- Neomedix Systems
Contents
1. Premicturition I 4 Pressure Abdominal Pressure Opening Pressure l l Bladder Bladder A Premicturition 7 Pressure Pressure Maximum l Intravesicular A Pressure Intravesical Contraction i pressure at Detrusor max flow 1 Opening Pressure Detrusor Pressure Detrusor Maximum Contraction Detrusor Pressure at Pressure max flow Flow Rate Nomenclature used for Continuous Voiding Phase Calculations l Maximum Flow Rate Area under waveform is Voided Volume Flow Rate Flow Time UroReport v3 1 9 User Manual Page 46 Nomenclature Used in Void Data Calculations Void Volume Void Flow Rate Abdominal Pressure Bladder Pressure Detrusor Pressure Urethral Pressure Pre micturition Pressures l i Tolg to Void i Detrusor Pressure Rise i i Start of Void l l l l i Maximum Vesicular Pressure l l i l Maximum Void Flow Rate P i l i i l j Maximum Abdominal Pressure i i l io ij End of Void I i io i l l lj i l j i IOo i i 5 I Void Start l i l Volume I i I time F i Max Void Flow l Void Start y Flow I Void End Flow Max Void Flow Pabd Max Void Pabd time l PreMictPabd P i Opening Pabd i i Max Void Flow Pves i r Opening Pves Il PreMictPves i time Void End Pves i Max Void Flow Pdet l Opening2. o Void Phase B Patient Report _Fill_ vows UEmpty Uru J video JComments Flow rate average 14 3 ml sec Points v if included if transfered Flow rate max 28 mi sec Told To Void Pdet 3 5 emH20 Premict Pressure Pdet Rise Pyes 69 9 cmH20 eStart Of Void Pabd 66 4 omH20 Sree rom Fow Max Pabd Time to max flow 5 2 sec eMax Pyes Void time 5 2 sec End Of Void Void volume 75 ml Hesitancy 3 2 sec Opening time 2 8 sec Maximum Pyes 242 9 cmH20 Include Exclude L paet 160 8 cmH20 Maximum Pabd 82 cmH20 Transfer Locate Fig 7 Select Report Setup from the Patient menu Analysis of the Voiding phase requires no additional user information only the transfer of a set of data points See the section titled Data Transfer for more details Event Comment Use the check list and Include Exclude buttons to build the events required by your testing protocol Usually all of these events are required UroReport v3 1 9 User Manual Page 10 2 6 Urethral Pressure Profile Urethral Pressure Profile a Points if included if transfered Urethral infusion rate N A microtip a Max Pura Profilometer speed Pura Fall Zero Pura Pres Tx Ref Pres Tx Max Max urethral closing press Functional urethral length Total urethral length Include _ Exclude Pressure transmission ratio Fig 8 Select Repo
3. The Hospital Institution and Department fields can be changed as required but will default to the last values entered when the settings file is saved If different departments share the same system they can save individual Uromac settings files containing the correct information Press the Today button to insert today s date automatically Alternatively the date can be manually entered in any desired format You must select which relevant graphs nomograms of void data you require to be printed in the final report by checking the relevant check boxes at the bottom of the window Note that at the time of publication the check box for Print User Warnings performed no function UroReport v3 1 9 User Manual Page 8 2 4 Fill Phase Fill Phase Fatient repor Fin Filling medium hater Method Gravitational Rate 75 ml min es No Urge incont Stress incont Instability Compliance 5 Points if included if transfered Start Of Fill First Desire Normal Desire Strong Desire Urgency Not Pain End Of Fill Determined First Leak Incontinence Leak Fig 6 The Fill Phase data entry page The Fill Phase is used to analyse the waveform data collected while the bladder is filling It is recommended that at least the filling medium method and rate are nominated These three parameters will retain default values when the report setti
4. a Document No NSO1306D Revised 17 07 99 E F Foden He AQgom m Leer Please contact Neomedix Systems if you have any problems or suggestions regarding this document or require more detailed information regarding UroReport Tel 612 9913 8044 Fax 612 9913 7818 eMail sales neomedix com netSite http neomedix com Document No NS0O1306D OPI Date 15 July 1999 Neomedix Systems Pty Ltd Location Unit 13 No 1 Vuko Place Warriewood N S W 2102 Australia Postal Address P O Box 890 Mona Vale N S W 1660 Australia Telephone National 02 9913 8044 International 612 9913 8044 Facsimile National 02 9913 7818 International 612 9913 7818 email insight neomedix com www neomedix com ABOUT THIS MANUAL This manual is specific to UroReport version 3 1 9 Consequently it may appear substantially different if you are using a different version of the software To check which version of UroReport you have first launch Uromac then select About Uromac from the Apple Menu and click on the jigsaw puzzle shaped extension button You should see UroReport in the list of installed extensions If it is not there you probably need to install the software see Appendix A if it is click on the UroReport entry The version of the software will now be displayed If the UroReport version is earlier than version 3 1 9 you should enquires about a software upgrade If it is late
5. window Depending on whether Transfer was pressed from within a test phase or after a transfer phase has been selected the window will appear as in one of the following two figures If you see the Transfer Phase Selection window simply press the button corresponding to the phase you wish to transfer or you can highlight the section of the waveform you wish to Analyse and then simply click on the appropriate button to go to the next phase or simply hit Report to return to the report setup window Select next phase for data transfer or return to report Fig 13 Transfer phase selection window Phase Fil Point Start Of Fill Fig 14 Transfer data entry window If the Transfer Data Entry window is visible you are ready to transfer data for the specified points manually To transfer a point simply locate the place on the waveforms corresponding to the specified point and the double click the mouse on the desired point on the waveform The menu bar will flash and the Transfer Window will UroReport v3 1 9 User Manual Page 17 advance to the next required point for details on scrolling over the waveforms see the Uromac Users Manual To return to a previous point on the list press Prev To skip over a point without having to double click it press Skip To remove a double clicked point from the report press Clear To obtain a short description of the current point pressing Info Fill started bladder commences fillin
6. 10 and is determined by seeking the first minima prior to the threshold within the selected time Maximum Pves Defined as the first maxima within the selected time where the pressure range must be greater than or equal to 10 cmH20O and the maximum pressure determined must be greater than or equal to 10 cmH20 UroReport v3 1 9 User Manual Page 30 Urethral Phases Definitions Start_Pves Resting Vesicular pressure prior to start of profile measurement Pura_Rise First indication of a rise in urethral pressure Max_Pura The maximum urethral pressure obtained Pura_Fall Urethral pressure falls to starting resting value Zero_Pura Lowest urethral pressure value after fall Pres_Tx_Ref Reference value of Pura prior to stress cough change Pres_Tx_Max Maximum Pura during stress cough Derived Data Points Time Derived Variables Functional Urethral Length Withdrawal Catheter Pura fall to rest Time Pura rise above Pves Time withdrawal speed mm sec mm Total Urethral Length Pura fall to Pamd Time Pura rise Time withdrawal speed mm sec mm Pressure Derived Variables Max Urethral Closing Pressure Pura during UPP max Pves during UPP max cmH20 Pressure Transmission Ratio Pura cough max Pura transmission ref Pura cough max 100 Algorithm for determining data points Note that for the correct location of the following points ten samples of steady state data must be acqui
