]-[IMAGEnet 6 Archive Tools]-[DBArchive]. Set up and click
[Archive Start] button.

Target database

Image data settings

OCT data settings

Progress status

[Archive Start] button

Schedule setting

Item Description
Target database Set the archive target database.
Image data settings Set if you run for image data.
OCT data settings Set if you run for OCT data.
Progress status Display status of progress, after clicking [Archive Start] button. You
can cancel the process if you click [Cancel] button.
[Archive Start] button Start the archive in the set content.
Schedule setting Set if you want to run the archive repeatedly.

Target database
Enter the information for the database to run the archive.
Item Description
Server Name Enter the connecting server name.
Database Name Enter the database name for archiving.
Login User Enter the user name for the database. Use to login user with
administrator privileges.
Password Enter the login password for the database.

186
Image data settings
Settings for archiving the image data . Set if you run for image data.
The data of Wave-Front Analyzer is archived as the image data.
Item Description
[Excuse] Put a check to archiving the image data.
Archive Folder Enter the folder name for saving the archived data.
Archiving image data use twice capacity of data that will be copied.
Needs to set hard disk with enough free space.
Archive Size Set the value as the maximum size of folder for saving data. Create a
folder under [Archive Folder] using [Archive Size].
Minimum size is 0.6GB.

OCT data settings

Settings for archiving the OCT data . Set if you run for OCT data.
Item Description
[Excuse] Put a check to archiving the OCT data.
Archive Folder Enter the folder name for saving the archived data.
Needs to set hard disk with enough free space.
Archive Size Set the value as the maximum size of folder for saving data. Create a
folder under [Archive Folder] using [Archive Size].
Minimum size is 0.6GB.

Set the folder name for saving the archived data to [OCT Data Archive] of the
NOTE location on the configuration. If you don't set, cannot display the archived data.

Progress status
Display the status for archiving image data and OCT data.
When you click each [cancel] button, cancel process.
When you click [Archive Start ] button, display the number of target data. Progress bar go from left to
right, display the number of processed data.

Progress bar Number of processed data [Cancel] button

数
Number of target data
Schedule settings
Settings for keeping the archive on a schedule. Set if you want to run the archive repeatedly.
Item Description
Day of the week Select the day of the week for archiving.
Start time Set the start time for archiving.
Duration Set the processing time for archiving. After starting the process, run
only the set time.
[Scheduler Start] button Start the process according to the schedule.
[Cancel] button Cancel the process performed on the schedule.

187
13 BEFORE REQUESTING SERVICE
Please try the operation according to the contents if the following message is displayed during the
operation.

Message Contents
The user name or password is User name or password is incorrect. Please try to log in to
incorrect. confirm.
The license limit has been Login number of users has reached the number of licenses.
reached. Please check the usage status.
The trial period has expired. The trial period has expired. Activate your license according
to the installation procedure.
Failed to connect the database. Failed to connect the database. Please check the database
setting.
Select patient You have performed an operation without selecting a
patient. Select a patient from the patient list, please perform
the operation again.
The following characters cannot be The characters available for patient registration are limited.
used in Patient ID：”¥ / : \ 'Space' The displayed characters cannot be used. Only one-byte
*?.<>|_!#$%& characters are limited and two-byte characters can be used
without limitation.
Input all items This message may be displayed when you attempt to
update the settings. The setting screen with some items not
entered will open. Then enter the setting values and update
again.

14 SPECIFICATIONS AND PERFORMANCE

14.1 Product Requirements
To operate IMAGEnet 6, the following software programs and hardware devices are required. If you
want to use in stand-alone, please use the same specs as the server. If you use this software in client-
server configuration, please be sure to use the operating system (hereinafter referred to as OS) for the
server.

• When there is high patient volume, use a database server of Standard edition
or later.
NOTE • When you use the Volume3D function, please use Google Chrome exclusively.
• Use a PC which conforms to UL 60950/UL 60950-1 or IEC 60950/IEC 60950-
1.
• Check the system requirements for the OS you have installed.
• OCT Angiography takes time to display because the data size is large.
When using OCT Angiography, please use a client PC equipped with 64bit OS
and 4GB or more of memory.
• If there is a problem such as overlap in display, please adjust the display
condition by adjusting the display magnification.

188
 Software
• Microsoft Windows Server 2012 R2 Standard 64bit
Server
• Microsoft Windows Server 2016 Standard 64bit
Either of the following is required:
• Microsoft Windows 7 Professional 32bit
Operating
• Microsoft Windows 7 Professional 64bit
System
Client • Microsoft Windows 8.1 Pro 32bit
• Microsoft Windows 8.1 Pro 64bit
• Microsoft Windows 10 Pro 32bit
• Microsoft Windows 10 Pro 64bit
• One of editions of “Microsoft SQL Server 2012(Enterprise,
Standard, Express)”
• One of editions of “Microsoft SQL Server 2014(Enterprise,
Database
Standard, Express)”
• One of editions of “Microsoft SQL Server 2016(Enterprise,
Standard, Express)”
Either of the following is required:
Web Browser • Internet Explorer 11
• Google Chrome 43.0 –75.0.3770.142*1*2*3
*1 When use ver.50.0.2661.75~50.0.2661.87, OCT data may not display. Please use with version up.
*2 OCT Angiography might be displayed slowly when using earlier than Ver. 60.0.3112.78
*3 It may not work properly except to the above version.

Hardware

 Client (Minimum specs)

CPU Intel Core2Duo E6600 4MB L2 2.4GHz 1066MHz FSB, or faster
Memory(RAM) At least 1Gbyte of RAM. (2Gbyte or more recommended.)
Personal
Computer Other When you use the Volume3D, need the Graphic board that
supports OpenGL 4.3 and WebGL. (Intel HD Graphics 4400 or
later)
Monitor • Minimum 1280×1024dots, full-color display.
(1520×1024 dots or higher is recommended when viewing
OCT Angiography)
• The DPI setting of the display has to be “Normal size”.
 Server
CPU Intel Xeon E3-1270v2 (3.5 GHz, 8MB cash, 4Core), or faster
Personal
Memory(RAM) At least 16Gbyte of RAM.
Computer
Hard Disk At least 2Tbyte (RAID recommendations)
Monitor • Minimum 1280×1024 dots, full-color display.
• The DPI setting of the display has to be “Normal size”.

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15 Appendix
Example of OCT Angiography Image
This chapter shows tips for getting good OCT Angiography image. Here, a good OCT Angiography
image means an OCT image has high Image Quality and image intensity is uniform in the whole
image.
Especially, since the numerical value of the blood vessel density is calculated based on the image
quality of the OCT Angiography image, deterioration of the image quality greatly affects the reliability
and reproducibility of the numerical value of the blood vessel density.
The followings show examples of OCT Angiography image as reference for actual capture.

Good image example

・High Image Quality and uniform image intensity.

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 Insufficient image example
・Low Image Quality

・Decreasing a part of image intensity.

191
・Eye movements are large during capture, motion artifacts can be seen, and discontinuities of blood
vessels in OCT Angiography image can be seen.

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Please provide the following information when contacting us regarding questions about this software:
• Model Name: IMAGEnet 6
• Serial No.: This is printed on the installation disk.
• Period of use: Please inform us of the date of purchase.
• Defective condition: Please provide us with as much detail as possible on the problem.

Ophthalmic Data System

IMAGEnet 6
Version 1.26
User Manual
Rev.14 2019-09-17

Published by TOPCON CORPORATION

75-1 Hasunuma-cho, Itabashi-ku, Tokyo, 174-8580 Japan.
Ophthalmic Data System

IMAGEnet 6

1026815-01-C