EEG.

NET
QUICK START

B8300121111
Rev. B
 Galileo System

EEG.NET
QUICK START

B8300121111
Rev. B

EDITION:

November 2011

EBNeuro
-FLORENCE-
 EEG.NET QUICK START

TABLE OF CONTENTS
1. PATIENT PREPARATION ............................................................................ 1-2
2. BASE SYSTEM CONFIGURATION.............................................................. 2-4
3. ACQUIRING A NEW EEG TRACE ............................................................... 3-6
3.1.1 Start Galileo Line ................................................................................ 3-6
3.1.2 Entering a new patient in the archive.................................................. 3-7
3.1.3 Starting a new eeg trace from the patient management system ......... 3-8
3.1.4 Starting a new eeg recording using the acquisition wizard ................. 3-9
3.1.5 Acquiring an EEG exam.................................................................... 3-10
3.1.6 Some options.................................................................................... 3-14
3.1.7 VideoEEG acquisition ....................................................................... 3-19
4. READING A TRACE FROM AN EXISTING EEG EXAM ............................ 4-21
4.1.1 Cut function....................................................................................... 4-23
4.1.2 VideoEEG review.............................................................................. 4-25
5. GENERATING AND PRINTING A REPORT............................................... 5-26

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1. PATIENT PREPARATION
The patient preparation is a very important stage of the EEG recording in order to
realize a good contact impedance.
In the list below the main steps according to the standard procedures that the
technician/physician has to follow:
1. Localize the points on the patient’s scalp where the electrodes have to be
placed. According to the International 10-20 System 21 electrodes have to be
placed as it shown in the pictures below.

Figure 1 Transversal Measurement

Figure 2 Longitudinal Measurement Figure 3 Circumferential Measurement

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Figure 4 International 10/20 System

2. Treat the patient’s scalp with cotton and an abrasive gel in order to clean the
skin
3. If single electrodes are used each electrode is fixed on the scalp using an
adhesive and conductive paste.
If it is used a prewired headcup, this is fixed on patient’s scalp and then each
prewired electrodes will be filled with a specific gel by means of a syringe.
4. It is necessary to monitor the impedance value of each electrode to keep it
under 10 kOhm and to reduce the difference between electrodes as much as
possible (difference in impedance < 2 kOhm) .
To have a proper measurement at the impedance properly connect the
reference and ground electrodes before the measurement.
If the measure is higher than the threshold it could be necessary to clean again
the scalp and to apply some conductive gel/paste.
5. After the impedances check is completed it is possible to start the acquisition.
Usually the calibration signal and the impedances values are saved together as
the first stage of EEG acquisition.

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2. BASE SYSTEM CONFIGURATION

The following figures show, as an example, the main modules, the panels and the
linking connectors of the BE Light systems PC Peripheral.
Some of these components could be in common with others EBNeuro systems
Mizar or Peripheral) which differ from each other by the used amplifier:
- Basis BE
- BE Plus
- BE Micro

In few and easy steps the user can realize the right connections and immediately
start with an EEG acquisition:
1. Link the Medical AC/DC Adapter output connector to BE NET DC in
(B9109000046 – Medical AC/DC Adapter)
2. Link BE NET DC out to BE Light Amplifier DC in (B8839000025 – Cable
SCH HRS MCH 8 CT – TRIAD01 MCH 4CT L=1m)
3. Link LAN 10/100 connector to PC/Laptop LAN (B9730660013 – CAT 5
Cross cable network direct connection L=5m)
4. Link the BE Light Optical Link to BE NET Optical link (B2654000001 –
Fibre-optic cable)
5. Link the power plug to electrical network
6. Switch on the preconfigured PC/Laptop
7. Start EEG acquisition

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- Medical AC/DC Adapter

1
5

- BE NET Interface

DC in
DC out Optical
LAN Link

- PC/Laptop
2
Optical fiber

LAN cable

- BE Light Amplifier

Aux I/O
Patient
Link DC in
Optical
Link

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3. ACQUIRING A NEW EEG TRACE

An EEG trace can be acquired in two different ways: by creating a new patient and
starting a new acquisition for the new patient or by adding an EEG trace to an
existing patient.

