CARDIAC (Continued) As an example, assume you have an image sequence that contains two views, call them 'A' and 'B'. In each view there is a systole and diastole. We can, for instance, start with DIASTOLE A. Press the 'DIASTOLE A' button and then go to the image, press the left mouse button, keep it depressed and draw the contour. If you would like to change the contour, press 'CHANGE' and then one of the image selection buttons, for instance 'DIASTOLE A', you will see the button caption changes to 'CHANGE DA'. Move the cursor to the first point on the contour you would like to replace, draw the new contour section and end up at the last contour point that you would like to replace. The contour will be revised and updated. Continue by pressing 'SYSTOLE A', enter the systole; 'DIASTOLE B', draw in the diastole B; 'SYSTOLE B', draw in systole B. In this process, you are first selecting the proper frame as you move along. After you are finished entering the contours you can press, 'CALIBRATE' to enter a reference quantity for converting relative volumes to cubic centimeters. First move the calibrate window to the catheter and then adjust the circle to the size of the catheter. The enter the French number of the catheter using the buttons marked for that purpose. The final step is to press the 'CALCULATE' button causing the various quantities to be calculated. The results are presented separately for VIEWS A and B. Each of these assume that there is a cylindrical symmetry. To combine the information from VIEWS A and B a geometric mean calculation is used and those volumes presented at the bottom of the 'CARDIAC RESULTS' dialog box. The graphs that are presented are contraction fractions. Because the vertical coordinate in MS-Windows systems is positive downward, the polar plots have the zero angle axis to the right and increase in angles going clockwise. To exit the 'CARDIAC' section, just like any other box in ImprocRAD press the small 'X' in the upper right hand corner of the dialog box. Once the registered images have been read, move to the 'CARDIAC ANALYSIS' box. Do not close the 'CARDIAC READ' dialog box. Some of the controls in that box are used by the program during the analysis phase. You can then display the cine-loop in motion by pressing 'LOOP'. An individual frame can be selected by using the spinners in the edit box just to the right of 'FRAME' or by entering a number and then pressing 'FRAME' to select that frame. Once you have found the frame you want the next step is to outline the heart chambers. As an example, assume you have an image sequence that contains two views, call them 'A' and 'B'. In each view there is a systole and diastole. We can, for instance, start with DIASTOLE A. Press the 'DIASTOLE A' button and then go to the image, press the left mouse button, keep it depressed and draw the contour. If you would like to change the contour, press 'CHANGE' and then one of the image selection buttons, for instance 'DIASTOLE A', you will see the button caption changes to 'CHANGE DA'. Move the cursor to the first point on the contour you would like to replace, draw the new contour section and end up at the last contour point that you would like to replace. The contour will be revised and updated. Continue by pressing 'SYSTOLE A', enter the systole; 'DIASTOLE B', draw in the diastole B; 'SYSTOLE B', draw in systole B. In this process, you are first selecting the proper frame as you move along. After you are finished entering the contours you can press, 'CALIBRATE' to enter a reference quantity for converting relative volumes to cubic centimeters. First move the calibrate window to the catheter and then adjust the circle to the size of the catheter. The enter the French number of the catheter using the buttons marked for that purpose. The final step is to press the 'CALCULATE' button causing the various quantities to be calculated. The results are presented separately for VIEWS A and B. Each of these assume that there is a cylindrical symmetry. To combine the information from VIEWS A and B a geometric mean calculation is used and those volumes presented at the bottom of the 'CARDIAC RESULTS' dialog box. The graphs that are presented are contraction fractions. Because the vertical coordinate in MS-Windows systems is positive downward, the polar plots have the zero angle axis to the right and increase in angles going clockwise. To exit the 'CARDIAC' section, just like any other box in ImprocRAD press the small 'X' in the upper right hand corner of the dialog box. There are three buttons at the bottom of the 'Cardiac Read' dialog box that serve to manage patient information. These buttons are 'Word', 'DB', and Excel'. The 'Word' button launches the Microsoft Word '97 word processor and read the patient's document file. The document file is stored in the patient's folder in the sub-folder 'Text'. The file is named 'PatientInfo.doc'. The 'DB' button launches the Microsoft Access 97 database program and opens the patient database that is located in the 'Cardiac' folder. The database contains information on several or all of the patients located in the 'Cardiac Folder'. The 'Excel' button launches the Microsoft Excel 97 spreadsheet program. Again, the spreadsheet contains data on several or all of the patients located in the 'Cardiac Folder'. The 'Write Subsequence' group allows the selection of a sequence of images from the loop to be written to files. Initially, the first and last images of the sequence are set to the frame being viewed. This selection can be changed using the corresponding edit controls. Initially, the directory to which the files will be written is set to the default write directory. This selection can be changed by pressing the 'Directory' button and selecting from any existing directory. Upon pressing the 'Write' button the sequence of images are written to the selected directory. The filenames are CardiacOut.bmp where , ranges from the number of the first frame to the number of the last frame. For example, if the 25-th frame is written out its filename is CardiacOut25.bmp.The images are written in the MS-Windows bitmap or .bmp format. The format consists of a 1078 byte header followed by raw 8-bit data. This help file was updated on February 28, 2001.