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PageProduit_MiranteSLO_VisuelProduit_Proposition42

Homepage > Multimodal platforms > Mirante SLO (SLO)

Mirante SLO (SLO)

The Mirante SLO model is dedicated to the photography of the fundus. It is a large field multimodal imaging platform. It relates the useful images to the precise analysis of the retina and of the choroid of the anterior pole at the extreme periphery.

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  • LSO confocal imaging
    • 4 laser sources and 4 dedicated sensors (blue 488 nm, green 532 nm, red 670 nm and IR 790 nm)
    • Standard 89° acquisition field
    • Ultra large 163° acquisition field
    • Image still resolution up to 4096×4096 pixels
    • Video resolution up to 1024×1024 pixels
    • FlexTrack algorithm to correct distortions
    • Taking into account cyclotorsion
  • Dioptrical compensation from -15D to + 15D
  • Internal red or blue fixation point and external white fixation points.

Large-field imaging tool of the retina

The Mirante model SLO collects the entire photographies used daily to observe the fundus. They can also be obtained in ultra large field mode:

  • Colour photography
  • Deconstruction in a single Red/Green/Blue colour
  • IR photography
  • Auto fluorescence (FAF-Blue/FAF-Green)
  • Retro mode
  • FA and ICG dynamic and static angiographies

The images of the fundus obtained through an LSO scanning and a normal 89° field, and a large field up to 163° are high-definition images, with a premium contrast.
The analysis of colour photos and red, green and blue original images, obtained directly and without a filter from each wavelength-dedicated sensor makes possible viewing the finest details of the fundus to easily detect the lesions arising in retinal-choroidal pathologies.

PageProduit_MiranteSLO_Description_Visuel0_Proposition2
Image IR SLO
LSO IR Image
Image couleur – reconstruction à partir des trois canaux R/V/B
Image couleur – reconstruction à partir des trois canaux R/V/B
Image rouge – Choroïde
Red image – Choroid
Image verte – Réseau vasculaire (hémorragies, anévrismes…)
Image verte – Réseau vasculaire (hémorragies, anévrismes…)
Image bleue – Tête du nerf optique et des fibres nerveuses
Image bleue – Tête du nerf optique et des fibres nerveuses
Autofluorescence Verte – Zone maculaire non masquée
Autofluorescence Verte – Zone maculaire non masquée
Autofluorescence Bleue – Zone maculaire masquée mais tête du nerf optique plus visible
Autofluorescence Bleue – Zone maculaire masquée mais tête du nerf optique plus visible
Ecran d’acquisition an angiographie simultanée FA et ICG avec IR en temps réel
Ecran d’acquisition an angiographie simultanée FA et ICG avec IR en temps réel
PageProduit_MiranteSLO_Description_Visuel14_PhasesAngio
PageProduit_MiranteSLO_Description_Visuel15_CasRetro1_A
PageProduit_MiranteSLO_Description_Visuel15_CasRetro1_B
PageProduit_MiranteSLO_Description_Visuel16_CasRetro2_A
PageProduit_MiranteSLO_Description_Visuel16_CasRetro2_B
PageProduit_MiranteSLO_Description_Visuel19_PériphFA
PageProduit_MiranteSLO_Description_Visuel20_Panorama

LSO imaging of the fundus

We use the auto fluorescence to analyse the pigmentary epythelium. There are two versions of auto fluorescence: the green wavelength one to correctly view the macula and the blue wavelength one, more convenient to observe the papilla. Therefore, adapting the reading to the studied pathology is possible.
Dynamic or static injection angiography acquisitions, using fluorescein and/or the ICG, are used to observe the vascularisation of the retina and the choroid, from the early filling phases to the late times. Thanks to the real-time infrared imaging, the alignment is performed at the beginning of the injection, thus reducing the loss of information. The automatic setting of the gain, independent for the fluorescein and the ICG, limits the saturation of the signal that sometimes hind the fundus. You can then confirm your diagnosis using the detection of vascular lesions, such as aneurysms, ischemia and leaks.

The retro mode is a technology specially attached to the Mirante. It is an infrared imaging of the deep layers of retina to highlight the structures of the pigmentary epythelium and of the choroid. It uses, derivatively, the LSO technology, and reinforces the detection of fine lesions on these difficult-to-access layers, particularly the lesions of drusen, the conventional imaging methods cannot sometimes see.

The ultra large field adapter is used to enlarge the analysis zone up to 163°, to access to the periphery. By tilting and rotating the upper part of the product, you can observe the fundus, up to the extreme periphery. The reconstruction of different pictures provides a view of the entire fundus, up to the ora serrata.

Analysis of data

The NAVIS-EX software platform can analyse all the data. This interface controls the entire patient database for the NIDEK imaging devices. It is equipped with viewers dedicated to Mirante results.
LSO imaging analyses of the fundus:

  • Multicolour/Red/Green/Blue deconstruction
  • Panoramic reconstruction
  • Face to face RE/LE analysis
  • Comparison between each modality and the image resetting
  • Patient following-up tool
Legal mentions

These mentions are conforms to the French regulation and may vary depending on circumstances in each country.