There is also a simplified procedure that enables you to create a new patient in the
Galileo Line database and simultaneously create an EEG trace not considering the
options and performances made available in the database (acquisition wizard).
These procedures are described in the following sections.

3.1.1 Start Galileo Line

1. The program can be started from the desktop of the operative system, by simply

double-clicking the GALILEO NT icon

2. GALILEO NT asks the user to identify themselves by means of name and

password, and the name of the GALILEO NT database (in case they are more
than one) the user wants to connect to.

3. To access the archive, press the corresponding button .

The system displays the main window of the Patient Management System
(PMS).

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3.1.2 Entering a new patient in the archive

1. Click button “New patient” to access the wizard that enables entry of a new

patient into the archive

The following window displays:

2. Complete the fields Last name, First name and Birth date (the others are
optional and may be left blank by the operator).

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3. Click the “Confirm” button

The new patient will be inserted in the database and the system will return to
the Patient List window.

NOTE
It is also possible to press the button "New Data" instead of
"Confirm" to save the new patient and to immediately access the
next window that enables you to acquire a new trace.

3.1.3 Starting a new EEG trace from the Patient Management System
The following picture shows the steps to start a new EEG acquisition.

1. Select the patient for the new recording. The fastest way to find a patient from a
long list consists of sorting the list of patients by their Last name (press the key
on the header of the related column) and in typing the first letters of the full last
name and first name of the patient. The system will immediately select the
desired patient.

2. Click “New Data” button

3. The window that is displayed enables you to select the type of acquisition to
perform. Scroll the drop down list and select “EEG.NET”.

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4. Click “OK” to continue or “Cancel” to cancel the operation.

3.1.4 Starting a new EEG recording using the acquisition wizard

1. Click on the “Acq. Wizard” button (this may be done now or at logon phase or

from the Patient Management System window) .

2. Insert patient data in the following form; fill at least one field of “Last name”,
“First name” and “Birth date” (incomplete data is accepted).

3. The search result will be displayed in a new window that shows a list of
patients. If the searched patient is there, select it clicking on the related line and
then click the “Confirm” button.

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4. If the search doesn’t give result, click on cancel and fill the minimum for a new
patient insertion (Last name, First name and Birth date), then the patient will be
added in database.

5. After completing the form, select the type of recording, scrolling the drop down
list and selecting “EEG.NET”
6. Click on “Go on”.

3.1.5 Acquiring an EEG exam

1. After selected the EEG.NET data type the preset window appears showing all
available presets. In order to perform a standard EEG exam select the Standard
EEG preset and click on “OK”. Otherwise click on “Cancel” to go back to PMS.

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2. The screen for the EEG mode is shown in the figure below and the red
sentences “Not Recording” notices that the acquisition is not started.

The following picture shows the main command/button available in the main
window.

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3. Assure the calibration mode is enabled, otherwise click on the “Calibration”

button and then click on the red button “Disk Recording” in order
to start the acquisition.

4. After about 30 seconds of calibration click on “Ohmmeter” button in

order to monitor and to save the impedances values. If some values are too
high check the electrodes placement on the scalp in order to reduce the
impedances.

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5. After the impedance check is successfully completed close the ohmmeter

window and click on “EEG” button in order to visualize the traces on the
screen. Starting from this point the raw data will be saved in the disk.

6. Set the Length Page, Sensitivity, High pass, Low Pass parameters in the
toolbar in order to correctly visualize the EEG traces:
- Page Length
- Sensitivity
- High Pass
- Low Pass
- Notch Filter

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The Sensitivity, High Pass, Low Pass and Notch Filters parameters selectable
directly from the combos in the toolbar are only related to the pool EEG.

7. In order to modify the Sensitivity, High Pass, Low Pass and Notch Filters
parameters for the polygraphic channels is necessary to right-click on the
trace. This function is also available for the cephalic channels.