7. Appendix Problems and Possible Solutions Note Printer selection is from the Chooser under the Apple menu 7 OPENING AN EXISTING REPORT FILE To open an existing Report or Uromac File double click on the patient data file from within the patient folder on your Macintosh The file will launch Uromac if not already running and automatically load The Report can then be edited or printed as usual If Uromac is already running select Open 360 from the File menu select patient file and then review the Report section Note Having opened an existing file that files preferences become the current preferences 8 EDITING A REPORT Report text can be edited by selecting the Patient Report Report Setup menu from within an opened file and fields editted as required To save these changes the file must be saved Data points may also be edited by selecting Patient Report Report Setup and then the appropriate phase From within the phase window select Transfer to allow manual modification of the values by selecting the measurement point usually by skipping through the points then click Clear click previous and double click the correct value point Alternatively the automatic analysis mode can be used to overwrite the previous values For more information on this process see the section on Data Transfer 9 ARCHIVING DATA During normal operation patient files are stored on the computers internal hard disk Cu
8. Data Time Qvoid Vvoid Pdet Pura Pves Pabd Puc esaa Vd Time Volume Pdet Normal_Desire Include Description Data Time Qvoid Vvoid Pdet Pura PVves Pabd s PUC Sia VELEL Time Volume Pdet Dr P Stevens Jean Bloggs 12 11 92 DUDL EY HOSPITAL URODYNAMICS Water Gravit 100 True Fill started bladder commences filling ational ml min 37 5 sec 0 79 mL sec 32 69 3 24 68 27 32 11 35 89 35 08 mL cmH20 cmH20 cmH20 cmH20 cmH20 150 71 mL True Patient indicates first desire to void 60 5 O 2T 36 25 23 5 66 92 32 38 36 16 33 46 sac mL sec mL cmH20 WwW cmH20 cmH20 WwW cmH20 cmH20 166 43 mL 23 0 15 71 0 527 True Patient indicates normal desire to void sac mL cmH20 107 5 sec 0 3 mL sec 34 47 mL 2 16 cmH20 45 33 cmH20 63 68 cmH20 65 84 cmH20 18 89 cmH20 211 43 mL 70 0 sec 60 71 ml 1 08 cmH20 UroReport v3 1 9 User Manual Page 38 End_Of_Fill Include Description Data Time Qvoid Vvoid Pdet Pura see PVES Pabd sxe PUC seana MEILI Time Volume Pdet Urge_Incont Stress_Incont Instability Compliance Patient Name Number Sex Age Height Weight Ref_Dr Video Bladder_Shape Bladder_N
9. Pdet PreMictPdet 1 I l I bi j P PreMictPura l l l time I l Maximum Void Flow Time time i i Told Void j Pdet Rise Void Start l Maximum Pves amp Pdet l Maximum Void Void End Start Time Time l Time a Void Time Pabd Time Time l l gt a i adl i Hesitancy l l l l i Time ag Opening Time pe eg l 8 Void Time UroReport v3 1 9 User Manual Page 47 Nomenclature Used in Urethral Phase Calculations yeotculet Pressure Pura Rise Time Maximum Pura Pressure Tx Ref Pressure Tx Max l i Pura Fall Time i Pves Tx Nee Zero Urethral Pressure Pves Tx Ref i Bladder Pressure Profil Max Pura Tx Pura Max Pura Tx l Ref time Urethral Pressure 0 time pressure Profil Pura Profil Pura Profil Stop values are Rise Time Fall Time Zero Pura identical lt J l i Functional Profile Length time x profilometer speed i D T Total Profile Length time x profilometer speed Nomenclature used in Urethral Profilometry Phase Calculations Maximum Urethral p U reth ral Closure Maximum Pressure Pressure Pressure l l l Bladder Pressure time Functional Profile Length time x profilometer speed Total Profile Length time x profilometer speed UroReport v3 1 9 User Manual Page 48
10. appear in the customised list To remove a comment from the list simply click on the comment you wish to remove in the list and click the Delete button Alternatively to edit a comment that has been added to the list click on the comment and then alter the comment and click the Add button Note As you add comments to the list the amount of available space will begin to decrease A maximum amount of 10 entries are allowed per list Switch between lists at any time by clicking onto another radio button Once the list has been created press OK to save the lists and to exit the Customise window Click the Cancel button if you want to exit without saving the changes Note Save the customised report comments It is essential to save the report customisation to a settings file refer to your Uromac User s Manual and the section on Saving the Setup These changes will need to be implemented and saved in each settings file you use UroReport v3 1 9 User Manual Page 6 2 2 Patient Demographics Patient Demographics Patient name Jones Joan Patient ID 1276593 Sex Female Age 7 Height Weight Referring Dr Fig 4 The Patient Demographics entry window You can now enter the patient s information into the fields shown Any keyboard characters or numbers can be used in any of the fields however it is preferrable not to enter more text than can be viewed in
11. desired phase and step through the options inserting the points which can be identified one by one Preview and Print the Report Select Preview Report from the Patient Report menu and check the report results If necessary close the report open the Report Setup menu and enter phase comments or other options Close and preview the report again Once complete whilst the report is being previewed select Print Report from the File menu Close all windows and save your data Report Messages Note that during analysis and when previewing reports messages will occasionally appear to prompt the user for additional information or to inform the user of problems with the analysis The most common messages are described in appendix Summary To analyse the patient record Step 1 Insert Patient Event comments during acquisition using the function F keys Step 2 Insert Measurement Event comments from the keyboard template or select ANALYSE and then insert or clear Event comments as necessary via the manual analysis miniwindow Step 3 Highlight the phase to be analysed Step 4 Select Analyse Step 5 Review the comments using the miniwindow or Preview the report results Step 6 Whilst previewing the report select Print Report from the File menu Repeat steps 2 to 5 if necessary until you are satisfied with the results UroReport v3 1 9 User Manual Page 15 3 2 More on automatic analysis Note Automatic anal
12. filling Normal_Desire Patient indicates normal desire to void Urgency Patient indicates fear of leakage with further filling Pain Patient indicates pain at current bladder volume End_Of_Fill Fill stopped bladder at maximum tolerated volume First_Leak First leakage detected Incontinence_Leak Sustained leakage occurred Derived Data Points Time derived First Desire Event Time Start of Fill Time secs Normal Desire Event Time Start of Fill Time secs Urgency Event Time Start of Fill Time secs Pain Event Time Start of Fill Time secs Total Fill Time End of Fill Time Start of Fill Time secs Fill Rate End of fill Vol Start of fill Vol End of fill Time Start of fill Time mL min Compliance End of fill Vol Start of fill Vol End of fill Pdet Start of fill Pdet mL cmH20 Volume derived Vesical Capacity Vol fill end of fill Vol fill start of fill mL First Desire Vfill event mL Normal Desire Vfill event mL Urgency Vfill event mL End Of Fill Vfill event mL Comment Fields Fill Medium comment field indicating the fluid medium entered in the filling phase Fill Method comment field indicating the filling method e g Gravity Pumped other Urge Stress Incontinence or Instability clinical determination selected as report comment Detected comment data points Predefined user entered comments added to the recording will are
13. known for the requested field a will be output Changes in file format The format of files has changed slightly with version v3 1 3 onwards The raw data is no longer stored in an array variable v2 3 8 but rather as individual variables within the data branch This means that the columns variable is no longer required to access the data However the export format file will need updating to change array references like Qvoid to read Qvoid UroReport v3 1 9 User Manual Page 43 APPENDIX G DATA POINT DIAGRAMS UroReport v3 1 9 User Manual Page 44 Nomenclature Used in Fill Data Calculations Start of Fill fe Desire narmal Desire Strong Desire l i l i Urgency f l i i End of Fill i i l RefFill FDVol N Vol l l i l l i DVol SDVol i Fill Volume Abdominal Pressure Bladder Pressure l P EndFillPdet time a l l U Pdet Detrusor Start ND SD Pressure I Start of l l l End of Fill Time x h Fill Time i l l i FD l 1 1 i time l i l l l l I lt Time gt l i i SD gt 1 I lt Time l La Y l i Time l l La Pg l Time i ja Total Fill Time _ gt UroReport v3 1 9 User Manual Page 45 Nomenclature used for Pressure Flow Data Maximum Abdominal Pressure Abdominal Abdominal Opening Pressure l Abdominal Pressure at max flow