Analyse OD/OG en photocouleur ultra grand champ
Analyse OD/OG en photocouleur ultra grand champ
Analyse en photocouleur et décomposition R/G/B
Colour photo analysis and R/G/B deconstruction
Analyse comparative entre modalités
Analyse comparative entre modalités
Rapport d’examen d’imagerie mutlimodale
Rapport d’examen d’imagerie mutlimodale

Standard accessories

  • External fixation point
  • Ultra large field adapter
  • Cleaning air gun
  • Protective cover
  • Protective sheet for chinrest

Consumables

  • Protective sheet for chinrest
  • Good Mirante cleaning practices

Brochure et livret de cas cliniques :

  • Sales brochure
  • Clinical case book
  • Livet de cas cliniques SLO

 

Articles multimodalité :

  • Progress of Imaging in Diabetic Retinopathy—From the Past to the Present – Shintaro Horie and Kyoko Ohno-Matsui
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9319818/
  • Assuring Continuity of Retina Care During the COVID-19 Pandemic Using Multimodal Imaging – Aude Couturier, MD, PHD; Ali Erginay, MD; AND Ramin Tadayoni, MD, PHD
  • Multimodal Imaging: Implications for Clinical Practice – BY Giovanni Staurenghi, MD; Srinivas R. Sadda, MD; Mariano Cozzi, MSc; and Giulia Corradetti, MD
  • Widefield Multimodal Imaging – Manish Nagpal, MBBS, MS, FRCS; Gayathri Mohan, MS; Akshar Soni, MS; Sham Talati, DO; and Navneet Mehrotra, MBBS, DNB, FRF
  • Presumed Tenofovir Toxicity – Navneet Mehrotra, MBBS, DNB, FRF, Manish Nagpal, MBBS, MS, FRCS, Sham Talati, DO
  • Comparison between two multimodal imaging platforms: Nidek Mirante and Heidelberg Spectralis – Kimberly Spooner, Long Phan, Mariano Cozzi, Thomas Hong, Giovanni Staurenghi, Eugenia Chu & Andrew A Chang
  • Sensitivity and Specificity of Multimodal Imaging in Characterizing Drusen – Mariano Cozzi, MS; Davide Monteduro, MD; Salvatore Parrulli, MD; Federico Corvi, MD; Federico Zicarelli, MD; Giulia Corradetti, MD; SriniVas R.Sadda, MD; Giovanni Staurenghi, MD

 

Retours d’expert

  • Utilizing Multimodal & Ultra Wide Field Imaging in the Diagnosis and Management of Retinal Diseases – SriniVas R. Sadda, MD; K. Bailey Freund, MD; and Nadia Waheed, MD
    https://eyetube.net/spotlight/nidek/utilizing-multimodal-ultra-wide-field-imaging-in-the-diagnosis-and-management-of-retinal-diseases
  • 360° Retina Management through Multimodal Imaging: the NIDEK Mirante – Stanislao Rizzo, MD; Thomas Ach, MD; Daniela Bacherini, MD, PhD; and Maria Cristina Savastano, MD, PhD
    https://eyetube.net/spotlight/nidek/360-retina-management-through-multimodal-imaging-the-nidek-mirante
  • The Importance of Multimodal Imaging – Giovanni Staurenghi, MD
  • Multimodal Imaging with the Mirante – Daniela Bacherini, MD, PhD
  • See the Power of Mirante: the Ultimate Multimodal Imaging Platform – Giovanni Staurenghi, MD; SriniVas Sadda, MD; Manish Nagpal, MBBS, MS, FRCS
  • Multimodal & Widefield Imaging – Manish Nagpal, MBBS, MS, FRCS
  • New Horizons in Multimodal Imaging – SriniVas Sadda, MD
  • The importance of multimodal imaging: the new NIDEK Mirante SLO/OCT platform – Giovanni Staurenghi, MD

 

Retours d’expert rétromode :

  • Applications of Retro Mode Imaging – SriniVas Sadda, MD
  • Retro Mode Imaging in a Multimodal Assessment of AMD and Macular Dystrophies – SriniVas Sadda, MD
  • Intérêt de l’imagerie rétinienne en RétroMode Prithvi Ramtohul

 

Présentation de cas

    • SLO-Based Widefield Imaging: An Atlas of Retinal Detachments –

    https://retinatoday.com/articles/2022-jan-feb/slo-based-widefield-imaging-an-atlas-of-retinal-detachments?c4src=issue:feed

    • Anti-VEGF Crunch Syndrome in PDR – Yen-Po Chen, MD, PHD

    https://retinatoday.com/issues/2022-may-june-insert3

    • Bloody Bowtie, Simultaneous superonasal and superotemporal BRVO – José Gerardo Garcia-Aguirre, MD

    https://retinatoday.com/issues/2022-apr-insert2

 

THE OFFER OF NIDEK PRODUCTS

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