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IHE Radiology - 2006 Update

IHE Radiology - 2006 Update. Kevin O’Donnell, Toshiba Medical Systems Co-chair IHE Radiology Planning Cmte. IHE Radiology. Scope: Radiology including Nuclear Medicine, Mammography Modalities, RIS, PACS, Workstations, Displays, Printers Established 1998 (first IHE domain) Sponsor: RSNA.

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IHE Radiology - 2006 Update

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  1. IHE Radiology -2006 Update Kevin O’Donnell,Toshiba Medical Systems Co-chair IHE Radiology Planning Cmte

  2. IHE Radiology • Scope: • Radiology including Nuclear Medicine, Mammography • Modalities, RIS, PACS, Workstations, Displays, Printers • Established 1998 (first IHE domain) • Sponsor: RSNA

  3. IHE Radiology - Achievements • Now entering 8th year • Robust Vendor Participation at Connectathons • Over 200 IHE Integration Statements published • IHE Profiles appearing in User Purchasing Processes • Have addressed basic radiology workflows • Acquisition, Post-Processing, Reporting, Teaching Files/Clinical Trials • Have addressed imaging content handling • Measurements, CAD Results, NM, Presentation States, Reports, Key Image Notes • Have addressed distribution of imaging information • on CDs, to EHRs, keeping Audit Trails

  4. Scheduled Workflow Charge Posting Patient Info. Recon-ciliation Post-Processing Workflow Presentation ofGrouped Procedures Teaching Files & Clinical Trials Export Reporting Workflow KeyImageNotes Simple Image & Numeric Reports NMImage Consistent Presentation ofImages EvidenceDocs Access to Radiology Information Portable Data for Imaging XDS for Imaging Audit Trail & Node Authentication - Radiology Option IHE Radiology - Profiles

  5. Connectathon - Jan 2006 • North American Connectathon 2006 • January 16-20, Oakbrook, IL • 78 systems tested Radiology Profiles • 5 IHE Domains • Over 60 vendors, 150 systems, 350 engineers • Japanese Connectathon 2006 • January 23-27, Yokohama, Japan • European Connectathon 2006 • April 24-28, Barcelona, Spain

  6. Radiology - Deployment • Most implemented Profiles • Scheduled Workflow • Patient Information Reconciliation • Consistent Presentation of Images • Portable Data for Imaging

  7. Scheduled Workflow Profile report Registration Film Lightbox Image Manager & Archive Orders Filled Film Folder Diagnostic Workstation Film Report Repository Orders Placed AcquisitionModality acquisitioncompleted acquisitionin-progress imagesprinted Modality acquisitioncompleted

  8. Grayscale Calibration & Presentation State Area Of Interest Area Of Interest Flip Zoom Annotate Prepared Image Original Image Original Image Window Level Original Image Transformations Are Lost Consistent Presentation of Images How the image isprepared: How it appears later:

  9. DICOM CD Media Creator DICOM Data DICOM Web Data(Optional) Required to cleanup Patient ID, Acc#, etc. PACS [Media Importer] PC Browser Image Display [Media Reader] Printer [Media Reader] DICOM John Doe Web Data Portable Data for Imaging

  10. IHE RadiologyCurrent Activities/Direction • Facilitate deployment of IHE Profiles in the Market • Users Handbook (2005 Edition) • Additional Testing Tools • Expand focus to integration and workflow spanning departments/enterprises/regions • XDS-I • Importation Workflow • Expand support for specialties • Address NM, Mammography and others • Support Radiation Oncology Domain

  11. IHE Radiology – Plan for 2006 • Development Schedule: • New Profile Selection: Oct 2005 • Issue Public Comment version: Feb 20 2006 • Public Comment Due: Mar 20 2006 • Issue Trial Implementation version: Apr 2006 • IHE Workshop Jun 2006 • RSNA Demo: Nov 2006 • IHE Connectathon: Jan 2007 • HIMSS Demo: Feb 2007 • New Profiles For 2006 • Image Fusion • Mammography Image • Import Reconciliation Workflow

  12. Image Fusion Profile Use Case : • Acquire images on one (hybrid) or more scanners • Perform registration, prepare blending • Display registered, fused images

  13. Image Fusion Profile Mechanism : • DICOM Spatial Registration Object • DICOM Blending Presentation State Benefits : • Standardize exchange of results while preserving innovation of algorithms • Support mixed vendor solutions

  14. Mammography Image Profile Use Case : • Uniform acquisition and handling of Mammography Image data and Mammography CAD data

  15. Mammography Image Profile Mechanism : • DICOM Mammography, DX & CR Objects • DICOM Mammography CAD SR Objects • Informative Appendix on expected behavior Benefits : • Ability to handle image sizing, positioning, air suppression, annotations, CAD results, etc. in a uniform way • More consistency in special purpose workstations • Availability of basic capabilities on general purpose displays and printers • Better integration of CAD processing in the workflow • Support mixed vendor solutions

  16. Importation Reconciliation Workflow Profile Use Case : • a) Acquisition is outsourced to a non-networked site • b) Reading is outsourced to a non-networked site • c) Historical imaging is received from patient or prior institution • Data transferred on film or CD • Receiving system reliably reconciles the new data with local identifiers and workflow

  17. Importation Reconciliation Workflow Profile Mechanism : • IHE Portable Data for Imaging • DICOM Modality Worklist • HL7 Demographics Feed Benefits : • Imported Data (CDs, Films) integrates into local workflow as well as local data • Support mixed vendor solutions

  18. IHE Radiology Users Handbook • “Using IHE” for purchasers, system integrators & users • Real-world scenarios: acquiring a modality, RIS or PACS • Selecting IHE Profiles; Making the Business Case • Based on goals (e.g. reducing errors; increasing throughput) • Identify Profiles that contribute to each goal • Find products that support those Profiles • Specify Profiles in an RFP • Installing & Operating IHE Systems • Leverage electronic workflows • Install & Configure the systems • Do Acceptance Testing • Interface with non-IHE systems

  19. Participating • Vendors • Implement IHE Profiles in your products • Test your products at the IHE Connectathon • Publish IHE Integration Statements • Users • Learn about the IHE Profiles • Include specific IHE Profiles in your RFPs(The Purple CT Effect) • IHE Process • Review Draft Profiles during Public Comment phase • Participate on Committees • Radiology Planning Committee: Kevin O’Donnell (Toshiba) • Radiology Technical Committee: Cor Loef (Philips) • Chris Carr (RSNA) – ihe@rsna.org

  20. IHE Website: www.IHE.net • Frequently Asked Questions • User Handbooks & Introductory Materials • Integration Profiles in Technical Frameworks: • Cardiology • IT Infrastructure • Laboratory • Patient Care Coordination • Radiology • Connectathon Results • Vendor Product Integration Statement Links • Participation in Committees & Connectathons

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