14. sought and used for analysis during a fill phase For each comment located three measurements are taken Pressure Time and Volume or calculated The following comments are sought First Desire Normal Desire Strong Desire Urgency Pain UroReport v3 1 9 User Manual Page 27 End Of Fill First Leak Incontinence Leak Algorithm for determining data points Start Of Fill Defined as the first point in the fill volume waveform which exceeds a threshold defined by the equation threshold Vfill min Vfill max Vfill min 10 Start of Fill is then determined by seeking the first minima prior to the threshold within the selected time End Of Fill Defined as the first point in the fill volume waveform which exceeds a threshold defined by the equation threshold Vfill min Vfill max Vfill min 90 End of Fill is then determined by seeking the first minima after the threshold within the selected time If the first minima can not be detected then the first point to cross or match the threshold is accepted UroReport v3 1 9 User Manual Page 28 Void Phase Definitions Told_To_Void Instruction by operator for patient to void Premict_Pressure Resting values when patient relaxed prior to urine flow Pdet_Rise First indication of detrusor pressure rise Start_Of_Void Commencement of sustained urine flow Max_Void_Flow Max recorded void flow rate in void phase Max_Pabd Max recorded Pabd in void phase
15. the boxes provided Additional text will be stored but may not be printed on the final report The following formats for your entries are suggested but not required These formats will allow data to be exported to other programs in a meaningful and standardised way Patient name as Surname Firstname Patient ID your ID or UR number format Sex Male or Female Don t type select the option Age in years Height in cm s ie 186 cm Weight in kg s ie 67 kg Referring Dr as Firstname Surname Note that if you have previously named the file using the main file menu that name will automatically appear in the patient name field This field can be edited by simply deleting the Patient Name field and entering your own data When all the patient demographic information has been entered press Report to step to the next data entry page Fig 4 Alternatively you can use one of the top eight buttons to step between consecutive pages UroReport v3 1 9 User Manual Page 7 2 3 Report Details Report Details Set Report Graphics Report Notes J Print P T amp Q T Plots W Print Thank you message M Print Liverpool Haylen Nomograms C Print User Warnings J Print P Q Griffiths Abrams Male Nomograms Fig 5 The Report Details entry page Enter the required information into each field either by free text or by using the previously customised menu selection lists
16. 0 32 28 82 1 32 39 02 7 52 69 33 ml min calc 67 24 ml cmH2O0 0 0 2 0 0 0 36 02 35 02 1 42 1 25 2 0 0 0 31 02 30 52 0 02 4 25 5 0 0 0 52 32 50 52 1 92 6 5 8 0 0 0 56 32 49 02 7 42 20 25 578 0 31 45 1 32 57 82 58 92 24 0 704 0 18 8 1 52 66 82 68 52 9 25 84 0 10 05 59 82 46 02 13 32 31 25 723 0 0 1 2 02 9 82 10 92 UroReport v3 1 9 User Manual Page 42 As you can see UroReport has replaced the original field descriptions with the contents of those fields as well as allowing comments and abbreviated field references Most characters in the input file are simply echoed to the output file with these exceptions If a hash character appears on a line then all characters including the hash to the end of the line suppressed from the output allowing comments to be appended The hash character can also be used to embed field references Field references contained within curly braces will be converted to field data and replaced in the output file with this data If a has not suppressed output Same as but suppresses the units field of the data All spaces and tabs are reproduced verbatim allowing the format of the output to be dictated by the format of the input This also allows the creation of customised text reports that can be included into word processor documents etc If no value is
17. Max_Pves Max Pves in void phase End_Of_Void Termination of sustained urine flow should be zero Derived Data Points Time Derived Variables Void Time End of QVoid Time Start of Qvoid Time secs Time to Qmax Qvoid max Time Start of Qvoid Time secs Opening Time Pdet rise Time Qvoid start Time secs Hesitancy Start Of Void Time Told To Void Time Pressure Derived Variables Max Detrusor Pressure Pdet during Qvoid max Pdet premicturition cmH20 Max Vesical Pressure Pves during Qvoid max Pves premicturition cmH20 Flow Derived Variables Max Flow Rate Qvoid max Qvoid zero baseline mL sec Average Flow Rate Vvoid void Time mL sec Pdet Qvoid Max Pdet Qvoid max Pdet premicturition cmH20 Pves Qvoid Max Pves Qvoid max Pves premicturition CmH20 Pabd Qvoid Max Pabd Qvoid max Pabd premicturition cmH20 Volume Derived Variables Voided Volume Vvoid end of void Vvoid start of void mL Detected comment data points Predefined user entered comments added to the recording will are sought and used for analysis during a fill phase For each comment located three measurements are taken Pressure Time and Volume or calculated The following comment is sought Told To Void Algorithm for determining data points Note that for the correct location of the following points ten samples of steady state data must be acquired either side of an estimate of
18. Void Empty Start_Pves vs Pres_Tx Max Full Start_Pves bay Pres_Tx_ Max The order in which points are transferred within a phase can be changed by manually altering their order in the settings file Care should be taken not to change the phase of a particular point Points can also be added if additional data is required for a particular phase This data will not be analysed by UroReport but may be exported for analysis by another program To add a new point simply copy and paste an existing point then change its variable name and description Don t forget to start the variable name with an character UroReport v3 1 9 User Manual Page 40 APPENDIX F EXPORT DATA FORMAT Export Format Files An Export Format File s contents is dictated by the target of the export data It must be decided what information is required for export and in what form Then using the syntax outlined below a suitable Export Format File can then be created Before attempting to create or edit an Export Format File you should be familiar with the standard report file and field formats described above The syntax of Export Format Files is then best described by example Assume that the file below has been read and saved into the settings file Export file format Test format only Date 28 10 93 Patient name Number Point Time Vfill Vvoid Qvoid Pves Pabd Pdet Pura Puc Fill Phase Phase Fill Start_O
19. alibration folder and the computer will launch Uromac TJ Uromac Calibration Folder HAL 9000 File Format Settings File r Fig 16 Save window under the File Menu UroReport v3 1 9 User Manual Page 20 6 PRINTING PREVIEWING A REPORT To preview the report form prior to printing it select Preview Report from the Patient Report menu as shown below The Report Preview window will appear and the report is shown exactly as it will be printed You may need to scroll down to view the additional pages of the report Itis not necessary to preview a report in order to print it Patient Report Analyse Phase A Preview Report Report Setup Import Export Fig 17 Select Preview from the Report menu Report Preview Clinical Engineering Urme Urodzaamics Report oF re Troke port vd 1 d 1997 Neomai fect me Hurse Tech Yoid Phase Void volume m1 Time to max Elo Flow rate average Ml serl Wold time Flow rate maX m se 2 Hesian L Py fabs emH30 Maximum Fal L Pedah nHO L P glahs emH 0 Fremict pressure Py ag emn Hyo L F cmH L Fii cmH Yoid Nomograms Liverpool Haylen a0 Reier toe otel 2 7 Fe Fig 18 Preview Window To print the report select Print Report from the File menu The window which follows depends on the type of printer you are using See your Macintosh UroReport v3 1 9 User Manual Page 21 manuals for further details If you have difficulties you may like to refer to the