3.1.6 Some options

1. Open the Marker window and the Flash window clicking on the
specific button in the toolbar.

There are three different ways to insert the spots and states:
- Clicking on the spot/state in the Markers Window
- Drag&Drop directly from the Markers Window
- Double-clicking in the area traces automatically appear the Markers Window
(as it is shown in the picture below)

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2. Click on the View entry in the main menu and enable the Montage Window

3. It is possible to customize the layout selecting and moving the windows in the
traces area where the user wants, realizing more different layouts according to
the user needs:
- Keeping press the left button over the upper border of the Montage
window and moving it in the traces area automatically the position cursors
will appear in the screen near the traces area borders.

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- Dragging the Montage window over one some position cursor a “shadow”
shows the area where the windows will be placed.

- If the position is right drop the window in the current position leaving the
left button. Otherwise move again the window over others position cursors.

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4. Once the layout has been defined by the user it is possible to save it clicking
on the “Tools” entry in the main menu and then on “Layout Explorer”.

5. The Layout Explorer window shows all the layout saved previously.
In order to save the current layout click on “Save as” button.
To open a layout previously saved directly select it from the list in the window
and then click on “Load” button.

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6. The quantitative EEG can be performed during the acquisition for the
following tools:
- Spectrogram
- EEG Trend

The functions are available in the toolbar directly clicking on the specific
button. It is necessary to start the quantitative tools before to start the
recording.

Clicking on “EEG Trend” the available trend will be shown (see the following
picture)

Each of these tools is deeply described in the EEG Manual, where is explained
the trend meaning and how the trend has to be configured in order to correctly
work.

7. The EEG acquisition ends when the “Disk Recording” button is pressed
and automatically the red sentence “Not Recording” appears again. The other
way to stop the acquisition is directly closing the viewer window.

NOTE

The tools are available with the software licences:

- B8659042000 – EEMagine SpikeDetector for Spike/Seizure
Detection which will be available in the EEG Trend window.
- B8659027000 – Spectral Analysis for Potential Map, Spectral Map
and Spectral Graphs
- B8659005000 – CSA for Spectrogram (DSA and CSA)
- B8659030000 – Trend/Burst Suppression for EEG Trend (Spectral
Parameters, MinMax, CFM and Burst Suppression)

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All the functions previously shown are also available in the main
menu together with others functions whose description is referred to
the manual.

The Potential Map and the Spectral Map are available only in the
Review mode, while the others tools are available both in Acquisition
and Review mode.
In order to use a available tool during the acquisition is mandatory
that it is configured before the acquisition starts.

3.1.7 VideoEEG acquisition

Configuring a camera in the acquisition system and creating a new kind of preset it
is possible to combine the EEG recording with the Video one.
In order to start a new video acquisition select the patient in the PMS and click on
“New Data” button and then select the “VIDEOEEG.NET” data type.

After selected the Video preset the VideoEEG Viewer will appear showing the
video window which can be enabled/disabled clicking on the specific button in the

toolbar .
The video management is made using the available commands in the video
window.
All the functions previously described for the EEG.NET mode are the same for the
VideoEEG.NET one.

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In the following pictures are shown the commands of the management video
window:

- Start/stop the video recording

- Enabled/disabled audio preview

- Change video camera setting

- Zoom

- Switch the big video frame with the small one (available with 2
cameras)

- Hide small video frame (available with 2 cameras)

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Small video frame

Big video frame

4. READING A TRACE FROM AN EXISTING EEG EXAM

From the Patient Management System (PMS) it is possible to select the EEG.NET
for the desired patient in two different ways: by double clicking the selected line of

the patient or by pressing “View data” .

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Enable the Marker Window , the Event Window and the Measures

clicking on the specific buttons on the toolbar.

It is possible to jump to the EEG epoch related to a specific event double clicking
on the desired event in the event list.

Double click jump

To compute the Measures the user has to select a region in the area traces and
then automatically the computed values will be shown in the window. It is possible
to enable/disable the kinds of measures and to export the results in a “.txt” file.

