IMAGEnet R4 – Basic use

IMAGEnet R4 – Overview

• IMAGEnet R4 is a completely renovated version of

the IMAGEnet Imaging System that made Topcon the
leader in ophthalmic imaging
IMAGEnet R4 – Basic Use

• In this course we will learn about the

functioning of IMAGEnet R4 from the users’
standpoint.
IMAGEnet R4 – Basic Use

• Overview
• Registering a patient
• Capturing images
• Saving images to the database
• Retrieving images from the database
• Measuring and enhancing images
• Printing
IMAGEnet R4 – Overview

• It comprises a number of advancements that

add flexibility to its use and makes the
capture of ophthalmic images more intuitive,
faster and easier than ever before.
IMAGEnet R4 – Overview

• IMAGEnet R4 most distinctive features are:

 Many of the robust features and functions of the

legacy IMAGEnet system
 Re designed screens for better image viewing and
management
 Built for new PC operating systems
 Increased flexibility for third party application
software-i2K Retina
IMAGEnet R4 – Overview New features

 Ez Compare function
 Capability of splitting the screen for simultaneous
observation of two studies
 Advanced query function
 Binder function allows grouping of favorite images
 Automatic recognition of capture mode
IMAGEnet R4 – Features

• The re-designed
screen can be
customized to
place information
and capture
windows in different
configurations for
operator’s
convenience
IMAGEnet R4 – Features

• The automatic capture

recognition changes
the capture window
and the capture sensor
configuration
depending on the
mode selected in the
capture device.

No further adjustment is required from the operator

IMAGEnet R4 – Features

• The patient data

chart has three
different tabs with
extensive
information on the
patient, referring
physician and
diagnosis
IMAGEnet R4 – Features

• Two studies can be

observed
simultaneously with
the split window
feature. This function
can show the screens
side by side or in a tile
mode.
IMAGEnet R4 – Features

• The patient query

window is easy to
access at any point
and the fields are clear
and easy to
understand
IMAGEnet R4 – Features

• The Exam Property

shows all the data
pertaining to the study
and is available by
clicking the
corresponding tab
IMAGEnet R4 – Features
• When sorting out
studies the Exam Filter
function allows doing
so by date, by study or
by selecting from a
chronological list by
date of entry
 IMAGEnet R4 – Features
• A new function, the
“Binder” allows
grouping selected
images or studies for
different purposes and
keeps them easily
available without
searching into the
patient’s files.
This is particularly useful when preparing lectures, referring a
consultation or preparing a comprehensive report.
 IMAGEnet R4 – Capturing
Registering a patient
• In order to capture an image you must first register the
patient
• In the main R4 window, select “Patient” and then,
“Register Patient”
IMAGEnet R4 – Capturing

A registration chart will

display
The registration chart
has three tabs:
• Patient
• Physician
• Diagnosis
IMAGEnet R4 – Capturing

Physician registration
• This function allows
entering the name of the
doctor who is treating
the patient or the doctor
who referred the patient.
–It has to be addressed
in configuration-
IMAGEnet R4 – Capturing

Diagnosis
• To enter a diagnosis, click on
“Diagnosis List” and annotate
the information on the
pertinent fields.
• Click on “Register” and the
diagnosis will be annotated
on the patient’s folder.
IMAGEnet R4 – Capturing

Capturing Images
• Select the patient from
the patient list
• Select the desired
capture device in the
Exam list
• Select the proper knob
configuration for the
study in the retinal
camera
IMAGEnet R4 – Capturing

• The system
automatically will set the
flash intensity
recommended for the
test and label the
images accordingly. The
flash intensity can be
further adjusted
manually if needed
 IMAGEnet R4 – Capturing

• The capture screen will

clearly display the patient’s
name, the procedure,
quantity of images
captured and if timer is in
use, the elapsed time.

Several capture windows can be opened and toggled by clicking on

the respective name on the Capture Session List
 IMAGEnet R4 – Saving Images

Saving Images to Database

Unlike IMAGEnet 2000, R4 does not
have a selection of hard disk and
archive disk.
All images are saved in the main
database without the array division
used before.
In the R4 configuration selections can be
made to allow for data editing, format
and folder size
IMAGEnet R4 – Retrieval

Retrieving Images
• To retrieve images go
to Patient in the
toolbar and click on
Select Patient, or
click on the Select
Patient icon in the
task bar on the left
IMAGEnet R4 – Retrieval

• Double click on the patient’s folder and the

patient’s name will be displayed in the upper left
angle of the screen.
 IMAGEnet R4 – Retrieval
• Double clicking on the procedure
will bring the images to the
screen.
• The first image will be displayed
in a large window while all the
other images will be displayed as
thumbnails below on a
continuous cue.
• Different procedures on the
same test will be grouped by
date
• A number of icons below the
main image allow for different
enhancements
IMAGEnet R4 – Viewing

• Images can be grouped in two, four, nine and sixteen ups by selecting
the images and then clicking on the corresponding group icon.
IMAGEnet R4 – Image Management

• By clicking on any of
the thumbnail images
below the main image
a number of shortcuts
options can be easily
selected saving time
in the managing of
the choices:
IMAGEnet R4 – Image Management

• Send to binder panel:

Sends a copy of the
image to the binder,
which is a separate
location to keep
selected images
IMAGEnet R4 – Image Management

Send to 2, 4, 9 or 16 up:

Sends a copy of the image

to the selected group.
The groups can be
made of images
selected all at once or
one by one.
 IMAGEnet R4 – Image Management
• Send to compare view: Displays the image in the compare mode. A
second image can then be selected by clicking on the procedure tab
and both images can be synchronized by selecting a minimum of
three common points. All measurements performed on one image
will be displayed on the other.

The results can

be saved as an
individual
image.
IMAGEnet R4 – Image Management

• Copy to clipboard:
Copies the image to use
with another program
such as a presentation,
report, etc.
IMAGEnet R4 – Image Management

Enhancing
• The enhancing features
under the “Image” section
of the toolbar are similar
to the ones in IMAGEnet
2000
IMAGEnet R4 – Image Management

Tools
• A number of tasks can
be performed selecting
the Tool section
 IMAGEnet R4 – Image Management
• Edit Data: Allows for editing information on patient images
• Delete Data: Allows to eliminate data from a patient’s record or to
delete the patient completely
• Move Data: Permits transferring images from a patient’s file to
another. Useful in case images are saved in the wrong patient’s
file
IMAGEnet R4 – Image Management

Auto Mosaic:
Automatically
creates a
composite
image from
several different
angles of
capture
 IMAGEnet R4 – Image Management
• Quick 2up viewer: Quickly displays two selected images side by
side for comparison. Images can be zoomed in and out
synchronically
 IMAGEnet R4 – Image Management

• Quick Draw: Allows for annotation and drawing on the selected

image
 IMAGEnet R4 – Image Management
• RGB channels:
Dissects image
in its red, green
and blue
components.

• As in IMAGEnet
2000 the loupe
function is
available
IMAGEnet R4 – Image Management
Stereo Analyzer: Performs the standard functions of the stereo
analyzer of IMAGEnet 2000
IMAGEnet R4