20. alues in the above graph are then fully specified as Branch1 Branch2 Leaf1 Branch1 Branch2 Leaf2 Branch1 Leaf3 Branch1 Leaf4 Where many variables have a common parent branch a short form annotation is used specifying only the parent branches that have changed since the last reference All common branch names may be replaced with a period This simplifies the above explicit representation to Branch1 Branch2 Leafl Leaf2 Leaf3 Leaf4 UroReport v3 1 9 User Manual Page 36 There are two special characters that may proceed a variable name e The character is used to define a transfer point within a phase ie Phase Fill Urgency e The amp character is used to flag variables that should not be copied from a setup to the report As most users will not be concerned with modifying variable names these special characters should not pose a problem Value Leaf Syntax Values may have the following forms String example Test string Strings are stored between quotes and may contain any characters that can be typed from the keyboard including lt return gt The style of quotes is determined by the presence of quotes already within the string For example notice that the following string has been stored with single quotes as the string already contains double quotes ie Fill was terminated at Strong desire stage Eligible quotes include The maximum length of a string is 255 characters incl
21. ate phase and will also prompt the user to confirm the particular phase and to complete the transfer of data points above Fig 11 Toolbar Buttons Left Button To open the Report Setup Window Right Button To Analyse the Selected Waveform or to open the Manual entry Window 3 3 Checking the data points transferred As you will have already seen each phase s window has a list of data points on the right hand side These lists indicate points in the phase which must be identified in order to calculate all the parameters presented in the report For studies that do not require or record all points the list can be edited using the Include and Exclude buttons to add or remove points that are not desired These selections can be made permanent by saving the Uromac setup Fig 12 explains the various notations shown for points in the transfer list of each phase UroReport v3 1 9 User Manual Page 16 Points x if included if transfered Start Of Fill First Desire Point already transferred hormal Desire f eStrong Desire Not included for transfer nas Selected but not transferred End OF Fill First Leak vf Incontinence Leak irp HEGe EEE EFEEES Fig 12 Transfer tools When the desired points have been selected for transfer press the Transfer button at the bottom of the UroReport Window The main report window will disappear and a smaller data transfer window will appear over the top of the chart waveform
22. ct Import or Export from the Patient Report menu Each Item Import and Export has its own separate Menu as outlined in Fig 19 and 20 ELL a Help Analyse Phase 3A Preview Report Report Setup Import gt Export gt Fig 20 The menu of the Import Item x vezere epee Report Setup Import gt mr A Report Text File Format File Report Phase Data To Formatted Text ae Fig 21 The menu of the Export Item UroReport v3 1 9 User Manual Page 23 APPENDIX A INSTALLING UROREPORT Note Before installing or using UroReport you must have Uromac version 3 6 software on your computer s hard disk See the Uromac Manual for details of how to install Uromac or how to determine which version of Uromac you have installed UroReport installation requires the installation of the UroReport extension file from a floppy diskette or other media into the same folder as your existing Uromac software on the computer hard disk This may mean replacing an earlier UroReport extension if one is already installed Step by Step installation process l Insert the UroReport installation disk into the floppy disk drive Double click on the floppy disk icon and locate the UroReport installation icon pap Double click on the installation icon to install UroReport 3 To check the installation launch Uromac and select About Uromac from the Apple menu Click on the jigsaw shaped extension button which wi
23. e comment fields by selecting the radio buttons for each Upon completion press Update Report to ensure the report is refreshed with the new comments changes Note To use text statements already stored in your customised Menu Selection List press the Set menu icon and select from the menu Refer to section Customising Comments UroReport v3 1 9 User Manual Page 13 3 REPORT CREATION AND DATA TRANSFER 3 1 Analysing your data To assist in the explanation of how to analyse your report data we have classified comments as either a Measurement Events such as max Pdet rise which can be determined from the physiological recording and b Patient Events such as Urgency which record the state of the patient which could not be determined from the patient record Recommendations for data analysis in UroReport If your recorded patient data is good quality and the data contains little artefact or physiologically ambiguous data the fully automated software analysis will give good results Otherwise a combination of manual and automated or even fully manual analysis may be more appropriate In either case we recommend that the user inspects the patient record and the final report before accepting the report s results If you have doubts about the reliability of the software s analysis you may prefer to make manual selections of the Measurement Events In this instance as a worst case the number of manual measur
24. eck External_Sphincter Urethra Prostatic_Urethra Sstop_Start Residual_Urine Other Comments Clinical_Symptoms Urodynamics_Diag Further_Management True Fill stopped bladder at max fill pressure 255 0 sec 0 99 mL sec 34 47 mL 2 16 cmH20 6 75 cmH20 36 43 cmH20 38 59 cmH20 30 09 cmH20 265 71 mL 217 5 sec 115 0 mL 1 08 cmH20 pil nil pil 106 54 ml cmH20 John Jones PN123456 Male 27 189 cm 78 kgs Dr Patterson smooth open normal normal open n a small obesity prevented good views Frequency and small prostate Increased hypersensitive bladder sensation Cystoscopy at Orange Base Hospital UroReport v3 1 9 User Manual Page 39 All values visible on a printed report and some additional data is stored in the report export file Most data fields are self explanatory from their name and parent branch Here are some comments on those fields that are not so obvious The phase and transfer points are stored in the following structure Phase Fill Start_Of_Fill Include True False Description Text describing this point Data Time value units Qvoid value units Vvoid value units Pdet value units Pura value units Pves value units Pabd value units Puc value units Vfill value units Incontinence_Leak etc Void Told_To_void a End Of
25. ection of data 1 Voided volume must be greater than 3mL 2 Voided volume must be greater than or equal to 50mL The report software will not check any other data Urethral Full Phase Within the highlighted selection of data 1 Voided volume must be less than 10mL 2 Fill volume must be less than or equal to 50mL 3 Maximum Pura pressure must be greater than 20cmH20 4 Start of Fill must be greater than 100mL The report software will not check any other data Urethral Empty Phase Within the highlighted selection of data 1 Void volume must be less than 10mL 2 Fill volume must be less than 50mL 3 Maximum Pura pressure must be greater than 20cmH20 4 Start for Fill must be less than or equal to 100mL The report software will not check any other data refer to section B 2 below for an explanation on how these points are determined UroReport v3 1 9 User Manual Page 25 The table below summarises this information Maximum Change in said Maximum Starting Filling voided volume volume mL Urethral Volume mL Taken from start of Pressure cmH20 mL selection to end of selection UroReport v3 1 9 User Manual Page 26 B 2 Data Point Descriptions This section provides a description of all the data points for each phase accepted by the UroReport software Fill Phase Definitions Start_Of_Fill Fill started bladder commences filling First_Desire Patient indicates first sensation of bladder