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Use the arrows keys or the PAG UP/DOWN keys in order to manually review the

recording, otherwise click on “Panning” or “Automatic Display” button.

It is always possible to customize a new layout and save it in order to distinguish
the acquisition layout than the reading one (see the picture below).

The quantitative EEG can be performed using specific tools. The functions are
available in the toolbar directly clicking on the specific button:
- Potential Map
- Spectral Map
- Spectral Graphs
- Spectrogram
- EEG Trend

4.1.1 Cut function

An important feature is the cut function: selecting a portion of the EEG trace the
physician/technician can cut data either outside or inside the selection creating a
new EEG trace without losing the original one.
1. Select a portion of the EEG trace by using the “Transfer” state. It will be
indicated in the navigation bar with a coloured bar.

2. Click on the “Tools” tab in the main menu and then select the “Cut Selection…”
entry

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3. When Cut Selection Wizard appears click on “Next” button

4. After that it is possible to decide the kind of cut:

- “Delete data outside selection”
- “Delete selected data”
After selected the cut option click on “Next” button and wait for the process is
completed. A new EEG recording will be created and insert in the current
archive and automatically it will start opening after the cut process will be
ended.

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4.1.2 VideoEEG review

In the PMS open the VideoEEG.NET recording for the desired patient by double

clicking the selected line of the patient or by pressing “View data”

In order to review the entire Video EEG exam use the available commands in the
video window:

- Start/Stop rePlay

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- Fast play

- Go to video beginning

- Previous frame

- Next frame

- Go to video end

- EEG video lock (enable/disable the synchronism between the EEG

traces and the video)

- Enable/Disable the audio preview

- Switch the big video frame with the small one (available with 2
cameras)

- Hide the small video frame

5. GENERATING AND PRINTING A REPORT

1. To generate the EEG Data Report there are two ways:

a. From PMS:
enter in the PMS selecting the archive where the patient and the patient data
are stored.

Click on the “Data report” icon in the toolbar

b. Directly from the EEG viewer:

within the EEG viewer (either during the acquisition or the review) click on the
“View” entry in the main menu, as it is shown in the picture below:

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In both cases (a,b) the following window appear to select the EEG Template:

2. After selecting the type of report model press “OK” to confirm the selection or
“Cancel” to return to the previous window.
Automatically the EEG Recording Report will be open in the word processor
currently defined (Word, WordPad, …).

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3. It is possible to create predefined sentences relating to the specific identification

title and insert these in the report clicking on the title when the user wants.
- To create the predefined sentence click on “Sentence” in the upper menu
and then click on “Configure”

- Write the Title and the Sentence in the box. In order to save the sentence
click before on “Add” button and then on “Save and exit” or click on
“Cancel” to return to the report window.

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- When the user wants to insert the sentence previously saved has to click
on “Sentences” tab in the main menu and the select the title. Automatically
the sentence related to the title will be insert in the report according to the
cursor position.

5. At this point, the report can be printed by pressing “Print” from the “File” menu

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or clicking the “Print” button provided for this purpose.

6. In order to save the Data report close the report window and when the following
message appear click on “Yes” otherwise click on “No” to return to PMS
without saving or on “Cancel” button to go back to report window.

7. From the EEG Viewer there is the chance to import in the report the EEG
traces and the processing results visualized at screen.
Clicking on “Edit” tab in the main menu select the “Snapshot” and then the
“Append to Report…”

After that a window will appear where the selectable “objects” are shown.
As an example in the picture below the EEG traces and the Spectral Map are
reported. The user can enable or disable the object flag in order to append it in
the report or not.
After the selection press on “OK” button or click on “Cancel” to return back the
EEG Viewer.

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Then select the EEG template and after pressed “OK” wait for opening the
report.

NOTE
The procedure just described is the same to follow in order to
generate the Patient History document.
In this case it is possible to open the Patient History template from
PMS by clicking on the specific button in the toolbar.

Otherwise directly from the EEG Viewer by clicking on the “View” tab
and then selecting “Report” and “For this Patient” as is it shown in
the picture below.

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