26. ements each requiring a double mouse click on the correct point on the waveform would be Fill Phase 2 points Void Phase 5 points Urethral Phase 7 points From someone familiar with a urodynamics recording this takes under 15 seconds for both Fill and Void phase and less than 15 seconds for the Urethral phase Adopting this protocol will ensure the most reliable report generation DURING ACQUISITION OF THE PATIENT RECORD Insertion of Patient Event Comments Patient event comments should be entered into the patient record during the patient recording at the appropriate time The user may choose the predefined ICS patient event comments from the keyboard template using the function F keys These include First Desire to Void Normal Desire or Urgency during the filling cystometrogram phase or Told to Void in the voiding phase Free text event comments using the keyboard and the return key can also be inserted Measurement event comments are not entered during patient data acquisition Whilst recording we do not recommend stopping acquisition in the middle of a phase as this could result in time related errors in some calculations see the appendix on Troubleshooting AFTER ACQUISITION OF THE PATIENT RECORD Analysis of the data and event comments Select highlight the waveform area across the area of the waveform ie the phase you wish to analyse Ensure the selection includes at least a couple of seconds of re
27. ent storage such as floppy disks Note In previous versions of UroReport the user has to create a Patient Folder inside NMS Uromac V3 x x folder UroReport v3 1 9 User Manual Page 19 5 SAVING THE SETUP If you edit setup items in the report and wish these changes to be set as default you must save the setup by creating a settings file When a setup is saved it includes not only defaults for the UroReport but also the calibration values and the setup details of the Uromac file Be sure that everything is as required before saving the settings file The recommended way of changing the settings is to launch Uromac open a new untitled file make only the changes that you require and then immediately save the setup as a settings file into the calibration folder Saving the Setup as a Settings file 1 Open an untitled file 2 Make all the desired changes to the untitled file including items such as scrolling speed transducer calibration factors compression ratio and UroReport settings 3 When you have completed making all the changes required go to the Save Menu under the File Menu and select it An option window will appear as shown in Fig 16 4 Select Settings File from the File Format window as shown below and then enter a descriptive file name for the settings file 5 You have now completed the settings file To launch using this as the default settings file double click on the required settings file in the c
28. es Pabd Pdet Pura Puc Max_Void_Flow Data Max_Void_Flow _ Time Vfill Vvoid Qvoid Pves Pabd Pdet Pural Puc Max_Pabd Data Max_Pabd Time Vfill Wvoid Qvoid Pves Pabd Pdet Pural Puc Max_Pves Data Max_Pves Time Vfill Wvoid Qvoid Pves Pabd Pdet Pural Puc End_Of_Void Data End_Of_Void Time Vfill Vvoid Qvoid Pves Pabd Pdet Pural Puc UroReport v3 1 9 User Manual Page 41 Then with a suitable patient file loaded the Formatted Report button might produce the following output to the specified file John Jones PN123456 Fill Phase Point Fill Phase Start_Of_Fill First_Desire Normal_Desire Strong_Desire End_Of_Fill First_Leak Medium Saline Method Pumped Rate Compliance Void Phase Told_To_Void Premict_Pressure Pdet_Rise Start_Of_Void Max_Void_Flow Max_Pabd Max_Pves End_Of_Void Time Vfill Vvoid Qvoid Pves Pabd Pdet Pura Puc 58 5 73 0 1 0 0 2 23 02 22 52 0 52 40 02 17 02 196 5 231 0 1 0 268 5 314 0 0 0 328 5 384 0 0 0 396 0 463 0 0 0 220 5 259 0 1 0 0 25 29 52 27 02 2 12 37 02 8 02 0 3 32 02 29 82 1 82 46 52 14 02 0 3 29 82 27 52 2 02 61 52 32 02 0 3 36 52 30 02 6 32 68 52 31 52 0 3 3
29. f_Fill Data Start_Of_Fill Time Vfill Vvoid Qvoid Pves Pabd Pdet Pura Puc First_Desire Data First_Desire Time Vfill Vvoid Qvoid Pves Pabd Pdet Pura Puc Normal_Desire Data Normal_Desire Time Vfill Vvoid Qvoid Pves Pabd Pdet Pura Puc Strong_Desire Data Strong_Desire _ Time Vfill Vvoid Qvoid Pves Pabd Pdet Pura Puc Urgency Data End_Of_Fill Time Vfill Wvoid Qvoid Pves Pabd Pdet Pural Puc First_Leak Data First_Leak Time Vfill Wvoid Qvoid Pves Pabd Pdet Pural Puc Medium Medium Method Method Rate Rate Compliance Compliance Void Phase Phase Void Told_To_Void Data Told_To_Void Time Vvoid Qvoid Pves Pabd Pdet Pura Vfill Puc Premict_Pressure Data Premict_Pressure Time Vfill Vvoid Qvoid Pves Pabd Pdet Pural Puc Pdet_Rise Data Pdet_Rise Time Vfill Vvoid Qvoid Pves Pabd Pdet Pural Puc Start_Of_Void Data Start_Of_Void Timel Vfill Vvoid Qvoid Pv
30. g Fig 15 Information for a specific point All the selected data points for each tested phase should be transferred before a report is printed Points which are not transferred will not be included in the report and all calculations based on these points will also be omitted UroReport v3 1 9 User Manual Page 18 4 SAVING A REPORT The contents of the Report are automatically saved along with the waveform data when Save is selected from the File menu For security after generating a report you will not be able to quit Uromac application without saving the data Note that you should correctly quit Uromac before turning off the system power as the loss of power to the computer before saving a report will result in loss of all unsaved data A file name must be given to each new file patient We recommend using the patient name as entered in the Patient Demographics window followed by the date ie DOE Jane 21 2 94 the date is used to allow repeated tests or repeated report generation on the same patient from the File Open menu The operator must also choose where to save their data files We recommend saving the patient files inside the Uromac Folder called Patient Files If all data is stored in this folder the operator can use View by Name or by Date from the Finder to sort and search for patient data See the section on Archiving Your Data for details on backing up patient files from your hard disk drive to other perman
31. ing the mini windows note that where a solid dot precedes each Event this indicates that the value has already been transferred ie detected or measured The transferred data is also indicated in the patient record by a flashing bar beneath the comment box at the base of the waveform data If you make any changes to the comments it is necessary to re analyse the phase prior to displaying the report or none of the changes will take effect Again highlight the area encompassing the phase event comments including any new comments then select Analyse from the Patient Report menu or the toolbar Placing Event comments manually Event comments can be inserted manually to assist the software in finding events It may be more efficient not to rely on the software to find an event if you already know where it is particularly if the patient waveform data contains recording artefact making software detection more difficult It is particularly useful to mark the start and end of each phase fill and void and the start and end of each pressure or flow event or measurement reference points such as Pdet rise Event comments are inserted by either 1 clicking on the waveform at the point of measurement value to leave a blinking cursor marker and then pressing the relevant predefined function F key on the keyboard or 2 by using the manual entry mini window refer to the section Checking the data points transferred Select the
32. is has determined that this is a particular phase and is prompting the user to confirm this UroReport v3 1 9 User Manual Page 32 The phase is already defined elsewhere Do you wish to redefine it with your current selection Analysis of the patient record has found that there is another phase of the same type defined elsewhere If you redefine it then the software will no longer consider the other phase for the report lt phase comments have been found outside of the current selection Do you wish to continue by deleting these comments When analysing a selection for a particular phase comments which relate to the same phase exist outside the selected area If you have not highlighted sufficient data choose NO and reselect the area before analysing The system does not presently permit more than one of each phase to be defined UroReport v3 1 9 User Manual Page 33 APPENDIX D TROUBLESHOOTING e There are items missing from the printed report If insufficient data is available to calculate a derived parameter then it will be omitted from the report Possible reasons for insufficient data are points not being transferred from the waveforms or calibration parameters such as Profilometer Speed not being set correctly e I cannot create a second report for the one urodynamics waveform record This is true You may only have one report per file If you wish to create a second report then duplicate the file from within the Fi
33. lete Hospital Institute Nurse Technician Current Menu List Department Video Micturating Phase D Bladder Shape Q Prostatic Urethra Bladder Neck Q Start Stop Q External Sphincter Residual Urine Urethra Other r Pa Comments Phase Free entries remaining 10 Symptoms Management oO Diagnosis Fig 3 Customise Comments window The radio buttons on the right show the comment areas that can be customised In the lower right corner of the window is a number that shows the available comment spaces free in each list The pop up menu shown by the Set menu contains a list of pre defined comments and terms from which the user can form a customised list Further the user can combine these items with their own free text to generate their own list This list is then accessible at the time of patient report generation To enter comments into a desired list you must first select the list that you wish to edit ie select a radio button for instance Refering Doctor The items being added to the selection list are displayed in the editable field on the left of the customise window Note that sometimes the cursor does not display in the Comment entry box type and test to see if you are in the correct place To add a comment to this menu either type in free text select a predefined comment from the resource list or use a combination of the two Simply press the Add button and the desired text will
34. ll appear You should see UroReport listed as one of the installed extensions To check the version of UroReport click on the UroReport entry and the version will be displayed A Patient Report menu should also appear in the menu bar at the top of the Uromac Screen 4 UroReport is now ready to be used UroReport v3 1 9 User Manual Page 24 APPENDIX B INTERNAL CALCULATIONS This appendix describes the internal calculations used to report on the acquired data All possible attempts are made to conform to The standardisation of the terminology of the lower urinary tract function by the International Continence Society Committe on Standardisation of Terminology Where there is an inadequate description here please refer to this document available from the ICS for further information B 1 Phase Detection Criteria The criteria used by UroReport to identify a phase are listed below If a phase comment is found in the selection being analysed this comment has priority and will define the phase e g if Told to Void is in the selection a Void phase will be assumed otherwise if a phase can not be determined the software will prompt the user to select a phase and the data points manually Fill Phase Within the highlighted selection of data 1 Void volume must be less than or equal to SmL 2 Fill volume must be greater than or equal to 20mL The report software will not check any other data Void Phase Within the highlighted sel
35. lume voided by the patient is less than 10mL A greater volume is required to generate the selected plots This message appears when the initial void volume in the Void phase is greater than 10mL to prevent reporting of false void volume data The message will prompt the user to accept or reject the selected data If you reject the data no analysis will occur and you have the opportunity to reselect an area which has a more suitable initial volume ie typically less than 10mL The Void Phase area and or the Fill Phase area has been selected across multiple data blocks this may cause errors in the reported time and volume figures The black lines which run down the page are block markers These indicate when the recording has been stopped and restarted or where data has been deleted It is not appropriate to analyse across these areas where time dependent information is determined in the analysis eg time to end of fill Notice One or more report data points were manually selected by the user This message informs the user that some of the events used in the report were inserted manually These points can be identified by the M suffix in the comment description which appears in the Comment menu and in the comment box with the waveform data For example Start of Fill M indicates that this point was inserted manually rather than found by software analysis Analyse your selection as a phase The analys
36. ming experience Following are examples of typical sessions using Import and Export e Raw data editing If you wish to edit the raw sample values of a double click point you first Export the report to a text file The name of this file is your responsibility The file can then be opened and edited with SimpleText Or any other plain text editor The format of these data files is explained below Having made the desired changes and re saved the file the data can be Imported back into the original Uromac file or new file e Foreign data export If you require data to be transferred to a foreign spreadsheet or database you use the Export Format File to convert the UroReport data to nearly any text based format Assuming a suitable format file has been read and saved in the Uromac settings all that is required is to press Formatted Report and provide a file name for the exported data This file can then be read and processed by the foreign application e Adding a custom double click point to a phase To add your own custom point to a phase you need to edit the UroReport settings data This can be Exported Edited and Imported in the same way as Report data After importing a setting file don t forget to save the settings Under the Edit Preferences menu New data points will not be used in Report calculations but may be exported for external processing by a another application File Types As all Uromac import expor
37. nder Quit Uromac and from the desktop open the hard disk and navigate to the patient record file in question and duplicate from the finders File menu and then edit the duplicated file to produce a second report e The filling rate is a set value and is not being updated The filling volume must be calculated after the Fill phase has been analysed Once all the points have been transferred go to the Report Setup Fill phase window and select Calculated option from the menu beside the Rate The fill rate will update in the report e The filling rate and volume information is nonsense Check that the data has not been analysed across blocks you will have been warned as across blocks the time information is lost and so the calculations based on time there are many refer to appendix B 2 will be wrong We do not recommend stopping recording during a phase study UroReport v3 1 9 User Manual Page 34 APPENDIX E INTERNAL DATA FORMAT The Uromac report generator uses only Chart waveform files during normal operation However for Import and Export operations text files are also handled so that data may be manually edited by a standard editor such as SimpleText The format of all files must conform with the formats specified below The following information is intended only for those who wish to create custom export files edit raw sample data or import foreign data Creation of a new data export format file may take some software program
38. ngs are saved Refer to section 6 Saving the Setup Filling medium Method Rate Event Comment Referral Statements UroReport v3 1 9 User Manual The solution used to fill the bladder Set menu Water Saline or Other If Other is selected the user may enter free form text The method of transferring this solution to the bladder Set menu Gravitational Pumped or Other If Other is selected the user may enter free form text The rate at which the bladder is filled in units of ml min Set menu Calculated 25 50 75 100 ml min or Other If Calculated is selected the rate is calculated from the actual change in Vfill and time raw data If Other is selected the user may enter a numeric value Use the check list and Include Exclude buttons to build the events required to be listed in the final patient report Note If an event comment key is not used during the patient filling phase and that comment has been incuded on the transfer list a small floating window will appear on screen during auto analysis requesting the user to either enter that point by double clicking at that point if known on the waveform display or ignoring it by clicking the skip button in that floating window See the section Report creation and data transfer for more details Urge incontinence Stress incontinence Instability Click on the button appropriate for the current patient Page 9 2 5 Void Phase
39. op of the dialogue box These are used to select which of eight different report areas you are viewing 2 1 Customising Comments The Customise Comments function enables the user to create and alter definable pop up menus These can be used for storing pre defined comments in the Video and Comments phase as well as a pre defined lists of Doctors Technicians and Locations within the Patient and Report Demographics The pop up Set menus contains comments ie Comment and Video comment Phase or report setup information ie Referring Doctor Department Hospital Institute Note The pop up Set menus are empty when you first start Uromac and stay empty until the user defines them through the Customise Comments window and saves the options with the settings file To customise comments select the Report option of the Report Setup window as shown in figure 2 below o Report Details Nurse Tech Report Graphics Report Notes O Print P T amp Q T Plots MM Print Thank you message Oo Print Liverpool Haylen Nomograms Print User Warnings C Print P Q Griffiths Abrams Male Nomograms Fig 2 Report Setup window UroReport v3 1 9 User Manual Page 5 Press the Customise Comments button to the right of the window You will then have the following window appear Enter Comment to add to list Menu List Patient Report Demographics Referring Doctor Physician De
40. port menu This window is used to record observations from the optional AcquiVideo radiography image display or other Urodynamic video sources All entries are free form text but again care should be taken not to type more characters than can be viewed in the box provided Additional characters will be stored but may not be printed on the final report If no observations are recorded the Video Micturating Cystogram section of the final report will be omitted rather than showing blank fields Note To use text statements already stored in your customised Menu Selection List press the Set menu and select from the menu Refer to section Customising Comments UroReport v3 1 9 User Manual Page 12 2 8 Summary Comments Comments Select text field to modify Clinical symptoms Q Diagnosis Further management update report ies Fig 10 Select Report Setup from the Patient Report menu The summary comments window gives you the opportunity to enter extended text comments of up to 255 characters or about 9 lines per box Some commonly used comments are available for insertion from the set menus These comments are formatted and printed at the bottom of the patient report These comments are optional and if no comment is entered the relevant section of the report is omitted rather than showing empty fields Once you have entered information into a field toggle between th
41. r than version 3 1 9 then use this manual with caution A later revision of this manual may be available or at least some page inserts describing the updates This manual assumes that you are familiar with the operation of the Apple Macintosh computer If you are unsure about the use of menus and dialogues then you should run the Macintosh tuition program that was supplied with your system A fundamental understanding of the Macintosh environment is required to use UroReport as supplied A more detailed knowledge is required to customise reports and to export formatted data Note that some of the dialogue boxes shown in this manual will appear differently depending on the version of MacOS you are running UroReport v3 1 9 User Manual Page 2 TABLE OF CONTENTS 1 Introduction 2 Configuring the Report Customising Comments Patient demographics Report details Fill phase Void Phase Urethral pressure profiles Video Micturating Cystogram Summary comments Pree ee OIAHAKRWNE 3 Report creation and Data Transfer Analysing your data More on automatic analysis More on manual analysis Checking the data points transferred W Go Go Go BRWNR Saving a Report Saving the Setup Printing Previewing a Report Opening an Existing Report File Editing a Report NH a BS Archiving your data 10 Import Export Appendices A Installing UroReport B Internal Calculations C Report Messages D Troubleshoo
42. red either side of an estimate of the prediction Maximum Pura Defined as the first maxima within the selected time where the pressure range must be greater than or equal to 10 cmH20 and the maximum pressure determined must be greater than or equal to 10 cmH20 Start Pves Defined as the left most pressure greater than or equal to 0 cmH20O of the selected area UroReport v3 1 9 User Manual Page 31 APPENDIX C REPORT MESSAGES Messages will occasionally appear to prompt the user for additional information or to inform the user of problems with the analysis The most common messages are described below The gender of the patient is undefined Please provide the gender to generate the selected plots The gender is required to print the Liverpool nomograms as these are age dependent Enter the age of the patient in the patient details of the report setup menu Analysis aborted phase has duplicate comments inside the selection Report must have only one of each Please delete the duplicate comments and reanalyse the phase This message occurs if there is more than one of the ICS defined Event comments in the phase area you have selected for analysis For example Urgency may appear twice in the selected Void phase If this happens it is necessary to remove all but one of these comments Use the Comments menu to select and delete the applicable comments refer to you Uromac manual for instructions The vo
43. rrent system hard drives have a capacity of approximately 2000 patient files depending on the particular disk size chart speed and test duration s This means that archiving of files can be deferred for some time but backing up should become a standard habit from the start of use of the Uromac A possible strategy is to copy the latest patient files to floppy disk at the end of each week or month These diskettes which will each hold about 30 or more urodynamics test should then be labelled and stored The original files can then be removed from the hard drive A preferable strategy is to use an external archive drive such as a lomega Zip or Jazz drive These utilise relatively low cost removable disc media of 100Mb or 1Gb respectively Separately making a periodic backup of all your settings file s and application is also advised to allow easier reconfiguration should there be hard disk corruption or failure Use of a third party backup utility is also highly recommenced as it can be set to automate the process UroReport v3 1 9 User Manual Page 22 10 IMPORT EXPORT UroReport has the facility to export data as formatted text files which can be imported into other applications such as databases spreadsheets or wordprocessors There are several different options all available by selecting Import or Export from the Patient Report menu Patient Report Analyse Phase A Preview Report Report Setup Import Export Fig 19 Sele
44. rt Setup from the Patient menu There are two Urethral phases available the Empty and Full phases for testing with an empty and full bladder These two phases have identical data windows so are discussed here together The Profilometer Speed is required to be entered in order to calculate the urethral length The Urethral Infusion Rate is relevant only to perfused lumen fluid filled catheter use and is not used in calculations The infusion rate selected will be printed on the report Values entered for these parameters will be retained as default values when the report setup is saved Refer to section Saving the Setup If the values are different for the current test select as required They will not be saved as defaults Urethral infusion rate Numeric value required ml min Set menu 1 5 10 ml min or To match the infusion speed used in your testing protocol usually it is Sml min If Other is selected enter the rate used Profilometer speed Numeric value required mm sec Set menu 0 2 0 5 1 0 2 0 3 0 mm sec or To match the withdrawal speed selected on the withdrawal unit If Other is selected enter the speed used UroReport v3 1 9 User Manual Page 11 2 7 Video Micturating Cystogram Video Bladder neck External sphincter Urethra Prostatic urethra Stop Start Residual urine Other Fig 9 Select Report Setup from the Patient Re
45. sting baseline data before and after the event such as flow or vesical filling volume Select Analyse from the Patient Report menu or the Toolbar This operation will insert a comment at the beginning and end of that selection ie Begin Fill Selection and End Fill Selection or Begin Void Selection and End Void Selection these are indicators for the software to know the bounds of the phase selection you have chosen Reviewing the waveform display you will see new vertical dotted lines and the associated comment boxes under the points on the waveforms These are the comments that the software has selected for the analysis Check that you agree with the position of the measurement points in the record If not you can remove and replace each of UroReport v3 1 9 User Manual Page 14 the comments in a selected phase by reviewing the points sequentially in the manual analysis mini window as described in the next section Removing and re entering Event comments If a measurement point in the phase selection is not in the correct position use the manual entry mini window to clear and re enter it The miniwindow will appear after the data is analysed or if Analyse is clicked with no data selected Use Prev and Skip to move between comments and Clear to delete a comment For a detailed description of the use of the mini window refer to the section below Checking the data points transferred When view
46. t files are of type TEXT it is the users responsibility to ensure that the correct files are selected for a particular operation Text files created by UroReport have the creator txt and if double clicked will launch SimpleText the default Macintosh text editor UroReport v3 1 9 User Manual Page 35 Report Data Files These files created by the unformatted Export command are basically a list of variable names and associated constants assigned to these variables When editing these files it is rare to modify the variable names themselves More usually the value of the constant field requires modification The text format of the files is basically VariableNamel Constantl VariableName2 VariableName2a Constant2a VariableName2b Constant2b VariableName3 Constant3 VariableNameN ConstantN Variable Syntax Variable names are non case sensitive and may contain letters numbers underscores and some special characters Variables may be nested in a tree structure where the function of a particular variable is to contain other variables rather than a specific value The enclosing variables could be termed branches and the terminal variables could be called leaves Thus only leaves have specific constant values Branches may be nested ie Branch1 Branch2 Leafl Leaf2 Leaf3 Leaf4 To reference a particular leaf value the full path name of all parent branches separated by periods is specified The v
47. the prediction Start Of Void Defined as the first point in the void flow waveform which exceeds a threshold defined by the equation threshold Qvoid min Qvoid max Qvoid min 20 Start of Void is then determined by seeking the first minima prior to the threshold within the selected time UroReport v3 1 9 User Manual Page 29 End Of Void Defined as the first point in the void flow waveform which exceeds a threshold defined by the equation threshold Qvoid min Qvoid max Qvoid min 10 End of Void is then determined by seeking the first minima after the threshold within the selected time If the first minima can not be detected then the first point to cross or match the threshold is accepted Premicturition Pressure Defined as the left most point of the selected area Maximum Pabd Defined as the first maxima within the selected time where the pressure range must be greater than or equal to 10 cmH20 and the maximum pressure determined must be greater than or equal to 10 cmH20 Pdet Rise Defined as the first point in the rise in the detrusor pressure waveform within the selected time where the pressure range is greater than or equal to 10 cmH2O and the time between the start of void and the start of pressure rise is greater than or equal to 0 sec The rise point in the detrusor pressure waveform is that which exceeds a threshold defined by the equation threshold Pdet min Pdet max Pdet min
48. ting E Internal Data Format F Export Data Format G Data Point Diagrams UroReport v3 1 9 User Manual 24 25 32 34 35 41 44 Page 3 1 INTRODUCTION UroReport is designed to simplify Urodynamic report generation and presentation Itis used with Uromac application software to extract measurements from acquired waveforms automatically carry out any derived calculations and to provide a suitable report form for all the necessary patient information The prepared reports can be subsequently edited printed and saved UroReport has been designed to conform with the International Continence Society recommended terminology for Urodynamic studies For the convenience of those whose clinical protocols do not carry out all the procedures itemised in the ICS standard UroReport can be customised to determine which data points appear in the report Space is also provided for free form text comments to be entered All report data is conveniently stored within the waveform file and is loaded automatically when a file is opened UroReport v3 1 9 User Manual Page 4 2 CONFIGURING THE REPORT To create a report you must first launch Uromac then select Report Setup from the Patient Report menu as shown in Fig 1 Fatient Report Analyse Phase A Freview Report Report Setup Import Export Fig 1 Select Report Setup from the Patient Report menu After selecting the Report Setup window you will see a line of buttons across the t
49. uding the quotes Integer example 4764 Integers are expressed with only numeric characters and a minus sign allowed ie O 186 643 l ete Real example 176 29 mmHg Real numbers are usually stored in a fixed point representation and always contain a decimal point to distinguish them from integers A real number may also have a units field in the form of a string following the numeric value These units will then be used to annotate the value whenever it is printed ie screen and reports Boolean example True A boolean has only two forms either True or False The text is not case sensitive but the complete and correct spelling of true or false must appear Point example 100 200 A point is a special case of two integers separated by a comma Array example 2 BoA Se 6 e857 9 0 An array is a list of real values enclosed in square braces Each value must be separated from the next by a comma If a value is unknown for a particular column in the array then it may be omitted ie 1 2 3 4 7 8 9 0 UroReport v3 1 9 User Manual Page 37 Combined syntax Part of a report showing only a fill phase follows Report Physician Technician Date Hospital Name Department Phase Fill Medium Method Rate Start_Of_Fill Include Description Data Time Qvoid Vvoid Pdet Pura PVves Pabd ra PUG VEE First_Desire Include Description
50. ysis is only available on the Filling and Voiding Phases Analysis of the Urethral phases must be performed manually by the user If a selection of the waveform is highlighted and analysed the UroReport software will attempt to find and analyse data based on the criteria described in the appendix Internal Calculations It is suggested that the user insert all Patient Events using the select F Key operation see the section Analysing your data above select the area and analyse The phase will be offered and results found A mini window will appear to offer the option of inserting points not found If the auto transfer encounters a problem such as the desired comments not being in the correct place or that the phase data may be questionable then UroReport will inform you and give you the option to transfer any phase data points manually At this point you must select points on the waveforms corresponding to the points in each phase as displayed in the manual Transfer data entry window shown in Fig 14 You will be prompted for all the points you had Include ed in each phase of the Report Setup see section 2 and discussed in Data Points Transferred below 3 2 More on manual analysis The second method of transferring data is to manually highlight the waveform for each phase you wish to transfer and then to simply click the Analyse button on the toolbar shown in figure 11 The software will detect if this is an appropri
Download Pdf Manuals
Related Search